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UNIVERSITY CHILDREN'S SLEEP MEDICINE SPECIALISTS LLC NPI 1669508016


NPI Information

NPI: 1669508016
Provider Name: UNIVERSITY CHILDREN'S SLEEP MEDICINE SPECIALISTS, LLC
Classification: Pediatrics - 2080S0012X
Entity Type: Organization

Specialization: Sleep Medicine

Address:
4121 DUTCHMANS LN
STE 612
LOUISVILLE, KY
ZIP 40207
Phone: (502) 588-2220
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UNIVERSITY CHILDREN'S SLEEP MEDICINE SPECIALISTS, LLC is a sleep medicine pediatrics in Louisville, KY. The provider is a Pediatrician who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders. UNIVERSITY CHILDREN'S SLEEP MEDICINE SPECIALISTS, LLC NPI is 1669508016. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4121 DUTCHMANS LN
STE 612
LOUISVILLE, KY
ZIP 40207-707
Phone: (502) 588-2220
Fax: (502) 588-2221

The provider's authorized official is Gerard P Rabalais .
The authorized official title is President and has the following contact phone number (502) 852-8560.

The enumeration date for this NPI number is 2/27/2007 and was last updated on 6/19/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084S0012XPsychiatry & NeurologySleep MedicineNo
2208000000XPediatricsNo
32080P0214XPediatricsPediatric PulmonologyNo
4103T00000XPsychologistNo
5207RS0012XInternal MedicineSleep MedicineNo
6207QS1201XFamily MedicineSleep MedicineNo
72080S0012XPediatricsSleep MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17100026930MEDICAIDKENTUCKY
200477MEDICARE PINKENTUCKY
3200897060MEDICAIDINDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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