NORTON CHILDREN'S MEDICAL GROUP LLC NPI 1770190167

NPI Information

  • NPI: 1770190167
  • Provider Name: NORTON CHILDREN'S MEDICAL GROUP, LLC
  • Classification: Medical Genetics - 207SG0201X
  • Specialization: Clinical Genetics (M.D.)
  • Entity Type: Organization
  • Doing Business As: NORTON CHILDREN'S GENETICS CENTER
  • Address: 4803 OLYMPIA PARK PLZ STE 1100
    LOUISVILLE, KY
    ZIP 40241
  • Phone: (502) 272-5336

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NPI Details

NORTON CHILDREN'S MEDICAL GROUP, LLC is a clinical genetics (m.d.) medical genetics in Louisville, KY. The provider is a clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders. NORTON CHILDREN'S MEDICAL GROUP, LLC NPI is 1770190167. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Norton Children's Genetics Center.

The provider's business location address is:

4803 OLYMPIA PARK PLZ STE 1100
LOUISVILLE, KY
ZIP 40241-068
Phone: (502) 272-5336
Fax: (502) 272-5339

The provider's authorized official is Shelley Gast .
The authorized official title is Syst Vp Mngd Care & Payor Strat and has the following contact phone number (502) 272-5335.

The enumeration date for this NPI number is 9/29/2020 and was last updated on 1/10/2022.

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
1103TC0700XPsychologistClinicalNo
21041C0700XSocial WorkerClinicalNo
3133V00000XDietitian, RegisteredNo
4133VN1006XDietitian, RegisteredNutrition, MetabolicNo
5170300000XGenetic Counselor, MSNo
6363L00000XNurse PractitionerNo
7363LF0000XNurse PractitionerFamilyNo
8363LP0200XNurse PractitionerPediatricsNo
9207SG0201XMedical GeneticsClinical Genetics (M.D.)Yes

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: 3/30/2025

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