UNIVERSITY PEDIATRIC ENDOCRINOLOGY LLC NPI 1780983692

NPI Information

  • NPI: 1780983692
  • Provider Name: UNIVERSITY PEDIATRIC ENDOCRINOLOGY, LLC
  • Classification: Pediatrics - 2080P0205X
  • Specialization: Pediatric Endocrinology
  • Entity Type: Organization
  • Address: 811 E PARRISH AVE
    STE 120
    OWENSBORO, KY
    ZIP 42303
  • Phone: (502) 629-8821

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NPI Details

UNIVERSITY PEDIATRIC ENDOCRINOLOGY, LLC is a pediatric endocrinology pediatrics in Owensboro, KY. The provider is a pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands. UNIVERSITY PEDIATRIC ENDOCRINOLOGY, LLC NPI is 1780983692. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

811 E PARRISH AVE
STE 120
OWENSBORO, KY
ZIP 42303-258
Phone: (502) 629-8821
Fax: (502) 629-8824

The provider's authorized official is Gerard P Rabalais .
The authorized official title is Chairman and has the following contact phone number (502) 852-8600.

The enumeration date for this NPI number is 3/17/2011 and was last updated on 3/17/2011.

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
1133V00000XDietitian, RegisteredNo
2208000000XPediatricsNo
3363L00000XNurse PractitionerNo
4363LP0200XNurse PractitionerPediatricsNo
52080P0205XPediatricsPediatric EndocrinologyYes

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
1200889620MEDICAIDINDIANA
27100010410MEDICAIDKENTUCKY
3P100028969MEDICARE PINKENTUCKY

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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