MIDDLETOWN PEDIATRICS (NPI# 1164645834) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164645834 |
| Entity Type | Organization |
| Organization Name | MIDDLETOWN PEDIATRICS |
| Practice Address |
301 C Middletown Park Place Louisville KY 40243 |
| Practice Telephone | 5022449858 |
| Practice Fax Number | 5022449575 |
| Mailing Telephone | 5022449858 |
| Mailing Fax Number | 5022449575 |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2014-03-12 |
| Authorized Official Name | DR. DANA J. DISTLER (PHYSICIAN/OWNER) |
| Authorized Official Telephone | 5022449858 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
38964 | KY | Allopathic & Osteopathic Physicians |
| N | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
39163 | KY | Allopathic & Osteopathic Physicians |
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
28883 | KY | Allopathic & Osteopathic Physicians |
| Street Address |
301 C MIDDLETOWN PARK PLACE |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40243 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235296617 | Suzanne L Woods | Pediatrics | 301 C Middletown Park Place, Louisville, KY 40243 | 2007-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942801949 | Pulsemer Health LLC | Clinic/Center | 11408 Shelbyville Rd, Suite 2, Louisville, KY 40243 | 2020-11-05 |
| 1316563372 | Molly Elizabeth Fitzgerald | Counselor | 350 Evergreen Road Suite 102, Louisville, KY 40243 | 2020-06-24 |
| 1215575410 | Eric Wolfe | Pharmacist | 1320 Snake Foot Drive, Apt 204, Louisville, KY 40243 | 2019-12-18 |
| 1417501974 | Joshua Bynum | Physical Therapist | 12935 Shelbyville Road Ste 106, Louisville, KY 40243 | 2019-08-01 |
| 1376013342 | Carmen Sue Frederick | Psychologist | 731 Speckman Road, Louisville, KY 40243 | 2018-12-03 |
| 1205366846 | Triple Crown Dentistry | Dentist | 904 Lily Creek Road, Suite 101, Louisville, KY 40243 | 2017-06-15 |
| 1659811636 | Jean Steltenpohl | Dietitian, Registered | 518 Cheskirk Pl, Louisville, KY 40243 | 2017-02-24 |
| 1548555287 | Jonathan D Senters | Pharmacist | 12975 Shelbyville Road, T-2728, Middletown, KY 40243 | 2011-06-10 |
| 1023339835 | Ashley Rose Havens | Speech-Language Pathologist | 11510 Main Street, Louisville, KY 40243 | 2010-06-15 |
| 1801110424 | Shawna L. Kauffman | Family Medicine | 12955 Shelbyville Rd Ste 2, Louisville, KY 40243 | 2010-03-25 |
| Find all providers in zip 40243 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679773154 | Sheila M Guelda Md Pllc | Pediatrics | 2809 N Hurstbourne Pkwy, Suite 109, Louisville, KY 40223-1279 | 2007-07-23 |
| 1275738510 | Cornerstone Pediatrics Associates | Pediatrics | 90 Health Park Dr Ste 160, Louisville, CO 80027-9742 | 2007-06-18 |
| 1235296617 | Suzanne L Woods | Pediatrics | 301 C Middletown Park Place, Louisville, KY 40243 | 2007-01-03 |
| 1700863230 | Dana J Distler | Pediatrics | 301 Middletown Park Pl, Suite C, Louisville, KY 40243-2515 | 2005-12-27 |
| 1194719831 | John P Oliphant | Pediatrics | 3427 Stony Spring Cir, Louisville, KY 40220-5437 | 2005-09-08 |
| 1467450858 | Anissa Hargis | Pediatrics | 301 C Middleton Park Pl, Louisville, KY 40243 | 2005-07-11 |
| 1518235704 | University Pediatrics Foundation, Inc. | Pediatrics | 210 E Gray St, Ste. 802, Louisville, KY 40202-3900 | 2011-12-02 |
| 1528209350 | University of Louisville | Pediatrics | 555 S Floyd St, Louisville, KY 40202-3822 | 2009-03-06 |
| 1598801805 | Joseph Francis Meiners | Pediatrics | 4010 Dupont Cir, Suite 283, Louisville, KY 40207-4812 | 2007-01-30 |
| 1174669469 | Gerald Francis Sturgeon | Pediatrics | 4010 Dupont Cir, Suite 283, Louisville, KY 40207-4812 | 2007-01-30 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40243 |
Please comment or provide details below to improve the information on MIDDLETOWN PEDIATRICS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.