NORTON CHILDREN'S MEDICAL GROUP, LLC (NPI# 1336771161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336771161 |
Entity Type | Organization |
Organization Name | NORTON CHILDREN'S MEDICAL GROUP, LLC |
Other Organization Name | NORTON CHILDREN'S DERMATOLOGY |
Practice Address |
1930 Bishop Ln Ste 101710th Louisville KY 40218-1921 |
Mailing Address |
Po Box 776879 Chicago IL 60677-6879 |
Practice Telephone | 5022725134 |
Practice Fax Number | 5022725339 |
Mailing Telephone | 5022725134 |
Mailing Fax Number | 5022725339 |
Enumeration Date | 2020-02-10 |
Last Update Date | 2020-05-12 |
Authorized Official Name | MS. SHELLEY GAST (SYST VP MNGD CARE & PAYOR STRAT) |
Authorized Official Telephone | 5022725335 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
Physician Assistants & Advanced Practice Nursing Providers | ||
N | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians | ||
N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
Y | 207NP0225X |
Dermatology Specialization: Pediatric Dermatology |
Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Norton Children's Dermatology | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487292033 | Norton Children's Medical Group, LLC | Nurse Practitioner | 1930 Bishop Ln Ste 101710, Louisville, KY 40218-1921 | 2019-12-13 |
1770190167 | Norton Children's Medical Group, LLC | Social Worker | 1930 Bishop Ln Ste 101710th, Louisville, KY 40218-1921 | 2020-09-29 |
1861015521 | Norton Children's Medical Group, LLC | Optometrist | 1930 Bishop Ln Ste 101710th, Louisville, KY 40218-1921 | 2020-05-28 |
1265070809 | Norton Children's Medical Group, LLC | Physician Assistant | 1930 Bishop Ln Ste 101710th, Louisville, KY 40218-1921 | 2019-12-13 |
1457999096 | Norton Children's Medical Group, LLC | Psychologist | 1930 Bishop Ln Ste 101710th, Louisville, KY 40218-1921 | 2019-12-13 |
1316584691 | Norton Children's Medical Group, LLC | Physician Assistant | 1930 Bishop Ln Ste 101710th, Louisville, KY 40218-1921 | 2019-12-05 |
1386281657 | Norton Children's Medical Group, LLC | Anesthesiology | 1930 Bishop Ln Ste 101710th, Louisville, KY 40218-1921 | 2019-12-05 |
1013559921 | Norton Children's Medical Group, LLC | Psychologist | 1930 Bishop Ln Ste 101710th, Louisville, KY 40218-1921 | 2019-10-11 |
1548802549 | Norton Children's Medical Group, LLC | Behavioral Analyst | 1930 Bishop Ln Ste 101710th, Louisville, KY 40218-1921 | 2019-10-10 |
1083256242 | Norton Children's Medical Group, LLC | Pediatrics | 1930 Bishop Ln Ste 101710th, Louisville, KY 40218-1921 | 2019-10-09 |
Street Address |
1930 BISHOP LN STE 101710TH |
City | LOUISVILLE |
State | KY |
Zip Code | 40218-1921 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326695255 | Norton Childrens Medical Group, LLC | Nurse Practitioner | 1930 Bishop Ln Ste 101710th, Louisville, KY 40218-1921 | 2019-08-26 |
1770190167 | Norton Children's Medical Group, LLC | Social Worker | 1930 Bishop Ln Ste 101710th, Louisville, KY 40218-1921 | 2020-09-29 |
1861015521 | Norton Children's Medical Group, LLC | Optometrist | 1930 Bishop Ln Ste 101710th, Louisville, KY 40218-1921 | 2020-05-28 |
1265070809 | Norton Children's Medical Group, LLC | Physician Assistant | 1930 Bishop Ln Ste 101710th, Louisville, KY 40218-1921 | 2019-12-13 |
1457999096 | Norton Children's Medical Group, LLC | Psychologist | 1930 Bishop Ln Ste 101710th, Louisville, KY 40218-1921 | 2019-12-13 |
1316584691 | Norton Children's Medical Group, LLC | Physician Assistant | 1930 Bishop Ln Ste 101710th, Louisville, KY 40218-1921 | 2019-12-05 |
1386281657 | Norton Children's Medical Group, LLC | Anesthesiology | 1930 Bishop Ln Ste 101710th, Louisville, KY 40218-1921 | 2019-12-05 |
1013559921 | Norton Children's Medical Group, LLC | Psychologist | 1930 Bishop Ln Ste 101710th, Louisville, KY 40218-1921 | 2019-10-11 |
1548802549 | Norton Children's Medical Group, LLC | Behavioral Analyst | 1930 Bishop Ln Ste 101710th, Louisville, KY 40218-1921 | 2019-10-10 |
1083256242 | Norton Children's Medical Group, LLC | Pediatrics | 1930 Bishop Ln Ste 101710th, Louisville, KY 40218-1921 | 2019-10-09 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457951170 | Okey Patrick Mbadike | Pharmacist | 3616 Buechal By Pass, Louisville, Ky 40218, Louisville, KY 40218 | 2020-10-30 |
1992339345 | Rachael P. Abell | Nurse Practitioner | 2210 Buechel Avenue Suite 105, Louisville, KY 40218 | 2020-02-25 |
1750938189 | Taylor C Thomas | Nurse Practitioner | 4423 Bardstown Road, Louisville, KY 40218 | 2019-08-21 |
1902461692 | Louisville Injury Clinics, Inc | Chiropractor | 4400 Breckenridge Lane, Suite 102, Louisville, KY 40218 | 2019-05-08 |
1629564141 | Stepping Stones Counseling | Social Worker | 5414 Bannon Crossing Dr, Louisville, KY 40218 | 2018-07-09 |
1396230553 | Kids Without Limits LLC | Home Health | 2204 Bashford Manor Ln, Louisville, KY 40218 | 2018-06-28 |
1073008074 | B F P D | Ambulance | 4101 Bardstown Rd, Louisville, KY 40218 | 2018-06-22 |
1508358862 | Mary Katherine Biros | Nurse Practitioner | 2202 Buechel Ave Ste 105, Louisville, KY 40218 | 2018-06-03 |
1366931644 | Irena Kuca | Student in an Organized Health Care Education/Training Program | 215 Central Avenue Suite 100, Louisville, KY 40218 | 2018-05-02 |
1760979124 | Healthy Living Primary Care | General Practice | 4400 Breckenridge Ln Ste 147, Louisville, KY 40218 | 2018-04-20 |
Find all providers in zip 40218 |
Taxonomy Code | 207NP0225X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Dermatology |
Specialization | Pediatric Dermatology |
A pediatric dermatologist has, through additional special training, developed expertise in the treatment of specific skin disease categories with emphasis on those diseases which predominate in infants, children and adolescents. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: changed definition, added source] Additional Resources: American Board of Dermatology, 2007, http://www.abderm.org/ A subspecialty certificate was approved by ABMS in 2000. ACGME Accredited Residency Program Requirements: None. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215419031 | Kelley Mae Hall | Dermatology | 2701 Chestnut Station Court, Louisville, KY 40299-6395 | 2018-08-29 |
City | LOUISVILLE |
Zip Code | 40218 |
Please comment or provide details below to improve the information on NORTON CHILDREN'S MEDICAL GROUP, LLC.
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.