UNIVERSITY OF LOUISVILLE (NPI# 1528209350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528209350 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF LOUISVILLE |
| Other Organization Name | CHILDREN AND YOUTH PROJECT-ADOLESCENT CLINIC |
| Practice Address |
555 S Floyd St Louisville KY 40202-3822 |
| Mailing Address |
Po Box 2469 Louisville KY 40201-2469 |
| Practice Telephone | 5028525588 |
| Practice Fax Number | 5028525630 |
| Mailing Telephone | 5028528500 |
| Mailing Fax Number | 5028528556 |
| Enumeration Date | 2009-03-06 |
| Last Update Date | 2012-07-09 |
| Authorized Official Name | DR. GERARD RABALAIS (CHAIRMAN) |
| Authorized Official Telephone | 5028528600 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
29710 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 64067259 | 05 |
| Other Name | Type Code |
|---|---|
| Children and Youth Project-Adolescent Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912188541 | University of Louisville | Clinical Medical Laboratory | 501 South Preston Street, Louisville, KY 40292-0001 | 2007-11-26 |
| 1336644350 | University of Louisville | Nurse Practitioner | 501 S Preston St, Louisville, KY 40202-1701 | 2018-03-30 |
| 1659807881 | University of Louisville | Pediatrics | 601 S Floyd St, Ste 403, Louisville, KY 40202-1835 | 2017-05-09 |
| 1679927529 | University of Louisville | General Acute Care Hospital | 530 S. Jackson Street, Department of Anesthesiology, Louisville, KY 40202-1675 | 2016-04-18 |
| 1508007808 | University of Louisville | General Acute Care Hospital | 530 S Jackson St, Louisville, KY 40202-1675 | 2009-03-16 |
| 1013041391 | University of Louisville | Special Hospital | 529 S Jackson St, # 127, Louisville, KY 40202-3229 | 2007-03-16 |
| 1255416731 | University of Louisville | Clinical Medical Laboratory | 500 S Preston St, Room 1319, Louisville, KY 40202-1702 | 2006-10-25 |
| 1861413098 | University of Louisville | Dentist | 501 S Preston St, Louisville, KY 40202-1701 | 2006-07-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | UNIVERSITY OF LOUISVILLE | 2301 S 3rd St, Louisville, KY 40208-1838 |
| System for Award Management (SAM) Entities | UNIVERSITY OF LOUISVILLE HOSPITAL | 530 S Jackson St, Louisville, KY 40202-1675 |
| Indiana Business Entities | UNIVERSITY OF LOUISVILLE NEUROSURGICAL FACULTY GROUP, PLLC | 201 Loganberry Court, Louisville, KY 40207 |
| System for Award Management (SAM) Entities | UNIVERSITY OF LOUISVILLE PANAMA | Calle 45 Bella Vista, Panama, PANAMA 08330152, PAN |
| System for Award Management (SAM) Entities | UNIVERSITY OF LOUISVILLE-PANAMA FOUNDATION | Calle 45, Bella Vista, Panama, PANAMA, PAN |
| Street Address |
555 S FLOYD ST |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40202-3822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639172554 | Sharon C Metcalf | Nurse Practitioner | 555 S Floyd St, Louisville, KY 40202-3801 | 2005-05-24 |
| 1568893915 | University of Louisville Research Foundation | Nurse Practitioner | 555 S Floyd St, Louisville, KY 40202-3822 | 2013-12-11 |
| 1942543194 | Lacy Lashbrook Ochs | Pediatrics | 555 S Floyd St, Louisville, KY 40202-3822 | 2013-04-05 |
| 1700151826 | University of Louisville Research Foundation | Pediatrics | 555 S Floyd St, Louisville, KY 40202-3822 | 2012-03-22 |
| 1679867543 | Kendall Elizabeth Purcell | Pediatrics | 555 S Floyd St, Louisville, KY 40202-3822 | 2011-06-07 |
| 1487970638 | Jennifer M. Porter | Pediatrics | 555 S Floyd St, Louisville, KY 40202-3822 | 2010-04-13 |
| 1952532665 | University of Louisville Research Foundation Inc | Clinic/Center | 555 S Floyd St, Louisville, KY 40202-3822 | 2009-07-29 |
| 1225275803 | Nicole Bichir | Pediatrics | 555 S Floyd St, Louisville, KY 40202 | 2009-01-19 |
| 1982855433 | Audra Noble Rankin | Nurse Practitioner | 555 S Floyd St, Louisville, KY 40202-3822 | 2008-10-02 |
| 1962668889 | Matthew David Kinney | Pediatrics | 555 S Floyd St, Louisville, KY 40202-3822 | 2008-07-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972129682 | Garvit Chhabra | Student in an Organized Health Care Education/Training Program | 550, South Jackson Street, Acb, Third Floor, Louisville, KY 40202 | 2020-06-18 |
| 1396367009 | Richele Williams | Student in an Organized Health Care Education/Training Program | 201 Abraham Flexner Way Department of Family and Pediac, Suite 690, Louisville, KY 40202 | 2020-05-15 |
| 1942822028 | Ahmed Khaled Saleh | Student in an Organized Health Care Education/Training Program | 500 S Jackson St, Room 305, Louisville, KY 40202 | 2020-05-12 |
| 1457972952 | Mir Ali Raza Talpur | Student in an Organized Health Care Education/Training Program | 401 E Chestnut Street, Suite 600 University of Louisvi, Louisville, KY 40202 | 2020-05-06 |
| 1316575533 | Abigail Hatfield | Student in an Organized Health Care Education/Training Program | Internal Medicine Training Program, 550 South Jackson Street, Acb 3rd Floor, Louisville, KY 40202 | 2020-04-01 |
| 1851929210 | Madison Harmon | Student in an Organized Health Care Education/Training Program | Uofl Department of Emergency Medicine, 530 S. Jackson Street Room C1h17, Louisville, KY 40202 | 2020-03-31 |
| 1184252041 | Marianna Weaver | Student in an Organized Health Care Education/Training Program | 550 South Jackson Street, Acb 3rd Floor, University of Louisville, Louisville, KY 40202 | 2020-03-27 |
| 1700347341 | Charles Jake Sadle | Student in an Organized Health Care Education/Training Program | Office of Medical Education C/o Brittney Luckett, 571 S. Floyd St., Ste. 412, Louisville, KY 40202 | 2019-03-27 |
| 1437616794 | Paladina Health, LLC | Family Medicine | Paladina Health Humana East, 123 E Main Street, Louisville, KY 40202 | 2019-02-22 |
| 1205393568 | Paladina Health, LLC | Family Medicine | Paladina Health Humana West, 500 W Main Street, Louisville, KY 40202 | 2019-02-22 |
| Find all providers in zip 40202 | ||||
| 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 |
| 1164645834 | Middletown Pediatrics | Pediatrics | 301 C Middletown Park Place, Louisville, KY 40243 | 2007-04-11 |
| 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 | 40202 |
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| 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.