DR. MARK W DISTLER


Address: 301 Middletown Park Pl, Suite C, Louisville, KY 40243-2515
Phone: 5022449858

DR. MARK W DISTLER (NPI# 1568572733) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1568572733
Entity Type Individual
Full Name DR. MARK W DISTLER
Credential M.D.
Practice Address 301 Middletown Park Pl
Suite C
Louisville
KY 40243-2515
Practice Telephone 5022449858
Practice Fax Number 5022449575
Mailing Telephone 5022449858
Mailing Fax Number 5022449575
Enumeration Date 2006-08-30
Last Update Date 2014-03-12
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208000000X Pediatrics 28797 KY Allopathic & Osteopathic Physicians
N 208000000X Pediatrics 1042652 IN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IN 100373990 05

Office Location

Street Address 301 MIDDLETOWN PARK PL
SUITE C
City LOUISVILLE
State KY
Zip Code 40243-2515

Providers in the same location

NPI Name Taxonomy Address Enumeration
1700863230 Dana J Distler Pediatrics 301 Middletown Park Pl, Suite C, Louisville, KY 40243-2515 2005-12-27

Providers in the same zip code

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 Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
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/certificatio
- 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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1306316989 Jacquee L Mcnear Pediatrics 801 Barret Avenue Suite 314, Louisville, KY 40204-1701 2018-11-27
1902292857 Hayley Redmond Pediatrics 571 S Floyd St Ste 332, Louisville, KY 40202 2015-04-07
1770978512 Michael Bricken Pediatrics 760 S Hancock St # B100, Louisville, KY 40203 2015-03-30
1114332236 Amanda Brian Rogers Pediatrics 411 E Chestnut St # Street6, Louisville, KY 40202-1713 2014-06-26
1770900144 Kathryn Thorne Pediatrics 9710 Park Plaza Ave Unit 107, Louisville, KY 40241-2292 2014-03-24
1669717690 Surjeet Singh Dhanjal Pediatrics 1506 Thackeray Dr, Louisville, KY 40205-2410 2012-12-03
1164656443 Betty Sue Spivack Pediatrics 8804 Nottingham Pkwy, Louisville, KY 40222-5217 2009-05-14
1821238528 James Grant Mumford Pediatrics 5100 Commerce Crossings Dr, Louisville, KY 40229-2128 2009-02-20
1033371216 Jonathan R Malowitz Pediatrics 4123 Dutchmans Lane Suite 301, Suburban Medical Plaza 3, Louisville, KY 40207 2008-06-27
1356509954 Julia Lane Mitchell Pediatrics 760 S. Hancock St, B100, Louisville, KY 40203 2008-05-30
Find all providers in LOUISVILLE

Competitor

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City LOUISVILLE
Zip Code 40243

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Dataset Information

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.

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