UNIVERSITY PEDIATRIC GASTROENTEROLOGY, LLC (NPI# 1811296742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811296742 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY PEDIATRIC GASTROENTEROLOGY, LLC |
| Practice Address |
811 E Parrish Ave Ste 120 Owensboro KY 42303-3258 |
| Mailing Address |
Po Box 2469 Louisville KY 40201-2469 |
| Practice Telephone | 5028527670 |
| Practice Fax Number | 5028527743 |
| Mailing Telephone | 5028528500 |
| Mailing Fax Number | 5028528556 |
| Enumeration Date | 2011-03-17 |
| Last Update Date | 2011-03-17 |
| Authorized Official Name | DR. GERARD P RABALAIS (CHAIRMAN) |
| Authorized Official Telephone | 5028528600 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| Y | 2080P0206X |
Pediatrics Specialization: Pediatric Gastroenterology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100063520 | 05 | |
| IN | 200945670 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679840961 | University Pediatric Gastroenterology, LLC | Pediatrics | 740 S Limestone, Lexington, KY 40536-0001 | 2011-11-30 |
| 1487953311 | University Pediatric Gastroenterology, LLC | Pediatrics | 720 2nd St, Ste 102, Bowling Green, KY 42101-1778 | 2011-03-17 |
| 1568790277 | University Pediatric Gastroenterology, LLC | Pediatrics | 9700 Park Plaza Avenue, Suite 110, Louisville, KY 40241-2286 | 2009-11-19 |
| 1033366091 | University Pediatric Gastroenterology, LLC | Pediatrics | 210 E Gray Street, Ste 802, Louisville, KY 40202-3904 | 2008-08-21 |
| Street Address |
811 E PARRISH AVE STE 120 |
| City | OWENSBORO |
| State | KY |
| Zip Code | 42303-3258 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316948250 | Donna L Sublett | Nurse Practitioner | 811 E Parrish Ave, Owensboro, KY 42303-3258 | 2005-08-02 |
| 1255956066 | Hayat Itani | Student in an Organized Health Care Education/Training Program | 811 E Parrish Ave, Owensboro, KY 42303-3258 | 2020-06-08 |
| 1487283396 | Suheung Lee | Student in an Organized Health Care Education/Training Program | 811 E Parrish Ave, Owensboro, KY 42303-3258 | 2020-04-02 |
| 1356979249 | Daniel Robert Meis | Student in an Organized Health Care Education/Training Program | 811 E Parrish Ave, Owensboro, KY 42303-3258 | 2020-03-28 |
| 1811474067 | Samantha A Payne | Nurse Practitioner | 811 E Parrish Ave, Owensboro, KY 42303 | 2018-07-20 |
| 1649701251 | Hamed Haghnazar | Student in an Organized Health Care Education/Training Program | 811 E Parrish Ave, Owensboro, KY 42303-3258 | 2017-03-24 |
| 1093251548 | Owensboro Health Medical Group, Inc. | Family Medicine | 811 E Parrish Ave, Owensboro, KY 42303-3258 | 2017-01-09 |
| 1497113955 | Melissa Gaither | Dietitian, Registered | 811 E Parrish Ave, Owensboro, KY 42303-3258 | 2016-01-29 |
| 1962817122 | Owl Emergency Physicians LLC | Physician Assistant | 811 E Parrish Ave, Owensboro, KY 42303-3258 | 2014-06-26 |
| 1376882563 | Jerry Allen Bradley Jr. | Family Medicine | 811 E Parrish Ave, Owensboro, KY 42303-3258 | 2013-02-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881218121 | Strive Health Ky LLC | Clinic/Center | 4511 Springhill Road, Owensboro, KY 42303 | 2020-06-02 |
| 1952921991 | Carl P Lewis | Pharmacist | Nation's Medicines, 3000 Alvey Park Drive West, Owensboro, KY 42303 | 2020-04-20 |
| 1386292621 | Alexandra Freudenberg | Occupational Therapist | 2605 New Hartford Road, Owensboro, KY 42303 | 2019-08-29 |
| 1457843815 | Deaconess Clinic Inc | Family Medicine | 2710 Heartland Crossing Blvd, Owensboro, KY 42303 | 2018-06-01 |
| 1225525520 | Claudia Abrams | Nurse Practitioner | 3245 Mount Moriah Ave Ste 10, Owensboro, KY 42303 | 2018-04-23 |
| 1245751965 | Play Works Pediatric Therapy | Early Intervention Provider Agency | 4551 Indian Creek Loop, Owensboro, KY 42303 | 2017-07-03 |
| 1518490952 | Sue Lindsey | Social Worker | 1100 Walnut St., Owensboro, KY 42303 | 2017-04-04 |
| 1972034163 | Megan Nichole Meredith | Counselor | 2707 Breckenridge Street, Suite 4, Owensboro, KY 42303 | 2017-03-21 |
| 1275077786 | Physicians Affiliated Care, Psc | Family Medicine | 2710 Heartland Crossings, Suite B, Owensboro, KY 42303 | 2016-12-19 |
| 1790168516 | Kelli D. Brown | Nurse Practitioner | 2816 Veach Rd Ste 403, Owensboro, KY 42303 | 2015-06-30 |
| Find all providers in zip 42303 | ||||
| Taxonomy Code | 2080P0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Gastroenterology |
| A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730522673 | Tsega Temtem | Pediatrics | 9880 Angies Way Ste 330, Louisville, KY 40241-2852 | 2013-04-10 |
| 1881836351 | Maria Fatima Khan | Pediatrics | 210 East Gray St., Suite # 802, Louisville, KY 40202-3904 | 2009-03-30 |
| 1992875561 | Robert Perkins Dillard | Pediatrics | 210 E Gray Street, Ste 802, Louisville, KY 40202-3904 | 2006-11-09 |
| 1609966266 | Troy Gibbons | Pediatrics | 138 Leader Ave Ofc 208, Dept. of Pediatrics, Division of Gastroenterology, Lexington, KY 40506-9983 | 2006-10-13 |
| 1376584219 | Maria C Aljabi | Pediatrics | 340 Starlite Dr, Henderson, KY 42420-6102 | 2006-06-10 |
| 1598021222 | University of Louisville Physicians, Inc. | Pediatrics | 210 E Gray St, Suite 802, Louisville, KY 40202-3900 | 2012-04-06 |
| 1679840961 | University Pediatric Gastroenterology, LLC | Pediatrics | 740 S Limestone, Lexington, KY 40536-0001 | 2011-11-30 |
| 1528388915 | Suzanna Attia | Pediatrics | 740 S Limestone St, Lexington, KY 40536 | 2010-06-08 |
| 1568790277 | University Pediatric Gastroenterology, LLC | Pediatrics | 9700 Park Plaza Avenue, Suite 110, Louisville, KY 40241-2286 | 2009-11-19 |
| 1588806434 | Sylvia Yirenkyi Ofei | Pediatrics | 800 Rose St, Lexington, KY 40536-7001 | 2009-03-24 |
| Find all providers with the same taxonomy | ||||
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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.