Organization · Type 2 NPI

Norton Children's Medical Group, LLC

Pediatric Nephrology Physician · Louisville, KY

NPI number 1922649573 Active

Practice location

4803 Olympia Park Plz Ste 1100
Louisville, KY 40241-3068

Call (502) 272-5336 Map

Fax (502) 272-5339

Mailing address

PO Box 776879
Chicago, IL 60677-6879

Specialties and licenses

Taxonomy	Code	License
Pediatrics Physician	208000000X	None listed
Pediatric Nephrology Physician Primary	2080P0210X	None listed
Physician Assistant	363A00000X	None listed
Medical Physician Assistant	363AM0700X	None listed
Surgical Physician Assistant	363AS0400X	None listed
Pediatric Nurse Practitioner	363LP0200X	None listed

Pediatric Nephrology Physician: A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.

78 other providers at this address

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NPI record

NPI: 1922649573
Entity type: Organization (Type 2)
Issued: Oct 4, 2019
Last updated: Sep 22, 2021
Status: Active

Other names

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Norton Children's Nephrology · doing business as
Norton Children's Nephrology · doing business as

Authorized official

Ms. Shelley Gast
Syst VP MNGD Care & Payor Strat
(502) 272-5335

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1922649573

Norton Children's Medical Group, LLC's National Provider Identifier is 1922649573, issued on Oct 4, 2019. The primary taxonomy on file is Pediatric Nephrology Physician (2080P0210X), and the practice location is in Louisville, KY. The record was last updated on Sep 22, 2021.