NORTON CHILDRENS MEDICAL GROUP, LLC

LOUISVILLE, KY
NPI1326695255
Doing Business AsNORTON CHILDREN'S MEDICAL GROUP
Entity TypeOrganization
Authorized ContactSHELLEY GAST
Syst VP Of Mngd Care & Payor Strat
502-272-5335
Organization Subpart ?No
Primary Taxonomy208000000X Pediatrics
Additional Taxonomies1041C0700X Social Worker, Clinical
101YP2500X Counselor, Professional
103T00000X Psychologist
103TC0700X Psychologist, Clinical
103TC2200X Psychologist, Clinical Child & Adolescent
104100000X Social Worker
2080N0001X Pediatrics, Neonatal-Perinatal Medicine
363A00000X Physician Assistant
363AM0700X Physician Assistant, Medical
363AS0400X Physician Assistant, Surgical
2080A0000X Pediatrics, Adolescent Medicine
363L00000X Nurse Practitioner
363LF0000X Nurse Practitioner, Family
363LP0200X Nurse Practitioner, Pediatrics
Enumeration Date2019-08-26
Last Update Date2021-12-10
Business Address
NORTON CHILDRENS MEDICAL GROUP, LLC
4803 OLYMPIA PARK PLZ STE 1100
LOUISVILLE, KY 40241-3068
Phone number: 502-272-5336
Mailing Address
NORTON CHILDRENS MEDICAL GROUP, LLC
PO BOX 776879
CHICAGO, IL 60677-6879
Phone number: 502-272-5336