NORTON CHILDREN'S MEDICAL GROUP, LLC

LOUISVILLE, KY
NPI1386281657
Doing Business AsNORTON CHILDREN'S CRITICAL CARE
Entity TypeOrganization
Authorized ContactSHELLEY GAST
Syst VP Mngd Care & Payor Strat
502-272-5335
Organization Subpart ?No
Primary Taxonomy2080P0203X Pediatrics, Pediatric Critical Care Medicine
Additional Taxonomies363LP0200X Nurse Practitioner, Pediatrics
363LP0222X Nurse Practitioner, Pediatrics, Critical Care
367500000X Nurse Anesthetist, Certified Registered
207LP3000X Anesthesiology, Pediatric Anesthesiology
208000000X Pediatrics
363A00000X Physician Assistant
363AM0700X Physician Assistant, Medical
363AS0400X Physician Assistant, Surgical
363L00000X Nurse Practitioner
Enumeration Date2019-12-05
Last Update Date2021-09-22
Business Address
NORTON CHILDREN'S MEDICAL GROUP, LLC
4803 OLYMPIA PARK PLZ STE 1100
LOUISVILLE, KY 40241-3068
Phone number: 502-272-5134
Mailing Address
NORTON CHILDREN'S MEDICAL GROUP, LLC
PO BOX 776879
CHICAGO, IL 60677-6879
Phone number: 502-272-5134