NORTON CHILDREN'S MEDICAL GROUP, LLC

LOUISVILLE, KY
NPI1710528336
Former Legal Business NameNORTON CHILDREN'S CARDIOLOGY
Entity TypeOrganization
Authorized ContactSHELLEY GAST
Syst VP Of Mngd Care & Payor Strat
502-272-5335
Organization Subpart ?No
Primary Taxonomy2080P0202X Pediatrics, Pediatric Cardiology
Additional Taxonomies207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology
363A00000X Physician Assistant
363AM0700X Physician Assistant, Medical
363AS0400X Physician Assistant, Surgical
104100000X Social Worker
1041C0700X Social Worker, Clinical
363L00000X Nurse Practitioner
363LF0000X Nurse Practitioner, Family
Enumeration Date2019-10-04
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: 502-272-5335
Mailing Address
NORTON CHILDREN'S MEDICAL GROUP, LLC
PO BOX 776879
CHICAGO, IL 60677-6879
Phone number: 502-272-5336