NORTON CHILDREN'S MEDICAL GROUP, LLC (NPI# 1134760796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134760796 |
| Entity Type | Organization |
| Organization Name | NORTON CHILDREN'S MEDICAL GROUP, LLC |
| Other Organization Name | NORTON CHILDREN'S NEUROLOGY |
| Practice Address |
1930 Bishop Ln Ste 101710th Louisville KY 40218-1921 |
| Mailing Address |
Po Box 776879 Chicago IL 60677-6879 |
| Practice Telephone | 5022725336 |
| Practice Fax Number | 5022725339 |
| Mailing Telephone | 5022725336 |
| Mailing Fax Number | 5022725339 |
| Enumeration Date | 2019-10-04 |
| Last Update Date | 2020-05-26 |
| Authorized Official Name | MS. SHELLEY GAST (SYST VP MNGD CARE & PAYOR STRAT) |
| Authorized Official Telephone | 5022725335 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103G00000X | Clinical Neuropsychologist | Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians | ||
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Norton Children's Neurology | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487292033 | Norton Children's Medical Group, LLC | Nurse Practitioner | 1930 Bishop Ln Ste 101710, Louisville, KY 40218-1921 | 2019-12-13 |
| 1770190167 | Norton Children's Medical Group, LLC | Social Worker | 1930 Bishop Ln Ste 101710th, Louisville, KY 40218-1921 | 2020-09-29 |
| 1861015521 | Norton Children's Medical Group, LLC | Optometrist | 1930 Bishop Ln Ste 101710th, Louisville, KY 40218-1921 | 2020-05-28 |
| 1336771161 | Norton Children's Medical Group, LLC | Nurse Practitioner | 1930 Bishop Ln Ste 101710th, Louisville, KY 40218-1921 | 2020-02-10 |
| 1265070809 | Norton Children's Medical Group, LLC | Physician Assistant | 1930 Bishop Ln Ste 101710th, Louisville, KY 40218-1921 | 2019-12-13 |
| 1457999096 | Norton Children's Medical Group, LLC | Psychologist | 1930 Bishop Ln Ste 101710th, Louisville, KY 40218-1921 | 2019-12-13 |
| 1316584691 | Norton Children's Medical Group, LLC | Physician Assistant | 1930 Bishop Ln Ste 101710th, Louisville, KY 40218-1921 | 2019-12-05 |
| 1386281657 | Norton Children's Medical Group, LLC | Anesthesiology | 1930 Bishop Ln Ste 101710th, Louisville, KY 40218-1921 | 2019-12-05 |
| 1013559921 | Norton Children's Medical Group, LLC | Psychologist | 1930 Bishop Ln Ste 101710th, Louisville, KY 40218-1921 | 2019-10-11 |
| 1548802549 | Norton Children's Medical Group, LLC | Behavioral Analyst | 1930 Bishop Ln Ste 101710th, Louisville, KY 40218-1921 | 2019-10-10 |
| Street Address |
1930 BISHOP LN STE 101710TH |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40218-1921 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326695255 | Norton Childrens Medical Group, LLC | Nurse Practitioner | 1930 Bishop Ln Ste 101710th, Louisville, KY 40218-1921 | 2019-08-26 |
| 1770190167 | Norton Children's Medical Group, LLC | Social Worker | 1930 Bishop Ln Ste 101710th, Louisville, KY 40218-1921 | 2020-09-29 |
| 1861015521 | Norton Children's Medical Group, LLC | Optometrist | 1930 Bishop Ln Ste 101710th, Louisville, KY 40218-1921 | 2020-05-28 |
| 1336771161 | Norton Children's Medical Group, LLC | Nurse Practitioner | 1930 Bishop Ln Ste 101710th, Louisville, KY 40218-1921 | 2020-02-10 |
| 1265070809 | Norton Children's Medical Group, LLC | Physician Assistant | 1930 Bishop Ln Ste 101710th, Louisville, KY 40218-1921 | 2019-12-13 |
| 1457999096 | Norton Children's Medical Group, LLC | Psychologist | 1930 Bishop Ln Ste 101710th, Louisville, KY 40218-1921 | 2019-12-13 |
| 1316584691 | Norton Children's Medical Group, LLC | Physician Assistant | 1930 Bishop Ln Ste 101710th, Louisville, KY 40218-1921 | 2019-12-05 |
| 1386281657 | Norton Children's Medical Group, LLC | Anesthesiology | 1930 Bishop Ln Ste 101710th, Louisville, KY 40218-1921 | 2019-12-05 |
| 1013559921 | Norton Children's Medical Group, LLC | Psychologist | 1930 Bishop Ln Ste 101710th, Louisville, KY 40218-1921 | 2019-10-11 |
| 1548802549 | Norton Children's Medical Group, LLC | Behavioral Analyst | 1930 Bishop Ln Ste 101710th, Louisville, KY 40218-1921 | 2019-10-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457951170 | Okey Patrick Mbadike | Pharmacist | 3616 Buechal By Pass, Louisville, Ky 40218, Louisville, KY 40218 | 2020-10-30 |
| 1992339345 | Rachael P. Abell | Nurse Practitioner | 2210 Buechel Avenue Suite 105, Louisville, KY 40218 | 2020-02-25 |
| 1750938189 | Taylor C Thomas | Nurse Practitioner | 4423 Bardstown Road, Louisville, KY 40218 | 2019-08-21 |
| 1902461692 | Louisville Injury Clinics, Inc | Chiropractor | 4400 Breckenridge Lane, Suite 102, Louisville, KY 40218 | 2019-05-08 |
| 1629564141 | Stepping Stones Counseling | Social Worker | 5414 Bannon Crossing Dr, Louisville, KY 40218 | 2018-07-09 |
| 1396230553 | Kids Without Limits LLC | Home Health | 2204 Bashford Manor Ln, Louisville, KY 40218 | 2018-06-28 |
| 1073008074 | B F P D | Ambulance | 4101 Bardstown Rd, Louisville, KY 40218 | 2018-06-22 |
| 1508358862 | Mary Katherine Biros | Nurse Practitioner | 2202 Buechel Ave Ste 105, Louisville, KY 40218 | 2018-06-03 |
| 1366931644 | Irena Kuca | Student in an Organized Health Care Education/Training Program | 215 Central Avenue Suite 100, Louisville, KY 40218 | 2018-05-02 |
| 1760979124 | Healthy Living Primary Care | General Practice | 4400 Breckenridge Ln Ste 147, Louisville, KY 40218 | 2018-04-20 |
| Find all providers in zip 40218 | ||||
| Taxonomy Code | 2084N0402X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology with Special Qualifications in Child Neurology |
| A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831550243 | Cemal Karakas | Psychiatry & Neurology | 411 E Chestnut St # St6, Louisville, KY 40202-1713 | 2016-03-11 |
| 1841617727 | Christopher Ryan Barton | Psychiatry & Neurology | 411 E Chestnut St, Louisville, KY 40202 | 2014-03-27 |
| 1043641483 | University of Louisville Research Foundation | Psychiatry & Neurology | 401 E Chestnut St, Suite 510, Louisville, KY 40202-5700 | 2013-12-11 |
| 1033550298 | Pradeep Kumar Mandya Javarayee | Psychiatry & Neurology | 411 E Chestnut St, Louisville, KY 40202 | 2013-07-16 |
| 1972860997 | University of Louisville Physicians, Inc. | Psychiatry & Neurology | 550 S Jackson St, 2nd Floor, Louisville, KY 40202-1622 | 2012-04-16 |
| 1891061438 | University of Louisville Physicians, Inc. | Psychiatry & Neurology | 601 S Floyd St, Suite 503, Louisville, KY 40202-1835 | 2012-03-28 |
| 1942590724 | Elizabeth Shelton Doll | Psychiatry & Neurology | 200 E Chestnut St, Louisville, KY 40202-1831 | 2011-04-13 |
| 1326278342 | Samir Rameshchandra Karia | Psychiatry & Neurology | 601 S Floyd St Ste 500, Louisville, KY 40202-1837 | 2009-07-24 |
| 1790929685 | Michael S. Oldham | Psychiatry & Neurology | 601 S Floyd St, 500, Louisville, KY 40202-1837 | 2009-04-23 |
| 1497753495 | James William Holmes | Psychiatry & Neurology | 601 S Floyd St, Suite 503, Louisville, KY 40202-1835 | 2005-07-13 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40218 |
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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.