NORTON CHILDREN'S MEDICAL GROUP, LLC (NPI# 1205477833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205477833 |
| Entity Type | Organization |
| Organization Name | NORTON CHILDREN'S MEDICAL GROUP, LLC |
| Other Organization Name | NORTON CHILDREN'S CARDIOTHORACIC SURGERY |
| 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 | 2020-05-12 |
| Authorized Official Name | MS. SHELLEY GAST (SYST VP OF MNGD CARE & PAYOR STRAT) |
| Authorized Official Telephone | 5022725335 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
Physician Assistants & Advanced Practice Nursing 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 | ||
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Norton Children's Cardiothoracic Surgery | 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 | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982020418 | Abdulla Attum Md Pllc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 332 W Broadway Ste 404, Louisville, KY 40202-2116 | 2014-03-07 |
| 1578988408 | Paul Anthony Spence | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5818 Orion Rd, Louisville, KY 40222-5976 | 2014-03-01 |
| 1194914911 | Zahi Hamdi Masri | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5308 Indian Crest Rd, Louisville, KY 40207-1676 | 2007-10-17 |
| 1275670556 | Angela L Mahan | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4003 Kresge Way Ste 224, Louisville, KY 40207 | 2007-01-30 |
| 1477609154 | Deborah Kozik | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 201 Abraham Flexner Way Ste 1200, Louisville, KY 40202 | 2007-01-26 |
| 1821004367 | Ronald N Barbie | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 250 East Liberty St, Suite 900, Louisville, KY 40202-1538 | 2006-08-01 |
| 1972564268 | George J Mikos | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3 Audubon Plaza Dr Ste 560, Louisville, KY 40217-1376 | 2006-03-28 |
| 1982608543 | Lawrence G. Goldberg | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1800 Bluegrass Ave, Louisville, KY 40215-1130 | 2005-06-10 |
| 1578807632 | Bahaaldin Alsoufi | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 201 Abraham Flexner Way Ste 1200, Louisville, KY 40202-3841 | 2012-11-15 |
| 1710230180 | Dowling Consulting Inc. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 250 E Liberty St, Suite 900, Louisville, KY 40202-1530 | 2012-10-22 |
| 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.