UNIVERSITY PEDIATRIC GASTROENTEROLOGY, LLC (NPI# 1487953311) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487953311 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY PEDIATRIC GASTROENTEROLOGY, LLC |
| Practice Address |
720 2nd St Ste 102 Bowling Green KY 42101-1778 |
| Mailing Address |
Po Box 2469 Louisville KY 40201-2469 |
| Practice Telephone | 5028527670 |
| Practice Fax Number | 5028527743 |
| Mailing Telephone | 5028528500 |
| Mailing Fax Number | 5028528556 |
| Enumeration Date | 2011-03-17 |
| Last Update Date | 2011-04-05 |
| Authorized Official Name | DR. GERARD P RABALAIS (CHAIRMAN) |
| Authorized Official Telephone | 5028528600 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| Y | 2080P0206X |
Pediatrics Specialization: Pediatric Gastroenterology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200945670 | 05 | |
| KY | 7100063520 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679840961 | University Pediatric Gastroenterology, LLC | Pediatrics | 740 S Limestone, Lexington, KY 40536-0001 | 2011-11-30 |
| 1811296742 | University Pediatric Gastroenterology, LLC | Pediatrics | 811 E Parrish Ave, Ste 120, Owensboro, KY 42303-3258 | 2011-03-17 |
| 1568790277 | University Pediatric Gastroenterology, LLC | Pediatrics | 9700 Park Plaza Avenue, Suite 110, Louisville, KY 40241-2286 | 2009-11-19 |
| 1033366091 | University Pediatric Gastroenterology, LLC | Pediatrics | 210 E Gray Street, Ste 802, Louisville, KY 40202-3904 | 2008-08-21 |
| Street Address |
720 2ND ST STE 102 |
| City | BOWLING GREEN |
| State | KY |
| Zip Code | 42101-1778 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013216936 | University Pediatric Endocrinology, LLC | Pediatrics | 720 2nd St, Ste 102, Bowling Green, KY 42101-1778 | 2011-03-17 |
| 1982691184 | Martha L Morgan | Obstetrics & Gynecology | 720 2nd St, Ste 303, Bowling Green, KY 42101 | 2005-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922608827 | Heidi Denise Estes | Nurse Practitioner | 651 U.S. 31 W Bypass Ste 106, Bowling Green, KY 42101 | 2020-10-29 |
| 1205476561 | Emily Nell Conner | Pharmacist | 350 West Us 31 Bypass, Bowling Green, KY 42101 | 2020-01-14 |
| 1598304180 | Elizabeth Page Appling | Nurse Practitioner | 1681 Normal Dr., Bowling Green, KY 42101 | 2019-12-30 |
| 1598306227 | Heather Wells | Nurse Practitioner | 427 U.S. 31w Bypass, Bowling Green, KY 42101 | 2019-10-03 |
| 1275182255 | The Kidz Club-pdn, LLC | Nursing Care | 1537 Highway 185, Suite 3, Bowling Green, KY 42101 | 2019-09-11 |
| 1841756525 | Balance Therapeutic Care, Counseling Services LLC | Counselor | 661 A, 31-w Bypass, Bowling Green, KY 42101 | 2019-02-18 |
| 1184104895 | Paige Spear | Specialist | 661 Us 31w Byp Ste C, Bowling Green, KY 42101 | 2018-08-21 |
| 1205364411 | Amanda Katherin Walden | Dentist | 725 A Kenton Street, Bowling Green, KY 42101 | 2017-06-01 |
| 1932632098 | Tj & L Consulting, LLC | In Home Supportive Care | 661 Us 31w By-pass, Suite G, Bowling Green, KY 42101 | 2017-04-06 |
| 1265974117 | Kentucky Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1473 Kentucky Street, Bowling Green, KY 42101 | 2016-11-09 |
| Find all providers in zip 42101 | ||||
| Taxonomy Code | 2080P0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Gastroenterology |
| A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730522673 | Tsega Temtem | Pediatrics | 9880 Angies Way Ste 330, Louisville, KY 40241-2852 | 2013-04-10 |
| 1881836351 | Maria Fatima Khan | Pediatrics | 210 East Gray St., Suite # 802, Louisville, KY 40202-3904 | 2009-03-30 |
| 1992875561 | Robert Perkins Dillard | Pediatrics | 210 E Gray Street, Ste 802, Louisville, KY 40202-3904 | 2006-11-09 |
| 1609966266 | Troy Gibbons | Pediatrics | 138 Leader Ave Ofc 208, Dept. of Pediatrics, Division of Gastroenterology, Lexington, KY 40506-9983 | 2006-10-13 |
| 1376584219 | Maria C Aljabi | Pediatrics | 340 Starlite Dr, Henderson, KY 42420-6102 | 2006-06-10 |
| 1598021222 | University of Louisville Physicians, Inc. | Pediatrics | 210 E Gray St, Suite 802, Louisville, KY 40202-3900 | 2012-04-06 |
| 1679840961 | University Pediatric Gastroenterology, LLC | Pediatrics | 740 S Limestone, Lexington, KY 40536-0001 | 2011-11-30 |
| 1528388915 | Suzanna Attia | Pediatrics | 740 S Limestone St, Lexington, KY 40536 | 2010-06-08 |
| 1568790277 | University Pediatric Gastroenterology, LLC | Pediatrics | 9700 Park Plaza Avenue, Suite 110, Louisville, KY 40241-2286 | 2009-11-19 |
| 1588806434 | Sylvia Yirenkyi Ofei | Pediatrics | 800 Rose St, Lexington, KY 40536-7001 | 2009-03-24 |
| Find all providers with the same taxonomy | ||||
| City | BOWLING GREEN |
| Zip Code | 42101 |
Please comment or provide details below to improve the information on UNIVERSITY PEDIATRIC GASTROENTEROLOGY, LLC.
| 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.