UNIVERSITY PEDIATRICS FOUNDATION, INC. (NPI# 1629200076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629200076 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY PEDIATRICS FOUNDATION, INC. |
| Other Organization Name | UNIVERSITY CHILD HEALTH SPECIALISTS, INC. |
| Practice Address |
73 Kingswood Dr Campbellsville KY 42718-9604 |
| Mailing Address |
Po Box 2469 Louisville KY 40201-2469 |
| Practice Telephone | 2707891112 |
| Practice Fax Number | 2707893157 |
| Mailing Telephone | 5028528500 |
| Mailing Fax Number | 5028528556 |
| Enumeration Date | 2009-08-19 |
| Last Update Date | 2009-08-19 |
| 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 |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 65908238 | 05 |
| Other Name | Type Code |
|---|---|
| University Child Health Specialists, Inc. | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376716688 | University Pediatrics Foundation, Inc. | Pediatrics | 1015 Dorsey Ln, Louisville, KY 40223-2612 | 2008-04-08 |
| 1295092963 | University Pediatrics Foundation, Inc. | Allergy & Immunology | 215 Central Ave, Ste. 205, Louisville, KY 40208-1449 | 2012-04-18 |
| 1518235704 | University Pediatrics Foundation, Inc. | Pediatrics | 210 E Gray St, Ste. 802, Louisville, KY 40202-3900 | 2011-12-02 |
| 1073821005 | University Pediatrics Foundation, Inc. | Pediatrics | 530 S Jackson St, 2nd Floor, Louisville, KY 40202-1622 | 2010-09-24 |
| 1083929871 | University Pediatrics Foundation, Inc. | Pediatrics | 9700 Park Plaza Ave, Ste 110, Louisville, KY 40241-2236 | 2010-08-17 |
| 1033436282 | University Pediatrics Foundation, Inc. | Allergy & Immunology | 9800 Shelbyville Rd, Louisville, KY 40223-2977 | 2010-04-28 |
| 1548499700 | University Pediatrics Foundation, Inc. | Pediatrics | 571 S Floyd St, Louisville, KY 40202-3818 | 2009-07-09 |
| 1841426517 | University Pediatrics Foundation, Inc. | Internal Medicine | 601 S Floyd St, Suite 805, Louisville, KY 40202-1845 | 2009-06-08 |
| 1255598173 | University Pediatrics Foundation, Inc. | Pediatrics | 210 E Gray St, Suite 1000, Louisville, KY 40202-3906 | 2008-05-19 |
| 1215100375 | University Pediatrics Foundation, Inc. | Pediatrics | 230 E Broadway, Louisville, KY 40202-2008 | 2008-04-10 |
| Street Address |
73 KINGSWOOD DR |
| City | CAMPBELLSVILLE |
| State | KY |
| Zip Code | 42718-9604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811062151 | Winit Chartisathian | Pediatrics | 73 Kingswood Dr, Campbellsville, KY 42718-9604 | 2006-11-22 |
| 1447851720 | Commonwealth Pain Associates Pllc | Durable Medical Equipment & Medical Supplies | 73 Kingswood Dr, Campbellsville, KY 42718-9604 | 2020-11-04 |
| 1568960748 | Courtney Reynolds Bowling | Nurse Practitioner | 73 Kingswood Dr, Campbellsville, KY 42718 | 2018-01-23 |
| 1841643806 | Erin L Hodges | Nurse Practitioner | 73 Kingswood Dr, Campbellsville, KY 42718-9604 | 2016-07-14 |
| 1346673647 | Katosha Nicole Russell | Nurse Practitioner | 73 Kingswood Dr, Campbellsville, KY 42718-9604 | 2013-08-10 |
| 1982721254 | David Michael Hesson | Pediatrics | 73 Kingswood Dr, Campbellsville, KY 42718-9604 | 2007-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619417763 | Heather Hastings | Dentist | 2065 Meadow Creek Rd, Campbellsville, KY 42718 | 2017-03-07 |
| 1487101804 | Amanda Rose Shepperd | Nurse Practitioner | 1846-1856 Old Lebanon Rd, Campbellsville, KY 42718 | 2016-09-01 |
| 1841660305 | Forefront Dermatology, S.c. | Dermatology | 105 Medical Park Dr Ste 1, Campbellsville, KY 42718 | 2015-09-28 |
| 1154790616 | Viktoria Krell | Counselor | 3020 Old Lebanon Road, Campbellsville, KY 42718 | 2015-09-15 |
| 1679977649 | Joy Trotter | Occupational Therapist | 121a Casey Street, Campbellsville, KY 42718 | 2014-10-20 |
| 1083022727 | Taylor Regional Medical Group, LLC | Physical Therapist | 73 Kingswood Dr Ste B, Campbellsville, KY 42718 | 2014-07-25 |
| 1235574831 | Rachael Maia Yates | Clinical Neuropsychologist | 50 Gene Cash Road, Campbellsville, KY 42718 | 2013-05-08 |
| 1255536579 | Elizabethtown Physical Therapy Psc | Clinic/Center | 315 East Broadway, Campbellsville, KY 42718 | 2007-06-18 |
| 1508900283 | Lake Cumberland District Health Department | Public Health or Welfare | 1880 N Bypass Road, Campbellsville, KY 42718 | 2007-02-16 |
| 1871639005 | Joseph William Segree | Optometrist | 725 Campbellsville Bypass, Campbellsville, KY 42718 | 2007-01-29 |
| Find all providers in zip 42718 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306948922 | Dan George Bodeanu | Pediatrics | 307 E Broadway St, Campbellsville, KY 42718-2003 | 2006-09-03 |
| 1134447410 | Matthew Scott Martin | Pediatrics | 125 Kingswood Dr, Campbellsville, KY 42718 | 2010-05-11 |
| 1982721254 | David Michael Hesson | Pediatrics | 73 Kingswood Dr, Campbellsville, KY 42718-9604 | 2007-03-23 |
| 1174699359 | Premium Pediatrics Pllc | Pediatrics | 307 E Broadway St, Campbellsville, KY 42718-2003 | 2006-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205452836 | Jenna M. Richards Do | Pediatrics | 793 Eastern Byp Ste 110, Richmond, KY 40475-2425 | 2020-06-19 |
| 1598384745 | Breckinridge Health Clinic | Pediatrics | 203b Fairgrounds Rd, Hardinsburg, KY 40143-2585 | 2020-04-08 |
| 1811533433 | Grace Community Health Center, Inc. | Pediatrics | 120 N Commonwealth Ave Ste 123&4, Corbin, KY 40701-6472 | 2019-11-19 |
| 1558827774 | August Pediatrics, LLC | Pediatrics | 123 N 19th St Ste 302, Middlesboro, KY 40965 | 2019-02-12 |
| 1306316989 | Jacquee L Mcnear | Pediatrics | 801 Barret Avenue Suite 314, Louisville, KY 40204-1701 | 2018-11-27 |
| 1477059657 | Advanced Care Pediatric Centre Pllc | Pediatrics | 1000 E Lexington Ave Ste 31, Danville, KY 40422-1707 | 2018-04-05 |
| 1396268223 | Prasanna Kumar Gangishetti | Pediatrics | 800 Rose St Rm No Mn-118, Lexington, KY 40536 | 2017-07-23 |
| 1154855054 | John Michael Jansen | Pediatrics | 3320 Tates Creek Rd Ste 302, Lexington, KY 40502-3400 | 2017-04-18 |
| 1396286407 | Alvarado Medical Services Pllc | Pediatrics | 25 E Hickman St, Winchester, KY 40391-2448 | 2017-03-09 |
| 1407218589 | Caitlyn Anglin | Pediatrics | University of Kentucky 800 Rose St Rm Mn 118, Lexington, KY 40536-1356 | 2016-03-28 |
| Find all providers with the same taxonomy | ||||
| City | CAMPBELLSVILLE |
| Zip Code | 42718 |
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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.