Norton Children's Medical Group | |
4803 Olympia Park Plz Ste 1100 Louisville KY 40241-3068 | |
(502) 272-5336 | |
(502) 272-5339 |
Full Name | Norton Children's Medical Group |
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Speciality | Pediatrics |
Location | 4803 Olympia Park Plz Ste 1100, Louisville, Kentucky |
Authorized Official Name and Position | Shelley Gast (SYST VP OF MNGD CARE & PAYOR STRAT) |
Authorized Official Contact | 5022725335 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Norton Children's Medical Group Po Box 776879 Chicago IL 60677-6879 Ph: (502) 272-5336 | Norton Children's Medical Group 4803 Olympia Park Plz Ste 1100 Louisville KY 40241-3068 Ph: (502) 272-5336 |
NPI Number | 1326695255 |
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Provider Enumeration Date | 08/26/2019 |
Last Update Date | 12/10/2021 |
Certification Date | 12/10/2021 |
Medicare PECOS PAC ID | 3779917596 |
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Medicare Enrollment ID | O20200309001084 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326695255 | NPI | - | NPPES |
Provider Name | Tresa V Ratterman |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1609831189 PECOS PAC ID: 6709834948 Enrollment ID: I20080205000265 |
Provider Name | Jill S Howell-berg |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1700841210 PECOS PAC ID: 0143125310 Enrollment ID: I20120830000698 |
Provider Name | Richard A Boada |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1891870218 PECOS PAC ID: 3577794387 Enrollment ID: I20140320000074 |
Provider Name | Jenna N Sanders |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1437458114 PECOS PAC ID: 0042435695 Enrollment ID: I20140715002327 |
Provider Name | Paula A Johnson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609841527 PECOS PAC ID: 7113924622 Enrollment ID: I20151013001334 |
Provider Name | Melissa Davidson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043613656 PECOS PAC ID: 0345545265 Enrollment ID: I20160301001534 |
Provider Name | James P Tucker |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1588662423 PECOS PAC ID: 7810135746 Enrollment ID: I20161102002141 |
Provider Name | Adrea N. O'neil |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528581618 PECOS PAC ID: 0941571871 Enrollment ID: I20170810001337 |
Provider Name | Sally J Wheeler |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1265524151 PECOS PAC ID: 7214194232 Enrollment ID: I20171229001800 |
Provider Name | Vinay Puri |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1275531345 PECOS PAC ID: 3274504667 Enrollment ID: I20180806001399 |
Provider Name | Rebecca Metry |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1679968614 PECOS PAC ID: 8224381439 Enrollment ID: I20190606002345 |
Provider Name | Carly R Sperzel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851870323 PECOS PAC ID: 8921359514 Enrollment ID: I20190709000659 |
Provider Name | Mukul Shah |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1295704385 PECOS PAC ID: 3779546601 Enrollment ID: I20190926003543 |
Provider Name | Tammy Kaye Schrodt |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1518915271 PECOS PAC ID: 3678590031 Enrollment ID: I20191111002258 |
Provider Name | Molly A King |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336420215 PECOS PAC ID: 3173799574 Enrollment ID: I20200314000128 |
Provider Name | Andrea C Meffert |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699054569 PECOS PAC ID: 8527234939 Enrollment ID: I20200314000144 |
Provider Name | John Roberts |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1740264860 PECOS PAC ID: 2769819762 Enrollment ID: I20200319000730 |
Provider Name | Scott D Duncan |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1427040443 PECOS PAC ID: 5597742924 Enrollment ID: I20200319001472 |
Provider Name | Lori A Devlin |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1326030388 PECOS PAC ID: 5092743641 Enrollment ID: I20200319002158 |
Provider Name | Ryan W Smith |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1386968832 PECOS PAC ID: 0345543666 Enrollment ID: I20200330002163 |
Provider Name | Jonathan D Cohen |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1639148661 PECOS PAC ID: 6608866256 Enrollment ID: I20200330002183 |
Provider Name | Chukwuma C Nnorom |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1982859468 PECOS PAC ID: 1254597347 Enrollment ID: I20200330002203 |
Provider Name | Seth J Schultz |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1588750756 PECOS PAC ID: 5597732255 Enrollment ID: I20200330002239 |
Provider Name | Leslie A Schuschke |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1609876390 PECOS PAC ID: 6800223199 Enrollment ID: I20200330002309 |
Provider Name | Tonya W Robinson |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1174605281 PECOS PAC ID: 5092143974 Enrollment ID: I20200330002377 |
Provider Name | Angela M Cox |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1851690846 PECOS PAC ID: 2668628116 Enrollment ID: I20200330002480 |
Provider Name | Ashley B Smith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235531013 PECOS PAC ID: 0244555738 Enrollment ID: I20200330002724 |
Provider Name | Leslie R Ellis |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1679542765 PECOS PAC ID: 1951365683 Enrollment ID: I20200331000824 |
Provider Name | Jonathan R Malowitz |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1033371216 PECOS PAC ID: 2860617578 Enrollment ID: I20200401001608 |
Provider Name | Laura A Zeller |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588915367 PECOS PAC ID: 0749424125 Enrollment ID: I20200401001837 |
Provider Name | Ketan C Mehta |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1144298316 PECOS PAC ID: 8325001258 Enrollment ID: I20200401001938 |
Provider Name | Cynthia S Crabtree |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1376842153 PECOS PAC ID: 9234354952 Enrollment ID: I20200401002105 |
Provider Name | Keri A Marques |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1255599882 PECOS PAC ID: 7416129473 Enrollment ID: I20200428001566 |
Provider Name | Walter L Sobczyk |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1679579221 PECOS PAC ID: 4789646753 Enrollment ID: I20200430001004 |
Provider Name | Tamina R Singh |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1376760884 PECOS PAC ID: 7012213051 Enrollment ID: I20200508000505 |
Provider Name | Lucinda T Wright |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1952307910 PECOS PAC ID: 6507832052 Enrollment ID: I20200518000819 |
Provider Name | Jenna Still |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1457883167 PECOS PAC ID: 7618399254 Enrollment ID: I20200722003798 |
Provider Name | Megan E Graeter |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1063942340 PECOS PAC ID: 9032537550 Enrollment ID: I20200916000381 |
Provider Name | Lesli A Carter |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699036541 PECOS PAC ID: 4082037312 Enrollment ID: I20200916000395 |
Provider Name | Jennifer Cossuto Green |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1144648353 PECOS PAC ID: 9133547896 Enrollment ID: I20201030000266 |
Provider Name | Brian J Holland |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1598876377 PECOS PAC ID: 5496885337 Enrollment ID: I20201208003144 |
Provider Name | Pradeep Km Javarayee |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1033550298 PECOS PAC ID: 6305189200 Enrollment ID: I20201228002261 |
Provider Name | Delwyn E Mcomber |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1760431969 PECOS PAC ID: 0648445817 Enrollment ID: I20210602002602 |
Provider Name | Roddy D Mcdowell |
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Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1912175209 PECOS PAC ID: 6709285240 Enrollment ID: I20210603000329 |
Provider Name | Ashley Elizabeth Neal |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1932365509 PECOS PAC ID: 3072737873 Enrollment ID: I20210907002874 |
Provider Name | Leigh Nieto |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1740643824 PECOS PAC ID: 5799076303 Enrollment ID: I20210917001606 |
Provider Name | Amy Elizabeth Dipietro |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1023236148 PECOS PAC ID: 5496063315 Enrollment ID: I20211222000827 |
Provider Name | Vijay E Menon |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1124123633 PECOS PAC ID: 2062804933 Enrollment ID: I20220126003138 |
Provider Name | Adam M Skaff |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1508229147 PECOS PAC ID: 1557655214 Enrollment ID: I20220915003865 |
Provider Name | Carrie Ann Crigger |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1336311240 PECOS PAC ID: 8921483652 Enrollment ID: I20220916001592 |
Provider Name | Patricia A Morgan |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1457316721 PECOS PAC ID: 0648170514 Enrollment ID: I20230105000476 |
Provider Name | Tammy Anissa Pasko |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245287440 PECOS PAC ID: 0840267613 Enrollment ID: I20230307000154 |
Provider Name | Syeda S Maqsood |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1972879922 PECOS PAC ID: 8224270749 Enrollment ID: I20230703001641 |
Provider Name | Ankur Datta |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1750553665 PECOS PAC ID: 9234358425 Enrollment ID: I20240304001336 |
Provider Name | Mary C Oechslin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316421472 PECOS PAC ID: 3476998402 Enrollment ID: I20240517000436 |
Provider Name | Huma N Rasheed |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1841724705 PECOS PAC ID: 3678841517 Enrollment ID: I20240529003104 |
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