Pediatric Gastroenterology Psc

LBN: Pediatric Gastroenterology Psc
Pediatric Gastroenterology Psc is an health care organization with primary practice located at 233 E Gray St Suite 513, Louisville KY 40202-2026. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Pediatric Gastroenterology Psc can be contacted via phone (502) 629-5796, or through Stephen, Thgmas C via phone (502) 629-5796.

Contact Information

Primary practice address
233 E Gray St Suite 513 Louisville KY 40202-2026
Phone: (502) 629-5796
Fax: (502) 629-5799
Website:
Map and Directions
Authorized official contact:
Name: Stephen, Thgmas C Doctor of Medicine (MD)
Phone: (502) 629-5796

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X 0424168 Kentucky

Profile Details

NPI number 1164455952
LBN Legal business name Pediatric Gastroenterology Psc
DBA Doing business as
Authorized official Stephen, Thgmas C Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 8th, 2006
Last updated May 19th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164455952 NPPES
Kentucky Other 1049092 PASSPORT GROUP NUMBER
Kentucky MEDICAID 200140610A PASSPORT GROUP NUMBER
Kentucky MEDICAID 65927816 PASSPORT GROUP NUMBER

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