University Pediatric Gastroenterology, Llc

LBN: University Pediatric Gastroenterology, Llc
University Pediatric Gastroenterology, Llc is an health care organization with primary practice located at 740 S Limestone , Lexington KY 40536-0001. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, which is considered as the primary health care specialty. University Pediatric Gastroenterology, Llc can be contacted via phone (859) 323-6211, or through Rabalais, Gerard P. via phone (502) 852-8600.

Contact Information

Primary practice address
740 S Limestone Lexington KY 40536-0001
Phone: (859) 323-6211
Fax: (859) 257-1903
Website:
Map and Directions
Authorized official contact:
Name: Rabalais, Gerard P. Doctor of Medicine (MD)
Phone: (502) 852-8600

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X

Profile Details

NPI number 1679840961
LBN Legal business name University Pediatric Gastroenterology, Llc
DBA Doing business as
Authorized official Rabalais, Gerard P. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 30th, 2011
Last updated Nov 30th, 2011 - about 14 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 1679840961 NPPES
Kentucky MEDICAID 7100063520

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