Middletown Pediatrics in Louisville - Adolescent Medicine
Middletown Pediatrics - NPI 1164645834
Middletown Pediatrics is a Adolescent Medicine in Louisville, Kentucky. Middletown Pediatrics practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Middletown Pediatrics is 1164645834. The last update date is 2014-03-12.
Middletown Pediatrics's current location address is 301 C Middletown Park Place, Louisville, Kentucky. You can contact this provider via phone number 5022449858 and fax number 5022449575. The mailing address for Middletown Pediatrics is 301 C Middletown Park Place, Louisville, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Middletown Pediatrics |
|---|---|
| Address | 301 C Middletown Park Place, Louisville, Kentucky |
| Phone Number | 5022449858 |
| Fax Number | 5022449575 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHYSICIAN/ |
|---|---|
| Authorized Official Name | Distler J. Dana |
| Credentials | M.D. |
| Telephone Number | 5022449858 |
NPI Number Detail
| NPI Number | 1164645834 |
|---|---|
| Provider Enumeration Date | 2007-04-11 |
| Last Updated Date | 2014-03-12 |
Provider Mailing Address Detail
| Address | 301 C Middletown Park Place |
|---|---|
| City | Louisville |
| State | Kentucky (KY) |
| Post Code | 40243 |
| Phone Number | 5022449858 |
| Fax Number | 5022449575 |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent Medicine |
|---|---|
| Taxonomy | 2080A0000X |
| Licence No | 38964 |
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Definition: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
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What is the Middletown Pediatrics's unique identification number?
The Middletown Pediatrics has been assigned the NPI (National Provider Identifier) Number 1164645834 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Middletown Pediatrics's physical address?
The Middletown Pediatrics is physically located at 301 C Middletown Park Place, in the city of Louisville, KY, with the postal code 40243.
What is Middletown Pediatrics's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Middletown Pediatrics is Adolescent Medicine, and the taxonomy classification code that categorizes this area of expertise is 2080A0000X.
On what date did Middletown Pediatrics receive its 1164645834 assignment from the Centers for Medicare & Medicaid Services?
The Middletown Pediatrics was assigned its 1164645834 on 2007-04-11, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Middletown Pediatrics most recently updated or refreshed?
The details pertaining to the Middletown Pediatrics, including its address, specialty, and other relevant information, were last updated or refreshed on 2014-03-12.