Pediatric Gastroenterology Psc in Louisville - Clinic/center

Pediatric Gastroenterology Psc - NPI 1164455952

Pediatric Gastroenterology Psc is a Clinic/center in Louisville, Kentucky. Pediatric Gastroenterology Psc practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for Pediatric Gastroenterology Psc is 1164455952. The last update date is 2022-05-19.

Pediatric Gastroenterology Psc's current location address is 233 E Gray St, Louisville, Kentucky. You can contact this provider via phone number 5026295796 and fax number 5026295799. The mailing address for Pediatric Gastroenterology Psc is 233 E Gray St, Louisville, Kentucky. To know further, please read the information below!

Provider Profile Detail

Provider Organization Pediatric Gastroenterology Psc
Address 233 E Gray St, Louisville, Kentucky
Phone Number 5026295796
Fax Number 5026295799
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Stephen C Thgmas
Credentials M.D
Telephone Number 5026295796

NPI Number Detail

NPI Number 1164455952
Provider Enumeration Date 2006-07-08
Last Updated Date 2022-05-19

Provider Mailing Address Detail

Address 233 E Gray St
City Louisville
State Kentucky (KY)
Post Code 402022026
Phone Number 5026295796
Fax Number 5026295799

Provider's Primary Taxonomy Detail

Speciality Clinic/center
Taxonomy 261Q00000X
Licence No 424168
Definition:
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1049092 KY PASSPORT GROUP NUMBER
200140610A IN --
65927816 KY --

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FAQs about Pediatric Gastroenterology Psc

What is the unique 10-digit identification code issued to Pediatric Gastroenterology Psc by the Centers for Medicare & Medicaid Services?

The Pediatric Gastroenterology Psc has been assigned the NPI (National Provider Identifier) 1164455952 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical location address where Pediatric Gastroenterology Psc's facilities are situated?

The facilities of Pediatric Gastroenterology Psc are physically located at the following address: 233 E Gray St, Louisville, KY, 402022026.

What is Pediatric Gastroenterology Psc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Pediatric Gastroenterology Psc is Clinic/center, and the taxonomy code that classifies this field of practice is 261Q00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1164455952 to Pediatric Gastroenterology Psc?

The Centers for Medicare & Medicaid Services originally issued the 1164455952 to Pediatric Gastroenterology Psc on 2006-07-08.

When was the Pediatric Gastroenterology Psc's information last updated?

The Pediatric Gastroenterology Psc's information was last updated on 2022-05-19.

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