Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Norton Children's Medical Group, LLC

Organization Pediatric Surgery Physician · NPI 1306487764

Norton Children's Medical Group, LLC is a Pediatric Surgery Physician in Louisville, Kentucky. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
6
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4803 Olympia Park Plz Ste 1100
Louisville, KY 40241-3068
Phone: (502) 272-5336
Fax: (502) 272-5339
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Surgery Physician (primary) Taxonomy 2086S0120X
Speech-Language Pathologist Taxonomy 235Z00000X
Physician Assistant Taxonomy 363A00000X
Medical Physician Assistant Taxonomy 363AM0700X
Surgical Physician Assistant Taxonomy 363AS0400X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1306487764
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shelley Gast — Syst Vp Of Mngd Care & Payor Strat · (502) 272-5335
Other names Norton Children'S Surgery; Norton Children'S Surgery
NPI enumeratedOctober 7, 2019
Last updated in NPPESJanuary 23, 2023
Certification dateJanuary 23, 2023
Mailing addressPo Box 776879, Chicago, IL 60677-6879

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