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 Pediatrics Physician · NPI 1922649573

Norton Children's Medical Group, LLC is a Pediatrics 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 Nephrology Physician (primary) Taxonomy 2080P0210X
Pediatrics Physician Taxonomy 208000000X
Physician Assistant Taxonomy 363A00000X
Medical Physician Assistant Taxonomy 363AM0700X
Surgical Physician Assistant Taxonomy 363AS0400X
Pediatric Nurse Practitioner Taxonomy 363LP0200X

Record details

NPI number1922649573
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shelley Gast — Syst Vp Mngd Care & Payor Strat · (502) 272-5335
Other names Norton Children'S Nephrology; Norton Children'S Nephrology
NPI enumeratedOctober 4, 2019
Last updated in NPPESSeptember 22, 2021
Certification dateSeptember 22, 2021
Mailing addressPo Box 776879, Chicago, IL 60677-6879

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