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

Pediatric Gastroenterology PSC

Organization Clinic/Center · NPI 1164455952

Pediatric Gastroenterology PSC is a Clinic/Center in Louisville, Kentucky. Licensed in Kentucky. Registered with an NPI since 2006.

Licensed in
KY
In the registry since
2006
What do these letters mean?
PSC — Professional service corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

233 E Gray St Ste 513
Louisville, KY 40202-2026
Phone: (502) 629-5796
Fax: (502) 629-5799
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X · Licence 0424168 (KY)

Record details

NPI number1164455952
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Thgmas Stephen — President · (502) 629-5796
NPI enumeratedJuly 8, 2006
Last updated in NPPESMay 19, 2022
Mailing address233 E Gray St, Suite 513, Louisville, KY 40202-2026

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