Norton - Kings Daughters Health Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

NORTON - KINGS DAUGHTERS HEALTH INC

Doing business as

Norton King's Daughters' Health

Practice address

1373 E State Road 62
Madison, IN 47250-7328

Phone

(812) 801-0800

Fax

(812) 265-6603

NPI assigned

Jun 29, 2006

Last updated

Aug 8, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

NORTON - KINGS DAUGHTERS HEALTH INCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Shelley Gast

Title

VP, Managed Care

Phone

(502) 303-2329

Specialties & licenses 15

Addresses

Other identifiers 8

Other names 2

• Norton King's Daughters' Health Doing business as
• The Bethany Circle of King's Daughters' Health of Madison Indiana, Inc Former legal business name

Medicare fee-for-service enrollment

Enrolled in KY, IN2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Norton - Kings Daughters Health, Inc

  dba Kings Daughters Health

  • General Acute Care Hospital
  • Madison, IN
  • NPI 1518916048

  9739089319

  Same PAC ID
• Norton King's Daughters' Health Inc

  • Land Ambulance
  • Madison, IN
  • NPI 1346571031

  9739089319

  Same PAC ID

Part of

Robert E Dressler DO

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Norton - Kings Daughters Health Inc

  dba Kings Daughters Health

  • Clinical Medical Laboratory
  • Madison, IN
  • NPI 1497024426

  5% Or Greater Direct Ownership Interest

  CMS ownership
• Norton - Kings Daughters Health Inc

  dba Kings Daughters Health

  • Land Ambulance
  • Madison, IN
  • NPI 1891855045

  5% Or Greater Direct Ownership Interest

  CMS ownership
• Norton - Kings Daughters Health, Inc

  dba Kings Daughters Health

  • General Acute Care Hospital
  • Madison, IN
  • NPI 1518916048

  5% Or Greater Direct Ownership Interest

  CMS ownership

Practitioners 177

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ashraf Y Abou El Ezz, MD

  • Anesthesiology Physician
  • Anderson, IN
  • NPI 1841291986
  Medicare reassignment NPD
• George L. Alcorn, MD

  • Internal Medicine Physician
  • Madison, IN
  • NPI 1457341281
  Medicare reassignment NPD
• Jenna Aleea Ali, M.D

  • Pediatrics Physician
  • Madison, IN
  • NPI 1326467523
  Medicare reassignment NPD
• Mandy Corinne Althoff, APRN

  • Acute Care Nurse Practitioner
  • Madison, IN
  • NPI 1033494794
  Medicare reassignment NPD
• Jamie Leigh Baker, FNP

  • Family Nurse Practitioner
  • Madison, IN
  • NPI 1124541545
  Medicare reassignment NPD
• April Y Barr, APRN

  • Family Nurse Practitioner
  • Madison, IN
  • NPI 1427503259
  Medicare reassignment NPD
• Bradley B Bell, MD

  • Urology Physician
  • Jeffersonville, IN
  • NPI 1942297007
  Medicare reassignment NPD
• Susan M Berns, NNP

  • Pediatric Nurse Practitioner
  • Madison, IN
  • NPI 1689823007
  Medicare reassignment NPD
• Lisa Christine Blevens, APRN

  • Nurse Practitioner
  • Madison, IN
  • NPI 1538628714
  Medicare reassignment NPD
• Gabriel Adam Borisuk, APRN

  • Acute Care Nurse Practitioner
  • Madison, IN
  • NPI 1598320590
  Medicare reassignment NPD
• Kristen Elisabeth Brewster, PA-C

  • Physician Assistant
  • Madison, IN
  • NPI 1396102901
  Medicare reassignment NPD
• John Morgan Brumfield, MD

  • Anesthesiology Physician
  • Madison, IN
  • NPI 1952324154
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723075200000",
    "number": "1114955093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3395",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477323395",
            "telephone_number": "812-801-0715",
            "fax_number": "812-265-6603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1373 E STATE ROAD 62",
            "city": "MADISON",
            "state": "IN",
            "postal_code": "472507328",
            "telephone_number": "812-801-0800",
            "fax_number": "812-265-6603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTON - KINGS DAUGHTERS HEALTH INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTON - KINGS DAUGHTERS HEALTH INC",
        "enumeration_date": "2006-06-29",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A",
        "authorized_official_last_name": "GAST",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_title_or_position": "VP, MANAGED CARE",
        "authorized_official_telephone_number": "502-303-2329"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78901048",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000056018",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65928533",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200140910",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT MEDICAID",
            "identifier": "1170897",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100148960",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100388910",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65903890",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Norton King's Daughters' Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Bethany Circle of King's Daughters' Health of Madison Indiana, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Norton - Kings Daughters Health Inc (Kings Daughters Health)
• Norton - Kings Daughters Health Inc (Kings Daughters Health)
• Norton - Kings Daughters Health Inc (Kings Daughters Health)
• Norton - Kings Daughters Health Inc (Kings Daughters Health)
• Norton - Kings Daughters Health, Inc (Kings Daughters Health)

• Family Medicine Physician in Madison, IN
• Providers in Madison, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.