Active NPI
Springhurst Pediatrics PLLC
- Primary Care Clinic/Center
- Louisville, KY
National Provider Identifier
1154460079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- 23855
- Legal business name
- SPRINGHURST PEDIATRICS PLLC
- Practice address
- 10210 Westport Rd
Louisville, KY 40241-2148 - Phone
- (502) 339-0444
- Fax
- (502) 339-1717
- NPI assigned
- Feb 6, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Selma P Winner, M.D.
- Title
- Physician, Member
- Phone
- (502) 339-0444
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | 23855 | KY | Primary |
Addresses
Primary practice location
10210 Westport Rd
Louisville, KY 40241-2148
Mailing address
10210 Westport Rd
Louisville, KY 40241-2148
Phone (502) 339-0444
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 65944084 | Medicaid | KY |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1300320000000",
"number": "1154460079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10210 WESTPORT RD",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402412148",
"telephone_number": "502-339-0444",
"fax_number": "502-339-1717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10210 WESTPORT RD",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402412148",
"telephone_number": "502-339-0444",
"fax_number": "502-339-1717"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPRINGHURST PEDIATRICS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-06",
"last_updated": "2011-03-17",
"status": "A",
"authorized_official_last_name": "WINNER",
"authorized_official_first_name": "SELMA",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "PHYSICIAN, MEMBER",
"authorized_official_telephone_number": "502-339-0444",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "KY",
"license": "23855",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "65944084",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.