Organization Active NPI

Springhurst Pediatrics PLLC

  • Primary Care Clinic/Center
  • Louisville, KY
National Provider Identifier
1154460079
Registry record updated Mar 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
23855 Issued in KY
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

Updated by the provider on Mar 17, 2011

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
65944084MedicaidKY

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.