Active NPI
Gerald Francis Sturgeon, M.D.
- Pediatric Adolescent Medicine Physician
- Louisville, KY
National Provider Identifier
1174669469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- 14203
- Practice address
- 4010 Dupont Cir
Suite 283
Louisville, KY 40207-4812 - Phone
- (502) 897-1727
- Fax
- (502) 895-0827
- NPI assigned
- Jan 30, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician | 2080A0000X | 14203 | KY | Primary |
Addresses
Primary practice location
4010 Dupont Cir
Suite 283
Louisville, KY 40207-4812
Mailing address
PO Box 776351
Chicago, IL 60677-6351
Phone (502) 588-9490
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 50035680 | Other | KY | PASSPORT - KCMA |
| 64142037 | Medicaid | KY | |
| 000000074843 | Other | KY | PASSPORT HEALTH PLAN KY |
| 000000074843 | Other | KY | ANTHEM BLUE CROSS BLUE SH |
| 000000739398 | Other | KY | ANTHEM - KCMA |
| 129358 | Other | KY | SIHO - KCMA |
| 4012913 | Other | KY | AETNA |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | gsturgeon5475@direct.nortonhealthcare.org | ||
| FHIR URL | https://epicsoap.nortonhealthcare.org/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14203 | KY | MD | Pediatric Adolescent Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Medical Associates, Inc. | Adolescent Medicine | Current | Accepting new patients |
| Community Medical Associates, Inc. | Current | Accepting new patients | |
| Norton Children'S Medical Group, LLC | Current | Accepting new patients | |
| Community Medical Associates, Inc. | Current | Accepting new patients | |
| Norton Children'S Medical Group, LLC | Current | Accepting new patients | |
| Norton Children'S Medical Group, LLC | Current | Accepting new patients |
Locations
601 S Floyd St
Ste 604
Louisville, KY 40202
Phone (502) 559-1670
4010 DuPont Cir
Ste 283
Louisville, KY 40207
Phone (502) 897-1727
825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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Adolescent Medicine
-
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- NPI 1881192409
-
- Pediatric Emergency Medicine (Pediatrics) Physician
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-
- Pediatric Radiology Physician
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- NPI 1659913812
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664928000000",
"number": "1174669469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 776351",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606776351",
"telephone_number": "502-588-9490",
"fax_number": "502-272-5337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4010 DUPONT CIR",
"address_2": "SUITE 283",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402074812",
"telephone_number": "502-897-1727",
"fax_number": "502-895-0827"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STURGEON",
"first_name": "GERALD",
"middle_name": "FRANCIS",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-30",
"last_updated": "2022-10-05",
"certification_date": "2022-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "KY",
"license": "14203",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT - KCMA",
"identifier": "50035680",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64142037",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT HEALTH PLAN KY",
"identifier": "000000074843",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS BLUE SH",
"identifier": "000000074843",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM - KCMA",
"identifier": "000000739398",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SIHO - KCMA",
"identifier": "129358",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4012913",
"state": "KY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "gsturgeon5475@direct.nortonhealthcare.org",
"affiliation": "N",
"address_1": "4010 DuPont Cir",
"address_2": "suite 283",
"city": "Louisville",
"state": "KY",
"country_code": "US",
"postal_code": "402074812",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicsoap.nortonhealthcare.org/",
"affiliation": "N",
"address_1": "4010 DuPont Cir",
"address_2": "suite 283",
"city": "Louisville",
"state": "KY",
"country_code": "US",
"postal_code": "402074812",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Oct 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.