NPIMap

Organization Active NPI

Norton Childrens Medical Group, LLC

Doing business as Norton Children's Medical Group

  • Pediatrics Physician
  • Louisville, KY
National Provider Identifier
1326695255
Registry record updated Dec 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
NORTON CHILDRENS MEDICAL GROUP, LLC
Doing business as
Norton Children's Medical Group
Practice address
4803 Olympia Park PLZ Ste 1100
Louisville, KY 40241-3068
Phone
(502) 272-5336
Fax
(502) 272-5339
NPI assigned
Aug 26, 2019
Last updated
Dec 10, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2021

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

Authorized official

Name
Ms. Shelley Gast
Title
Syst VP of MNGD Care & Payor Strat
Phone
(502) 272-5335

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X
Psychologist 103T00000X
Clinical Psychologist 103TC0700X
Clinical Child & Adolescent Psychologist 103TC2200X
Social Worker 104100000X
Clinical Social Worker 1041C0700X
Pediatrics Physician 208000000X Primary
Pediatric Adolescent Medicine Physician 2080A0000X
Neonatal-Perinatal Medicine Physician 2080N0001X
Physician Assistant 363A00000X
Medical Physician Assistant 363AM0700X
Surgical Physician Assistant 363AS0400X
Nurse Practitioner 363L00000X
Family Nurse Practitioner 363LF0000X
Pediatric Nurse Practitioner 363LP0200X

Addresses

Primary practice location

4803 Olympia Park PLZ Ste 1100
Louisville, KY 40241-3068

Mailing address

PO Box 776879
Chicago, IL 60677-6879
Phone (502) 272-5336

Other names 1

  • Norton Children's Medical Group Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20200102000758 KY Part B Supplier - Clinic/Group Practice 3779917596 Receives reassigned benefits from 1,011 practitioners
31 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
O20200309001084 IN Part B Supplier - Clinic/Group Practice 3779917596 Receives reassigned benefits from 93 practitioners
6 other NPIs on this enrollment
Practice locations: Madison, IN; Scottsburg, IN; New Albany, IN; Jeffersonville, IN; Jasper, IN; Evansville, IN; Corydon, IN; Clarksville, IN

Other NPIs with the same Medicare PAC ID 1

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

Other NPIs on the same Medicare enrollment 31

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 31

National Provider Directory

National Provider Directory

Locations (25 of 48)

207 Sparks Ave
Ste 403
Jeffersonvlle, IN 47130
Phone (812) 282-6114

1850 State St
New Albany, IN 47150
Phone (812) 944-7701

2040 Louisville Rd
Bowling Green, KY 42101
Phone (270) 746-7816

720 2nd Ave
Ste 102
Bowling Green, KY 42101
Phone (502) 583-1697

125 Kingswood Dr
Ste B
Campbellsville, KY 42718

1230 Market St
Ste B
La Grange, KY 40031
Phone (502) 225-6920

150 N Eagle Creek Dr
Lexington, KY 40509
Phone (859) 267-9773

1210 W 5th St
London, KY 40741
Phone (606) 864-4030

10214 Westport Rd
Louisville, KY 40241
Phone (502) 326-3737

1050 E Market St
Louisville, KY 40206
Phone (502) 596-1090

200 S 7th St
Ste 605
Louisville, KY 40202

2225 W Broadway
Ste 100
Louisville, KY 40211

230 E Broadway
Louisville, KY 40202
Phone (502) 629-8901

2470 Bardstown Rd
#B
Louisville, KY 40205
Phone (502) 459-3991

2933 Breckenridge Ln
Ste 102
Louisville, KY 40220
Phone (502) 588-9588

3 Audubon Plaza Dr
Ste 330
Louisville, KY 40217
Phone (502) 583-1697

3101 Poplar Level Rd
Ste 102
Louisville, KY 40213
Phone (502) 636-6012

315 E Broadway
Ste 104
Louisville, KY 40202

315 E Broadway
Ste 192
Louisville, KY 40202
Phone (502) 861-4488

3991 Dutchmans Ln
Ste 303
Louisville, KY 40207
Phone (502) 559-1750

3999 Dutchmans Ln
Ste 6
Louisville, KY 40207
Phone (502) 394-1999

3999 Dutchmans Ln
Ste 6FI
Louisville, KY 40207

411 E Chestnut St
#4C
Louisville, KY 40202

411 E Chestnut St
#5
Louisville, KY 40202
Phone (502) 588-0390

411 E Chestnut St
#5A6B
Louisville, KY 40202
Phone (502) 588-4940

Practitioners & affiliated clinicians

Practitioners 628

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.

View all 628

NPI Registry JSON

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

{
    "created_epoch": "1566777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639094400000",
    "number": "1326695255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776879",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776879",
            "telephone_number": "502-272-5336",
            "fax_number": "502-272-5339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4803 OLYMPIA PARK PLZ STE 1100",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402413068",
            "telephone_number": "502-272-5336",
            "fax_number": "502-272-5339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTON CHILDRENS MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-26",
        "last_updated": "2021-12-10",
        "certification_date": "2021-12-10",
        "status": "A",
        "authorized_official_last_name": "GAST",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_title_or_position": "SYST VP OF MNGD CARE & PAYOR STRAT",
        "authorized_official_telephone_number": "502-272-5335",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Norton Children's Medical Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Norton Children's Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.