University Pediatric Endocrinology, LLC

Primary specialty

Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X

Legal business name

UNIVERSITY PEDIATRIC ENDOCRINOLOGY, LLC

Practice address

210 E Gray St
Ste 803
Louisville, KY 40202-3904

Phone

(502) 629-8821

Fax

(502) 629-8824

NPI assigned

Feb 26, 2007

Last updated

Dec 29, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Gerard P Rabalais, MDNPI 1437133840

Title

President

Phone

(502) 852-8560

Specialties & licenses 4

Addresses

Other identifiers 2

Locations

Practitioners 3

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.

• Gerard Paul Rabalais, MD

  • Pediatric Infectious Diseases Physician
  • Louisville, KY
  • NPI 1437133840
  NPD (past) Authorized official
• Stacy A McCauley, APRN

  • Nurse Practitioner
  • Louisville, KY
  • NPI 1972717296
  NPD (past)
• Melanie Doyle Mooney, APRN

  • Nurse Practitioner
  • Louisville, KY
  • NPI 1932125069
  NPD (past)

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293580800000",
    "number": "1417083437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2469",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402012469",
            "telephone_number": "502-852-8500",
            "fax_number": "502-852-8556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 E GRAY ST",
            "address_2": "STE 803",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402023904",
            "telephone_number": "502-629-8821",
            "fax_number": "502-629-8824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY PEDIATRIC ENDOCRINOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2010-12-29",
        "status": "A",
        "authorized_official_last_name": "RABALAIS",
        "authorized_official_first_name": "GERARD",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "502-852-8560",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100010410",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200889620A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• University of Louisville Research Foundation, Inc. (ULRF Pain Medicine)
• University Orthopaedic Associates
• University Orthopaedic Departmental Entity Inc
• University Pathologists, PSC
• University Pediatric Bone Marrow Transplant Specialists, LLC
• University Pediatric Endocrinology, LLC
• University Pediatric Gastroenterology, LLC
• University Pediatric Gastroenterology, LLC
• University Pediatric Hematology/Oncology Specialists, LLC
• University Pediatric Pulmonary, LLC

• Pediatric Endocrinology Physician in Louisville, KY
• Providers in Louisville, KY by specialty
• Pediatric Endocrinology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2010; 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.