Pediatric Partners of Jeffersontown

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

PEDIATRIC PARTNERS OF JEFFERSONTOWN

Practice address

3840 Ruckriegel Pkwy
Ste105
Louisville, KY 40299-3986

Phone

(502) 261-7227

Fax

(502) 261-7157

NPI assigned

Jul 12, 2005

Last updated

Jul 21, 2022By 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. Joseph Charles Pappalardo, M.D.NPI 1720086804

Title

Physician

Phone

(502) 261-7227

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Joseph Charles Pappalardo, M.D.

  • Pediatrics Physician
  • Louisville, KY
  • NPI 1720086804
  Authorized official Same address or phone

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1629076716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3840 RUCKRIEGEL PKWY",
            "address_2": "STE105",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402996835",
            "telephone_number": "502-261-7227",
            "fax_number": "844-965-9615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3840 RUCKRIEGEL PKWY",
            "address_2": "STE105",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402993986",
            "telephone_number": "502-261-7227",
            "fax_number": "502-261-7157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC PARTNERS OF JEFFERSONTOWN",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-12",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "PAPPALARDO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "502-261-7227",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pediatric Gastroenterology PSC
• Pediatric Heartcare Partners PSC
• Pediatric Hematology-Oncology Specialists, PSC
• Pediatric Hematology/Oncology Specialists
• Pediatric Hematology/Oncology Specialists, PSC
• Pediatric Prompt Care
• Pediatric Psychological Associates PLLC
• Pediatric Pulmonary Medicine, PSC
• Pediatric Radiology Associates, PSC
• Pediatric Solutions PLLC (Mind Body Child)

• Pediatrics Physician in Louisville, KY
• Providers in Louisville, KY by specialty
• Pediatrics Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.