NPIMap

Organization Active NPI

Norton Children's Medical Group, LLC

Doing business as Norton Children's Radiologists

  • Pediatric Radiology Physician
  • Louisville, KY
National Provider Identifier
1659913812
Registry record updated Sep 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Radiology PhysicianTaxonomy code 2085P0229X
Legal business name
NORTON CHILDREN'S MEDICAL GROUP, LLC
Doing business as
Norton Children's Radiologists
Practice address
4803 Olympia Park PLZ Ste 1100
Louisville, KY 40241-3068
Phone
(502) 272-5336
Fax
(502) 272-5339
NPI assigned
Oct 9, 2019
Last updated
Sep 22, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 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 MNGD Care & Payor Strat
Phone
(502) 272-5335

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Radiology Physician 2085P0229X NU Primary
Diagnostic Radiology Physician 2085R0202X NU
Physician Assistant 363A00000X NU
Medical Physician Assistant 363AM0700X NU
Nurse Practitioner 363L00000X NU

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 Radiologists 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
This NPI is an additional NPI on the enrollment
Practice locations: Madison, IN; Scottsburg, IN; New Albany, IN; Jeffersonville, IN; Jasper, IN; Evansville, IN; Corydon, IN; Clarksville, IN

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
Tax ID family
Norton Childrens Medical Group LLC25 organizations share this tax ID, including this one

Other organizations with this tax ID 24

Organizations that report the same tax identification number in the National Provider Directory.

View all 24

Locations

1373 E State Road 62
#2
Madison, IN 47250
Phone (812) 801-0300

630 Broadway St
Ste 1A
Madison, IN 47250
Phone (502) 629-2935

1919 State St
Ste 103
New Albany, IN 47150
Phone (812) 801-0800

613 23rd St
Ste 415
Ashland, KY 41101

125 Kingswood Dr
#B
Campbellsville, KY 42718

6411 Veterans Memorial Pkwy
Ste 200
Crestwood, KY 40014
Phone (502) 394-6555

1239 Woodland Dr
Ste 114
Elizabethtown, KY 42701
Phone (270) 506-4087

279 Kings Daughters Dr
Ste 200
Frankfort, KY 40601
Phone (502) 223-6813

1050 E Market St
Ste 101
Louisville, KY 40206
Phone (502) 588-8900

1050 E Market St
Ste 301
Louisville, KY 40206
Phone (502) 629-3099

2225 W Broadway
Ste B
Louisville, KY 40211
Phone (502) 588-1090

231 E Chestnut St
Ste 0
Louisville, KY 40202

2933 Breckenridge Ln
Ste 101
Louisville, KY 40220
Phone (502) 588-0736

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

2933 Breckenridge Ln
Ste 103
Louisville, KY 40220
Phone (502) 394-5678

3026 Poplar Level Rd
Louisville, KY 40217
Phone (502) 636-4929

411 E Chestnut St
Ste 4C
Louisville, KY 40202
Phone (502) 394-5678

6801 Dixie Hwy
Ste 127
Louisville, KY 40258
Phone (502) 355-6339

9451 Westport Rd
Ste 122D
Louisville, KY 40241
Phone (502) 394-5678

9451 Westport Rd
Ste 122E
Louisville, KY 40241
Phone (502) 588-3400

9880 Angies Way
Ste 300
Louisville, KY 40241
Phone (502) 629-2225

300 High Point Ct
Ste B
Mt Washington, KY 40047
Phone (502) 955-6129

1600 Breckenridge St
Owensboro, KY 42303
Phone (270) 686-7744

400 Park Ave
Paducah, KY 42001

150 Frankfort Rd
Ste 102C
Shelbyville, KY 40065
Phone (502) 882-8414

Practitioners & affiliated clinicians

Practitioners 1,007

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 1,007

NPI Registry JSON

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

{
    "created_epoch": "1570579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632268800000",
    "number": "1659913812",
    "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 CHILDREN'S MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-09",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A",
        "authorized_official_last_name": "GAST",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_title_or_position": "SYST VP MNGD CARE & PAYOR STRAT",
        "authorized_official_telephone_number": "502-272-5335",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Norton Children's Radiologists",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Norton Children's Radiologists",
            "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 Sep 22, 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.