Norton Clark Physician Practices, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

NORTON CLARK PHYSICIAN PRACTICES, LLC

Practice address

2021 Mercy Way
Ste 102
Jeffersonville, IN 47130

Phone

(812) 252-0258

Fax

(812) 252-0315

NPI assigned

Aug 29, 2017

Organization subpart

No

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

Authorized official

Name

Shelley Gast

Title

VP Managed Care

Phone

(502) 272-5335

Specialties & licenses 3

Addresses

Other names 1

• Clark Memorial Clinic Connection Doing business as

Tax ID family

Norton Clark Practices LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Norton Clark Physician Practices, LLC

  • Urgent Care Clinic/Center
  • Sellersburg, IN
  • NPI 1063896637
  NPD tax ID
• Norton Clark Physician Practices, LLC

  • Family Nurse Practitioner
  • Clarksville, IN
  • NPI 1679017552
  NPD tax ID

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

{
    "created_epoch": "1503964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699315200000",
    "number": "1902323009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4803 OLYMPIA PARK PLZ STE 1100",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402413009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 MERCY WAY",
            "address_2": "STE 102",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "47130",
            "telephone_number": "812-252-0258",
            "fax_number": "812-252-0315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTON CLARK PHYSICIAN PRACTICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-29",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A",
        "authorized_official_last_name": "GAST",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_title_or_position": "VP MANAGED CARE",
        "authorized_official_telephone_number": "502-272-5335"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clark Memorial Clinic Connection",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• North Clark Medical Group LLC
• North Clark Urgent Care LLC
• Maricathryn Northam, LCSW
• Norton Clark Hospital, LLC
• Norton Clark Hospital, LLC
• Courtney Lynn Nott
• Novamed Eye Surgery Center of New Albany, LLC
• Amanda Marie Stolle Nunier, D.C.
• Aneshia Nunley, NP
• Eliabeth Nussbaum, ED.S., NCSP

• Family Medicine Physician in Jeffersonville, IN
• Providers in Jeffersonville, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; 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.