OrganizationActive
Norton Children'S Medical Group, LLC
NPI 1134760796 · Neurology with Special Qualifications in Child Neurology Physician · Louisville, KY
Provider details
- NPI number
- 1134760796
- Entity type
- Organization
- Primary specialty
- Neurology with Special Qualifications in Child Neurology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Shelley Gast, Syst Vp Mngd Care & Payor Strat(502) 272-5335
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Clinical Neuropsychologist103G00000X
Behavioral Health & Social Service Providers
- Clinical Social Worker1041C0700X
Behavioral Health & Social Service Providers
- Neurological Surgery Physician207T00000X
Allopathic & Osteopathic Physicians
- Neurology Physician2084N0400X
Allopathic & Osteopathic Physicians
- Child & Adolescent Psychiatry Physician2084P0804X
Allopathic & Osteopathic Physicians
Practice location
4803 Olympia Park Plz Ste 1100
Louisville, KY 40241-3068
Phone: (502) 272-5336
Fax: (502) 272-5339
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 776879
Chicago, IL 60677-6879
Other names (DBA / former)
- Doing business as
- Norton Children'S Neurology
- Doing business as
- Norton Children'S Neurology
Registry dates
- Enumerated
- 2019-10-04
- Last updated
- 2021-09-22
- Certified
- 2021-09-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.