OrganizationActive
Norton Children'S Medical Group, LLC
NPI 1306487764 · Pediatric Surgery Physician · Louisville, KY
Provider details
- NPI number
- 1306487764
- Entity type
- Organization
- Primary specialty
- Pediatric Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Shelley Gast, Syst Vp of Mngd Care & Payor Strat(502) 272-5335
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Speech-Language Pathologist235Z00000X
Speech, Language and Hearing Service Providers
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
- Medical Physician Assistant363AM0700X
Physician Assistants & Advanced Practice Nursing Providers
- Surgical Physician Assistant363AS0400X
Physician Assistants & Advanced Practice Nursing Providers
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
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 Surgery
- Doing business as
- Norton Children'S Surgery
Registry dates
- Enumerated
- 2019-10-07
- Last updated
- 2023-01-23
- Certified
- 2023-01-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.