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PEDIATRIC GASTROENTEROLOGY PSC
NPI 1164455952
Clinic/Center in Louisville, KY

Active since July 08, 2006
233 E GRAY ST, SUITE 513, LOUISVILLE, KY 40202(502) 629-5796(502) 629-5799 Get Directions Write a Review

NPPES record last updated: May 19, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Pediatric Gastroenterology Psc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEDIATRIC GASTROENTEROLOGY PSC (NPI 1164455952) is a healthcare organization registered as a clinic/center in Louisville, Kentucky and active in the NPI registry since July 2006. The organization lists Thgmas C Stephen, President, as its authorized official.

NPPES Registry Identity

NPI1164455952
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NamePEDIATRIC GASTROENTEROLOGY PSC
Location Address233 E GRAY ST, SUITE 513Louisville, KY 40202-2026
Mailing Address233 E Gray St, Suite 513Louisville, KY 40202-2026 · (502) 629-5796 · Fax (502) 629-5799
Phone(502) 629-5796
Fax(502) 629-5799
Organization SubpartNo
Authorized OfficialThgmas C StephenPresident · (502) 629-5796
Enumeration DateJuly 8, 2006
Last NPPES UpdateMay 19, 2022
✔ NPI 1164455952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in KY · 0424168
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
233 E GRAY ST, Louisville, KY 40202
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Other Identifiers 3

Other1049092KY · Passport Group Number
Medicaid200140610AIN
Medicaid65927816KY

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KAVITA MEHTA MD
Anesthesiology
233 E GRAY ST
LOUISVILLE, KY 40202
Jefferson County (502) 629-2880
GEORGE SIVERT CRNA
Nurse Anesthetist, Certified Registered
233 E GRAY ST
LOUISVILLE, KY 40202
Jefferson County (502) 629-2880
JENNIFER GIUDICE CRNA
Nurse Anesthetist, Certified Registered
233 E GRAY ST, SUITE 804
LOUISVILLE, KY 40202
Jefferson County (502) 629-2880
TAMMY ROTHROCK CRNA
Nurse Anesthetist, Certified Registered
233 E GRAY ST, SUITE 804
LOUISVILLE, KY 40202
Jefferson County (502) 629-2880
DEBORAH A KAUFMAN CRNA
Nurse Anesthetist, Certified Registered
233 E GRAY ST, TOWERS NORTH, STE 804
LOUISVILLE, KY 40202
Jefferson County (502) 629-2880
AMY CULWELL CRNA
Nurse Anesthetist, Certified Registered
233 E GRAY ST
LOUISVILLE, KY 40202
Jefferson County (502) 629-2880
DR. MICHELLE PHUONG LE M.D.
Anesthesiology
233 E GRAY ST, SUITE 804, MED TOWER
LOUISVILLE, KY 40202
Jefferson County (502) 629-2880
DAVID ROBINSON CRNA
Nurse Anesthetist, Certified Registered
233 E GRAY ST
LOUISVILLE, KY 40202
Jefferson County (502) 629-2880

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pediatric Gastroenterology Psc's NPI number?

The NPI number for Pediatric Gastroenterology Psc is 1164455952. It was assigned to this organization in the NPPES registry on July 8, 2006.

Where is Pediatric Gastroenterology Psc located?

Pediatric Gastroenterology Psc is located at 233 E Gray St Suite 513, Louisville, KY 40202. The listed phone number is (502) 629-5796.

What is Pediatric Gastroenterology Psc's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Pediatric Gastroenterology Psc was last updated on May 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.