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

Q: 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.

Q: What is Pediatric Gastroenterology Psc's specialty?

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

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: July 19, 2026.

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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. MICHELLE PHUONG LE M.D.

Anesthesiology

233 E GRAY ST, SUITE 804, MED TOWER
LOUISVILLE, KY 40202

Jefferson County (502) 629-2880

DEBORAH A KAUFMAN CRNA