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: July 19, 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
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

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.

Anesthesiology
233 E GRAY ST, SUITE 804, MED TOWER
LOUISVILLE, KY 40202
Nurse Anesthetist, Certified Registered
233 E GRAY ST, TOWERS NORTH, STE 804
LOUISVILLE, KY 40202
Nurse Anesthetist, Certified Registered
233 E GRAY ST, TOWERS NORTH, 804
LOUISVILLE, KY 40202
Nurse Anesthetist, Certified Registered
233 E GRAY ST
LOUISVILLE, KY 40202
Nurse Anesthetist, Certified Registered
233 E GRAY ST
LOUISVILLE, KY 40202
Nurse Anesthetist, Certified Registered
233 E GRAY ST
LOUISVILLE, KY 40202
Nurse Anesthetist, Certified Registered
233 E GRAY ST, SUITE 804
LOUISVILLE, KY 40202
Nurse Anesthetist, Certified Registered
233 E GRAY ST, SUITE 804
LOUISVILLE, KY 40202

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164455952, enumerated as an "organization" on July 08, 2006.

The provider is located at 233 E GRAY ST SUITE 513 LOUISVILLE, KY 40202 and the phone number is (502) 629-5796.

Clinic/Center with taxonomy code 261Q00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.