Dr. Mark W Distler
M.D. | Pediatrics | Male
Dr. Mark W Distler, M.D. is a Louisville, Kentucky based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Mark W Distler is
301 Middletown Park Pl, Suite C, Louisville, Kentucky - 40243-2515. He can be contacted on phone at
502-244-9858 and fax number 502-244-9575.
Dr. Mark W Distler is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Mark W Distler is
1568572733 which was assigned by NPPES on 30 Aug, 2006 and it was last updated on 12 Mar, 2014.
Dr. Mark W Distler license number is
28797 for Pediatrics (208000000X) in Kentucky.
Dr. Mark W Distler is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Mark W Distler basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Dr. Mark W Distler |
|---|
| Credential : | M.D. |
|---|
| Gender : | Male |
|---|
Business Address:
Dr. Mark W Distler address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 301 Middletown Park Pl, Suite C
Louisville, KY, 40243-2515
United States |
|---|
| Phone Number : | 502-244-9858 |
|---|
| Fax Number : | 502-244-9575 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1568572733 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 30 Aug, 2006 |
|---|
| Last Updated On : | 12 Mar, 2014 |
|---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Mark W Distler are as mentioned. Primary taxonomy code for Dr. Mark W Distler, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 1042652 | IN |
| 208000000X | Pediatrics | Yes | 28797 | KY |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Mark W Distler such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 100373990 | MEDICAID | IN | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 301 Middletown Park Pl, Suite C
Louisville, KY, 40243-2515
United States |
|---|
| Phone Number : | 502-244-9858 |
|---|
| Fax Number : | 502-244-9575 |
|---|
Business Location:
Patients can refer following map for directions to
Dr. Mark W Distler practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.