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 SpecialityPrimaryLicense No.State
208000000XPediatricsNo1042652IN
208000000XPediatricsYes28797KY
Legacy Identifiers:
Other legacy medical identifiers of Dr. Mark W Distler such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
IdentifierIdentifier TypeStateIssuer
100373990MEDICAIDIN
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. Last updated on 08 January, 2024.