Middletown Pediatrics
Pediatric Adolescent Medicine
Middletown Pediatrics is a Louisville, Kentucky based Pediatric center with medical specialization in
Pediatric Adolescent Medicine.
It is located at
301 C Middletown Park Place, Louisville, Kentucky - 40243. They can be contacted on phone at
502-244-9858 and fax number 502-244-9575.
NPI number (Unique professional ID) for Middletown Pediatrics is
1164645834 which was assigned by NPPES on 11 Apr, 2007 and it was last updated on 12 Mar, 2014.
Middletown Pediatrics license number is
28883 for Pediatrics Adolescent Medicine (2080A0000X) in Kentucky.
Middletown Pediatrics specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Middletown Pediatrics basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Middletown Pediatrics |
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Business Address:
Middletown Pediatrics 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 C Middletown Park Place
Louisville, KY, 40243
United States |
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| Phone Number : | 502-244-9858 |
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| Fax Number : | 502-244-9575 |
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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 : | 1164645834 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 11 Apr, 2007 |
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| Last Updated On : | 12 Mar, 2014 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Danaj. Distler |
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| Authorized Official Credential : | M.D. |
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| Official Title or Position : | PHYSICIAN/OWNER |
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| Phone Number : | 502-244-9858 |
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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 Middletown Pediatrics are as mentioned. Primary taxonomy code for Middletown Pediatrics is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080A0000X | Pediatrics Adolescent Medicine | No | 38964 | KY |
| 2080A0000X | Pediatrics Adolescent Medicine | No | 39163 | KY |
| 2080A0000X | Pediatrics Adolescent Medicine | Yes | 28883 | KY |
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 C Middletown Park Place
Louisville, KY, 40243
United States |
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| Phone Number : | 502-244-9858 |
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| Fax Number : | 502-244-9575 |
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Business Location:
Patients can refer following map for directions to
Middletown Pediatrics practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.