University Pediatric Pulmonary, Llc
LBN: University Pediatric Pulmonary, Llc
University Pediatric Pulmonary, Llc is an health care organization with primary practice located at 9700 Park Plaza Ave Ste 110, Louisville KY 40241-2286. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Pulmonology, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Allopathic & Osteopathic Physicians / Pediatric Pulmonology is the primary health care specialty.
University Pediatric Pulmonary, Llc can be contacted via phone (502) 629-8830, or through Rabalais, Gerard P. via phone (502) 852-8600.
Contact Information
Primary practice address
9700 Park Plaza Ave Ste 110
Louisville KY 40241-2286
Phone: (502) 629-8830
Fax: (502) 629-7540
Website:
Authorized official contact:
Name: Rabalais, Gerard P. Doctor of Medicine (MD)
Phone: (502) 852-8600
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ||
| Allopathic & Osteopathic Physicians / Pediatric Pulmonology | 2080P0214X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X |
Profile Details
| NPI number | 1649577362 |
|---|---|
| LBN Legal business name | University Pediatric Pulmonary, Llc |
| DBA Doing business as | |
| Authorized official | Rabalais, Gerard P. Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 15th, 2011 |
| Last updated | Feb 15th, 2011 - about 14 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649577362 | NPPES |
| Kentucky | MEDICAID | 7100115770 | |
| Kentucky | MEDICAID | 710018920 | |
| Kentucky | MEDICAID | 200998250 |
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