MIDDLETOWN PEDIATRICS – NPI #1164645834
Pediatrics

A pediatrician who 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.

Health Care Provider Taxonomy Code for Pediatrics

MIDDLETOWN PEDIATRICS is a provider located in LOUISVILLE, KY. NPPES has assigned the NPI number 1164645834 to MIDDLETOWN PEDIATRICS on April 11, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2080A0000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Adolescent Medicine

The NPI profile was previously updated about 12 years ago on Mar 12, 2014. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MIDDLETOWN PEDIATRICS below.

NPI Profile for
MIDDLETOWN PEDIATRICS

NPI Number
1164645834
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MIDDLETOWN PEDIATRICS
Primary location
301 C MIDDLETOWN PARK PLACE
LOUISVILLE, KY 40243
Phone: (502) 244-9858 Fax: (502) 244-9575
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DANA DISTLER
PHYSICIAN/OWNER
Phone: (502) 244-9858
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2080A0000X
- Pediatrics / Adolescent Medicine (Primary)		 KY 38964

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.