Organization
COMMUNITY MEDICAL ASSOCIATES, INC.
Active
Organization
COMMUNITY MEDICAL ASSOCIATES, INC.
Active
Other names
Norton Children's Radiologists
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHELLEY GAST (VP MANAGED CARE)
(502) 588-9490
Entity
Organization
Contact information
Practice address
4803 OLYMPIA PARK PLZ STE 1100, LOUISVILLE, KY 40241-3068
(502) 588-9490
(502) 272-5339
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 272-5165
(502) 272-5339
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
Other
Enumeration date
01/29/2018
Last updated
09/21/2021
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