Organization
NORTON SCOTT PHYSICIAN PRACTICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLEY GAST (VP MANAGED CARE)
(502) 272-5335
Entity
Organization
Contact information
Practice address
1461 N GARDNER ST, SCOTTSBURG, IN 47170-7751
(812) 752-0001
(812) 752-0010
Mailing address
4803 OLYMPIA PARK PLZ STE 1100, LOUISVILLE, KY 40241-3009
(502) 559-9409
(812) 752-0010
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201272140
—
IN
Enumeration date
04/17/2014
Last updated
11/07/2023
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