Organization
GASTROENTEROLOGY HEALTH PARTNERS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINA MATERNA (DIRECTOR, CREDENTIALING)
(901) 377-8219
Entity
Organization
Contact information
Practice address
1941 BISHOP LN, STE 200, LOUSIVILLE, KY 40218
(502) 888-1988
(502) 452-6577
Mailing address
ONE GI CREDENTIALING DEPARTMENT, PO BOX 381468, GERMANTOWN, TN 38183-1468
(901) 328-1355
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201161010A
—
IN
05
—
300022756
—
IN
05
—
300074837
—
IN
05
—
300115647
—
IN
05
—
300118093
—
IN
05
—
300119324
—
IN
05
—
300119328
—
IN
05
—
7100236330
—
KY
05
—
7100371700
—
KY
05
—
7100473430
—
KY
05
—
7100477300
—
KY
05
—
7100505380
—
KY
Enumeration date
05/11/2012
Last updated
02/03/2026
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