| Norton Children's Medical Group - Bowling Green Llc | |
|
615 7th Ave Bowling Green KY 42101-6921 | |
| (270) 846-4800 | |
| (270) 846-4828 |
| Full Name | Norton Children's Medical Group - Bowling Green Llc |
|---|---|
| Speciality | Pediatrics |
| Location | 615 7th Ave, Bowling Green, Kentucky |
| Authorized Official Name and Position | Shelley Gast (VP - MANAGED CARE) |
| Authorized Official Contact | 5022725332 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Norton Children's Medical Group - Bowling Green Llc Po Box 776879 Chicago IL 60677-6879 Ph: (502) 588-9490 | Norton Children's Medical Group - Bowling Green Llc 615 7th Ave Bowling Green KY 42101-6921 Ph: (270) 846-4800 |
| NPI Number | 1164279089 |
|---|---|
| Provider Enumeration Date | 04/30/2024 |
| Last Update Date | 02/24/2025 |
| Certification Date | 02/24/2025 |
| Medicare PECOS PAC ID | 2163959701 |
|---|---|
| Medicare Enrollment ID | O20241220002598 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164279089 | NPI | - | NPPES |
| Provider Name | Kelly E Kries |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346275583 PECOS PAC ID: 1153453832 Enrollment ID: I20100715000527 |
| Provider Name | Sarah A Mayfield |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992732820 PECOS PAC ID: 2567569718 Enrollment ID: I20100715000628 |
| Provider Name | Paul A Kniery |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598791071 PECOS PAC ID: 3971635657 Enrollment ID: I20100716000281 |
| Provider Name | Ashley R Parrigin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306154323 PECOS PAC ID: 0143402776 Enrollment ID: I20110303000274 |
| Provider Name | Jenna E. Tarter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548777014 PECOS PAC ID: 8820359466 Enrollment ID: I20180222002975 |
| Provider Name | Kyla Michelle Byard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275033953 PECOS PAC ID: 5395008676 Enrollment ID: I20180419001475 |
| Provider Name | Casey Laine Miles |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528392347 PECOS PAC ID: 7315062882 Enrollment ID: I20181023000407 |
| Provider Name | Ariel Jade Mujakovic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730641879 PECOS PAC ID: 9133462104 Enrollment ID: I20190514001655 |
| Provider Name | Erin L Iverson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174282081 PECOS PAC ID: 0446642334 Enrollment ID: I20230922001350 |
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