| NPI | 1003115403 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2011-03-24 |
| Last Updated | 2021-01-19 |
| Mailing Address | Po Box 77651 Chicago, IL 60677-6351 United States Phone: (502) 272-5754 | Fax: (502) 272-5339 📍 View Map |
| Primary Practice Address | 100 Mallard Creek Rd Ste 395 Louisville, KY 40207-5167 United States Phone: (502) 895-9421 | Fax: (502) 899-5762 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | IN | 201220600A | — |
| MEDICAID | KY | 7100214600 | — |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 208000000X – Pediatrics | IN | 01073533A |
| Yes | 208000000X – Pediatrics | KY | 46855 |
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About NPI 1003115403
Meredith Kay Irwin M.D. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1003115403. The primary specialty listed is Pediatrics. The provider is located in Louisville, KY. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2011-03-24. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1003115403?
NPI 1003115403 belongs to Meredith Kay Irwin M.D., a Pediatrics in Louisville, KY. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1003115403 active?
The current status of NPI 1003115403 in the NPPES registry is Active. The record was last updated on 2021-01-19.
What specialty is NPI 1003115403?
NPI 1003115403 is classified under the taxonomy Pediatrics. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1003115403?
You can verify NPI 1003115403 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1003115403?
The primary practice address on file for NPI 1003115403 is 100 Mallard Creek Rd Ste 395, Louisville, KY 40207-5167. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1003115403 issued?
NPI 1003115403 was first issued (enumerated) on 2011-03-24. The NPPES record was last updated on 2021-01-19.
Practice Location Map
Meredith Kay Irwin is located at 100 Mallard Creek Rd Ste 395, Louisville, KY. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Meredith Kay Irwin. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1003115403. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Pediatrics | 01073533A | IN |
| Pediatrics | 46855 | KY |