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PAIGE PRIMARY CARE CENTER NPI 1144270018


NPI Information

NPI: 1144270018
Provider Name: PAIGE PRIMARY CARE CENTER

Former Legal Business Name: CARL D. PAIGE, MD, PSC

Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
1023 NEW MOODY LN
SUITE 201
LA GRANGE, KY
ZIP 40031
Phone: (502) 225-4480
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PAIGE PRIMARY CARE CENTER is a pediatrics in La Grange, KY. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. PAIGE PRIMARY CARE CENTER NPI is 1144270018. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Carl D. Paige, Md, Psc.

The provider's business location address is:

1023 NEW MOODY LN
SUITE 201
LA GRANGE, KY
ZIP 40031-177
Phone: (502) 225-4480
Fax: (502) 225-9169

The provider's authorized official is Carlton Damon Paige .
The authorized official title is President and has the following contact phone number (502) 225-4480.

The enumeration date for this NPI number is 5/11/2006 and was last updated on 1/24/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal MedicineNo
2207Q00000XFamily Medicine41864KENTUCKYNo
3363LF0000XNurse PractitionerFamilyNo
4208000000XPediatricsYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17100169030MEDICAIDKENTUCKY
27839MEDICARE ID-TYPE UNSPECIFIED
3D0433OTHERKENTUCKYMEDICARE RR

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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