PEDIATRIC ASSOCIATES NPI 1487600615

NPI Information

  • NPI: 1487600615
  • Provider Name: PEDIATRIC ASSOCIATES
  • Classification: Clinic/Center - 261QR1300X
  • Specialization: Rural Health
  • Entity Type: Organization
  • Doing Business As: PEDIATRIC ASSOCIATES OF HAZARD
  • CLIA Number: 18D0997986
  • Address: 1710 N MAIN ST
    PEDIATRIC ASSOCIATES
    HAZARD, KY
    ZIP 41701
  • Phone: (606) 487-8300

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NPI Details

PEDIATRIC ASSOCIATES is a rural health clinic center in Hazard, KY. PEDIATRIC ASSOCIATES NPI is 1487600615. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Pediatric Associates Of Hazard.

The provider's business location address is:

1710 N MAIN ST
PEDIATRIC ASSOCIATES
HAZARD, KY
ZIP 41701-278
Phone: (606) 487-8300
Fax: (606) 436-9953

The provider's authorized official is Djien Hwat So .
The authorized official title is Administrator and has the following contact phone number (606) 487-8300.

The CLIA number assigned to this NPI record is 18D0997986 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/26/2006 and was last updated on 3/27/2019.

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
1207Q00000XFamily MedicineNo
2208000000XPediatricsNo
3261QR1300XClinic/CenterRural Health900138KENTUCKYYes
4363LF0000XNurse PractitionerFamily3006127KENTUCKYNo

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
135001627MEDICAIDKENTUCKY

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: 11/21/2025

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