SHELBY PEDIATRICS PSC NPI 1558415760

NPI Information

  • NPI: 1558415760
  • Provider Name: SHELBY PEDIATRICS, PSC
  • Classification: Pediatrics - 208000000X
  • Entity Type: Organization
  • Address: 71 MACK WALTERS RD
    SHELBYVILLE, KY
    ZIP 40065
  • Phone: (502) 633-7337

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NPI Details

SHELBY PEDIATRICS, PSC is a pediatrics in Shelbyville, 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. SHELBY PEDIATRICS, PSC NPI is 1558415760. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

71 MACK WALTERS RD
SHELBYVILLE, KY
ZIP 40065-751
Phone: (502) 633-7337
Fax: (502) 633-7338

The provider's authorized official is Eric J Siegel .
The authorized official title is Medical Doctor and has the following contact phone number (502) 633-7337.

The enumeration date for this NPI number is 1/23/2007 and was last updated on 3/27/2013.

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
1363AM0700XPhysician AssistantMedicalPA557KENTUCKYNo
2363LP0200XNurse PractitionerPediatrics3006166KENTUCKYNo
3163W00000XRegistered Nurse1121406KENTUCKYNo
4363LP0200XNurse PractitionerPediatrics3007777KENTUCKYNo
5208000000XPediatrics28387KENTUCKYYes

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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