GEORGETOWN PEDIATRICS PSC NPI 1598809097

NPI Information

  • NPI: 1598809097
  • Provider Name: GEORGETOWN PEDIATRICS, PSC
  • Classification: Pediatrics - 208000000X
  • Entity Type: Organization
  • CLIA Number: 18D0322348
  • Address: 1162 LEXINGTON RD
    GEORGETOWN, KY
    ZIP 40324
  • Phone: (502) 863-6426

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NPI Details

GEORGETOWN PEDIATRICS, PSC is a pediatrics in Georgetown, 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. GEORGETOWN PEDIATRICS, PSC NPI is 1598809097. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1162 LEXINGTON RD
GEORGETOWN, KY
ZIP 40324-330
Phone: (502) 863-6426
Fax: (502) 868-9724

The provider's authorized official is Horace P. Hambrick .
The authorized official title is President and has the following contact phone number (502) 863-6426.

The CLIA number assigned to this NPI record is 18D0322348 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/16/2007 and was last updated on 4/12/2023.

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
1101YP2500XCounselorProfessionalNo
2363LP0200XNurse PractitionerPediatricsNo
3208000000XPediatricsYes

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
17100177200MEDICAIDKENTUCKY
27100552220MEDICAIDKENTUCKY

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: 3/30/2025

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