OWENSBORO PEDIATRICS LLC NPI 1720092240

NPI Information

  • NPI: 1720092240
  • Provider Name: OWENSBORO PEDIATRICS LLC
  • Classification: Pediatrics - 208000000X
  • Entity Type: Organization
  • CLIA Number: 18D0326260
  • Address: 2200 E PARRISH AVE
    BLDG B SUITE 101
    OWENSBORO, KY
    ZIP 42303
  • Phone: (270) 683-3232

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NPI Details

OWENSBORO PEDIATRICS LLC is a pediatrics in Owensboro, 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. OWENSBORO PEDIATRICS LLC NPI is 1720092240. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2200 E PARRISH AVE
BLDG B SUITE 101
OWENSBORO, KY
ZIP 42303
Phone: (270) 683-3232
Fax: (270) 852-1600

The provider's authorized official is William Loyd Buck .
The authorized official title is Practice Administrator and has the following contact phone number (270) 683-3232.

The CLIA number assigned to this NPI record is 18D0326260 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/28/2006 and was last updated on 11/19/2024.

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
21041C0700XSocial WorkerClinicalNo
3208000000XPediatricsYes
4261QM1300XClinic/CenterMulti-SpecialtyNo
5363A00000XPhysician AssistantNo
6363LF0000XNurse PractitionerFamilyNo
7363LP0200XNurse PractitionerPediatricsNo
8363LP0808XNurse PractitionerPsychiatric/Mental HealthNo

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
11172074MEDICAIDKENTUCKY
265939241MEDICAIDKENTUCKY
32003226760AMEDICAIDINDIANA

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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