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SOMERSET PEDIATRIC SPECIALISTS PLLC NPI 1902031602


NPI Information

NPI: 1902031602
Provider Name: SOMERSET PEDIATRIC SPECIALISTS PLLC
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 18D0326758

Address:
350 LANGDON ST
SOMERSET, KY
ZIP 42503
Phone: (606) 678-8155
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SOMERSET PEDIATRIC SPECIALISTS PLLC is a pediatrics in Somerset, 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. SOMERSET PEDIATRIC SPECIALISTS PLLC NPI is 1902031602. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

350 LANGDON ST
SOMERSET, KY
ZIP 42503-786
Phone: (606) 678-8155

The provider's authorized official is Janie Ison .
The authorized official title is Asst. Office Manager and has the following contact phone number (606) 678-8155.

The CLIA number assigned to this NPI record is 18D0326758 - federally qualified health center with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 5/26/2009 and was last updated on 12/4/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LP0200XNurse PractitionerPediatricsNo
2208000000XPediatricsYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17100087290 - MDMEDICAIDKENTUCKY
27100087330 - NPMEDICAIDKENTUCKY

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: 4/28/2024

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