RADCLIFF PEDIATRICS ,PSC (NPI# 1124151097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124151097 |
| Entity Type | Organization |
| Organization Name | RADCLIFF PEDIATRICS ,PSC |
| Practice Address |
750 W Lincoln Trail Blvd Radcliff KY 40160 |
| Practice Telephone | 2703511850 |
| Practice Fax Number | 2703511855 |
| Mailing Telephone | 2703511850 |
| Mailing Fax Number | 2703511855 |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2011-12-15 |
| Authorized Official Name | MR. HY K NGUYEN (MD) |
| Authorized Official Telephone | 2703511850 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 208000000X | Pediatrics | 24932 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 64249329 | 05 |
| Street Address |
750 W LINCOLN TRAIL BLVD |
| City | RADCLIFF |
| State | KY |
| Zip Code | 40160 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992774608 | Hy K. Nguyen | Pediatrics | 750 W Lincoln Trail Blvd, Suite 101, Radcliff, KY 40160-2604 | 2006-03-15 |
| 1417513029 | Naomi Jean Eisenback | Nurse Practitioner | 750 W Lincoln Trail Blvd, Radcliff, KY 40160-2654 | 2019-05-20 |
| 1538378237 | Beverly Clagg | Marriage & Family Therapist | 750 W Lincoln Trail Blvd, Suite 103, Radcliff, KY 40160-2604 | 2007-05-21 |
| 1821174566 | Angie L Walker | Social Worker | 750 W Lincoln Trail Blvd, Suite 102, Radcliff, KY 40160-2604 | 2006-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487126298 | Cumberland Family Medical Center, Inc. | Clinic/Center | 1080 S Logsdon Parkway, Radcliff, KY 40160 | 2018-12-19 |
| 1184082372 | Marla Sims | Pharmacist | 102 Gateway Crossings, Radcliff, KY 40160 | 2016-02-03 |
| 1861860751 | Positive Wave L.l.c | Massage Therapist | 955 N Wilson Rd, B, Radcliff, KY 40160 | 2015-09-09 |
| 1043686900 | Commonwealth of Kentucky | Skilled Nursing Facility | 100 Veterans Drive, Radcliff, KY 40160 | 2015-08-14 |
| 1477982726 | Amanda Schneider | Occupational Therapist | 645 Knox Blvd., Radcliff, KY 40160 | 2013-11-07 |
| 1407130776 | Claire Phillips | Counselor | 1072 S. Dixie Blvd, Radcliff, KY 40160 | 2011-10-05 |
| 1235435736 | Amanda Lacefield | Counselor | 295 W Lincoln Trail Blvd Ste D, Radcliff, KY 40160 | 2011-01-31 |
| 1457594491 | Rehab Resource | Occupational Therapist | 111 N Woodland Dr Ste C, Radcliff, KY 40160 | 2009-04-07 |
| 1649421629 | James K. Burke, Ph.d., P.s.c. | Community/Behavioral Health | 1460 B North Dixie, Radcliff, KY 40160 | 2008-10-08 |
| 1174675763 | Doctors Pllc | General Practice | 111 N Woodland Drive, Radcliff, KY 40160 | 2007-01-17 |
| Find all providers in zip 40160 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992774608 | Hy K. Nguyen | Pediatrics | 750 W Lincoln Trail Blvd, Suite 101, Radcliff, KY 40160-2604 | 2006-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205452836 | Jenna M. Richards Do | Pediatrics | 793 Eastern Byp Ste 110, Richmond, KY 40475-2425 | 2020-06-19 |
| 1598384745 | Breckinridge Health Clinic | Pediatrics | 203b Fairgrounds Rd, Hardinsburg, KY 40143-2585 | 2020-04-08 |
| 1811533433 | Grace Community Health Center, Inc. | Pediatrics | 120 N Commonwealth Ave Ste 123&4, Corbin, KY 40701-6472 | 2019-11-19 |
| 1558827774 | August Pediatrics, LLC | Pediatrics | 123 N 19th St Ste 302, Middlesboro, KY 40965 | 2019-02-12 |
| 1306316989 | Jacquee L Mcnear | Pediatrics | 801 Barret Avenue Suite 314, Louisville, KY 40204-1701 | 2018-11-27 |
| 1477059657 | Advanced Care Pediatric Centre Pllc | Pediatrics | 1000 E Lexington Ave Ste 31, Danville, KY 40422-1707 | 2018-04-05 |
| 1396268223 | Prasanna Kumar Gangishetti | Pediatrics | 800 Rose St Rm No Mn-118, Lexington, KY 40536 | 2017-07-23 |
| 1154855054 | John Michael Jansen | Pediatrics | 3320 Tates Creek Rd Ste 302, Lexington, KY 40502-3400 | 2017-04-18 |
| 1396286407 | Alvarado Medical Services Pllc | Pediatrics | 25 E Hickman St, Winchester, KY 40391-2448 | 2017-03-09 |
| 1407218589 | Caitlyn Anglin | Pediatrics | University of Kentucky 800 Rose St Rm Mn 118, Lexington, KY 40536-1356 | 2016-03-28 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.