PEDIATRIC GROUP OF PADUCAH (NPI# 1346279510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1346279510 |
Entity Type | Organization |
Organization Name | PEDIATRIC GROUP OF PADUCAH |
Practice Address |
2605 Kentucky Ave Bldg 3 Suite 501 Paducah KY 42003-3800 |
Mailing Address |
Po Box 9150 Paducah KY 42002-9150 |
Practice Telephone | 2704437534 |
Mailing Telephone | 2707449600 |
Mailing Fax Number | 2707448642 |
Enumeration Date | 2006-07-01 |
Last Update Date | 2013-08-05 |
Authorized Official Name | DANA L EVANS (PROVIDER ENROLLMENT SPECIALIST) |
Authorized Official Telephone | 2707449600 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363LF0000X |
Nurse Practitioner Specialization: Family |
3007447 | KY | Physician Assistants & Advanced Practice Nursing Providers |
N | 208000000X | Pediatrics | 28040 | KY | Allopathic & Osteopathic Physicians |
N | 208000000X | Pediatrics | 30516 | KY | Allopathic & Osteopathic Physicians |
N | 208000000X | Pediatrics | 22172 | KY | Allopathic & Osteopathic Physicians |
N | 208000000X | Pediatrics | 43274 | KY | Allopathic & Osteopathic Physicians |
Y | 208000000X | Pediatrics | 20596 | KY | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KY | 65923377 | 05 |
Street Address |
2605 KENTUCKY AVE BLDG 3 SUITE 501 |
City | PADUCAH |
State | KY |
Zip Code | 42003-3800 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437152279 | Michael A Sexton | Audiologist | 2605 Kentucky Ave, Dob 3, Suite 601, Paducah, KY 42003-3800 | 2005-05-24 |
1841739612 | Baptist Health Medical Group Obgyn | Specialist/Technologist, Other | 2605 Kentucky Ave, Suite 301, Paducah, KY 42003-3800 | 2017-02-14 |
1508314212 | Felicia Cooper | Nurse Practitioner | 2605 Kentucky Ave, Suite 601, Paducah, KY 42003-3800 | 2016-09-12 |
1013388784 | Alexa T Payne | Nurse Practitioner | 2605 Kentucky Ave, Suite 601, Paducah, KY 42003-3800 | 2015-10-07 |
1679941579 | Valerie Marie Clark | Nurse Practitioner | 2605 Kentucky Ave, Suite 304, Paducah, KY 42003-3800 | 2015-09-09 |
1922401611 | Baptist Health Medical Group Inc | Psychologist | 2605 Kentucky Ave, Suite 306, Paducah, KY 42003-3800 | 2014-10-08 |
1992117402 | Adrian Leigh Holmes | Nurse Practitioner | 2605 Kentucky Ave, Suite 202, Paducah, KY 42003-3800 | 2014-06-02 |
1336563543 | Advanced Internal Medicine Pllc | Internal Medicine | 2605 Kentucky Ave, Suite 402, Paducah, KY 42003-3800 | 2014-02-07 |
1215278734 | Shelby Nicole Snow | Nurse Practitioner | 2605 Kentucky Ave, Suite 501, Paducah, KY 42003-3800 | 2013-03-07 |
1174882658 | Robert James Learch | Internal Medicine | 2605 Kentucky Ave, Suite 602, Paducah, KY 42003-3800 | 2012-05-03 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033757638 | Wilson Medical Staffing Pllc | Nurse Practitioner | 3130 Lone Oak Rd, Paducah, KY 42003 | 2019-12-13 |
1417415993 | Lauren Deanne Mcclain | Nurse Practitioner | 225 Medical Center Dr Ste 205, Paducah, KY 42003 | 2019-03-04 |
1871057042 | Brame Psychological Assessment Center | Psychologist | Ray and Kay Eckstein Outreach Center, 435 Berger Rd, Paducah, KY 42003 | 2019-01-22 |
1831611219 | Elizabeth Anne Wright | Social Worker | 425 Broadway Street, Paducah, KY 42003 | 2017-07-07 |
1558804724 | Kayla Reshea Franklin | Behavior Technician | 2075 Husband Road, Paducah, KY 42003 | 2016-11-21 |
1699189308 | Sunrise Children's Services, Inc. | Foster Care Agency | 3565 Lone Oak Rd Ste 2, Paducah, KY 42003 | 2014-06-20 |
1326488891 | Alice Ann Higdon Wilham | Surgery | 1532 Lone Oak Rd Ste 235, Paducah, KY 42003 | 2013-06-28 |
1881924611 | Meghan Ashley Lee | Nurse Practitioner | 1532 Lone Oak Rd Ste 245, Paducah, KY 42003 | 2009-12-29 |
1174771018 | Sleep Source Kentucky, LLC | Clinic/Center | 3125 Parisa Drive, Paducah, KY 42003 | 2008-09-04 |
1851547426 | Zandra Bristol Farley | Registered Nurse | 1532 Lone Oak Road Suite 445, Lourdes Marshall Nemer Pavillion, Paducah, KY 42003 | 2008-08-14 |
Find all providers in zip 42003 |
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 |
---|---|---|---|---|
1902105224 | Personal Medicine of Kentucky Pllc | Pediatrics | 2320 Broadway St Ste 110, Paducah, KY 42001-7146 | 2011-03-25 |
1174841357 | Rachel Lowdenback | Pediatrics | 548 Lone Oak Road, Paducah, KY 42003-4538 | 2010-05-12 |
1821168154 | John T. Cecil Jr. | Pediatrics | 2670 New Holt Rd Ste C, Paducah, KY 42001-7506 | 2006-11-08 |
1164425831 | John M. Roach | Pediatrics | 242 Berger Rd, Paducah, KY 42003-4522 | 2005-05-24 |
1922001601 | James Shumaker | Pediatrics | 1532 Lone Oak Rd, Ste 345, Paducah, KY 42003-7942 | 2005-05-24 |
1598138984 | Sheridan Children's Healthcare Services of Kentucky, Inc. | Pediatrics | 1530 Lone Oak Rd, Paducah, KY 42003-7901 | 2015-11-06 |
1225471782 | Caitlyn Cecil | Pediatrics | 2670 New Holt Rd Ste C, Paducah, KY 42001-7506 | 2013-04-15 |
1225399322 | Holly Denise Payne | Pediatrics | 548 Lone Oak Rd, Paducah, KY 42003-4538 | 2012-06-05 |
1154584605 | Elizabeth Claire Mcgregor | Pediatrics | 2605 Kentucky Ave, Doctor's Building #3, Paducah, KY 42003-3800 | 2008-07-04 |
1194711721 | Glen Chaney | Pediatrics | 2605 Kentucky Ave, Paducah, KY 42003-3800 | 2005-09-20 |
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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.