MERCER PEDIATRICS PSC (NPI# 1669415493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669415493 |
| Entity Type | Organization |
| Organization Name | MERCER PEDIATRICS PSC |
| Other Organization Name | HAGGIN PRIMARY CARE CLINIC |
| Practice Address |
466 Linden Ave Harrodsburg KY 40330-1841 |
| Mailing Address |
Po Box 364 466 Linden Avenue Harrodsburg KY 40330-0364 |
| Practice Telephone | 8597345123 |
| Practice Fax Number | 8597340664 |
| Mailing Telephone | 8597345123 |
| Mailing Fax Number | 8597340664 |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2014-03-07 |
| Authorized Official Name | DR. PAMELA G JOHNSON (PRESIDENT/CEO) |
| Authorized Official Telephone | 8597345123 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 25108 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 65929507 | 05 | |
| KY | 610510934 | 05 |
| Other Name | Type Code |
|---|---|
| Haggin Primary Care Clinic | Doing Business As Name - Organization |
| Street Address |
466 LINDEN AVE |
| City | HARRODSBURG |
| State | KY |
| Zip Code | 40330-1841 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801888201 | Nick Dedman | Internal Medicine | 466 Linden Ave, Harrodsburg, KY 40330-1841 | 2005-08-22 |
| 1942792353 | Laurie Collins | Nurse Practitioner | 466 Linden Ave, Harrodsburg, KY 40330-1841 | 2018-05-31 |
| 1174988836 | The James B. Haggin Memorial Hospital Inc. | Nurse Practitioner | 466 Linden Ave, Suite A, Harrodsburg, KY 40330-1841 | 2015-12-23 |
| 1538534060 | The James B. Haggin Memorial Hospital Inc. | Nurse Practitioner | 466 Linden Ave, Suite B, Harrodsburg, KY 40330-1841 | 2015-12-09 |
| 1265826911 | Courtney Maiden | Family Medicine | 466 Linden Ave, Harrodsburg, KY 40330 | 2015-03-20 |
| 1881964179 | Melissa L Sims | Nurse Practitioner | 466 Linden Ave, Harrodsburg, KY 40330-1841 | 2012-01-04 |
| 1083928196 | Lorrie Thompson | Nurse Practitioner | 466 Linden Ave, Harrodsburg, KY 40330-1841 | 2010-07-30 |
| 1174543722 | Sandra Geile | Emergency Medicine | 466 Linden Ave, Harrodsburg, KY 40330-1841 | 2006-07-19 |
| 1710921242 | William Frederick Loggins | Emergency Medicine | 466 Linden Ave, Harrodsburg, KY 40330-1841 | 2006-06-15 |
| 1679523559 | Nick Dedman, Md and Associates, P.s.c. | Internal Medicine | 466 Linden Ave, Harrodsburg, KY 40330-1841 | 2006-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639645559 | Isaiah House Inc | Substance Abuse Rehabilitation Facility | 5866 Bohon Rd, Harrodsburg, KY 40330 | 2018-10-18 |
| 1760964514 | Ephraim Mcdowell Regional Medical Center, Incorporated | Durable Medical Equipment & Medical Supplies | 470 Linden Ave Ste 1, Harrodsburg, KY 40330 | 2018-08-29 |
| 1801225206 | Mercer County Health Department | Public Health or Welfare | 900 North College Street, Harrodsburg, KY 40330 | 2013-11-06 |
| 1902146277 | Ephraim Mcdowell Health Resource, Inc | Internal Medicine | 470 Linden Ave Ste 7, Harrodsburg, KY 40330 | 2013-02-25 |
| 1972815942 | Melanie Suzanne Hutti | Occupational Therapist | 853 W. Lexington Ave., Harrodsburg, KY 40330 | 2010-07-07 |
| 1821276338 | Blue Grass Community Action Partnership, Inc | Respite Care | Mercer County Adult Day Care, 1475 Louisville Road, Harrodsburg, KY 40330 | 2008-02-06 |
| 1457535973 | Active Body Chiropractic and Injury Center Pllc | Chiropractor | 507 Joseph Dr., Ste. 4, Harrodsburg, KY 40330 | 2007-12-19 |
| 1598947178 | Peggy E Kessler | Counselor | 712 Perryville Road, Harrodsburg, KY 40330 | 2007-12-05 |
| 1891994455 | Dr. Tammy G. Hoskins Optometry Psc | Optometrist | Harrodsburg Eye Center, 201 S Main St, Harrodsburg, KY 40330 | 2007-07-13 |
| 1508064171 | Angela Craig Logdon | Speech-Language Pathologist | 2200 Bohon Rd, Harrodsburg, KY 40330 | 2007-07-05 |
| Find all providers in zip 40330 | ||||
| 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 |
|---|---|---|---|---|
| 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 | ||||
| City | HARRODSBURG |
| Zip Code | 40330 |
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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.