PEDIATRIC ASSOCIATES (NPI# 1013954510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013954510 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC ASSOCIATES |
| Other Organization Name | RED RIVER HEALTH CARE |
| Practice Address |
321c E College Ave Stanton KY 40380-2325 |
| Mailing Address |
Po Box 2748 Pikeville KY 41502-2748 |
| Practice Telephone | 6066639797 |
| Practice Fax Number | 6066639470 |
| Mailing Telephone | 6064323221 |
| Mailing Fax Number | 6064370438 |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2017-03-21 |
| Authorized Official Name | DJIEN HWAT SO (OPERATING MANAGER) |
| Authorized Official Telephone | 6064320174 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 900183 | KY | Allopathic & Osteopathic Physicians |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
3006123 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | PA1161 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
900183 | KY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 35001783 | 05 |
| Other Name | Type Code |
|---|---|
| Red River Health Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205974623 | Pediatric Associates | Pediatrics | 450 Veterans Memorial Pkwy Bldg 10, East Providence, RI 02914-5300 | 2007-02-01 |
| 1851348338 | Pediatric Associates | Pediatrics | 156 Island Creek Road, Pikeville, KY 41501 | 2006-05-28 |
| 1487600615 | Pediatric Associates | Family Medicine | 1710 N Main St, Pediatric Associates, Hazard, KY 41701-1278 | 2006-05-26 |
| 1851848899 | Pediatric Associates | Specialist | 3410 Indian School Rd Ne, Albuquerque, NM 87106-1148 | 2016-09-07 |
| 1710318886 | Pediatric Associates | Pediatrics | 1001 Hioaks Rd, Richmond, VA 23225-4029 | 2013-11-27 |
| 1366735581 | Pediatric Associates | Physician Assistant | 400 Parnassus Ave, San Francisco, CA 94143-2202 | 2011-05-20 |
| 1295921534 | Pediatric Associates | Clinic/Center | 2401 Blueridge Ave, Suite 210, Wheaton, MD 20902-4517 | 2007-09-20 |
| 1073674206 | Pediatric Associates | Pediatrics | 4501 Groveway, Houston, TX 77087 | 2006-12-12 |
| 1639257215 | Pediatric Associates | Specialist | 59325 River West Drive, Suite D, Plaquemine, LA 70764 | 2006-11-01 |
| 1811941057 | Pediatric Associates | Pediatrics | 30 Medical Center Blvd, Suite 103, Upland, PA 19013-3955 | 2006-05-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | PEDIATRIC ASSOCIATES FOR LANGUAGE AND SPEECH, PLLC | 333 West 57th St., Ste 107, New York, Ny 10019 |
| Massachusetts Corporations | PEDIATRIC ASSOCIATES INC. OF BROCKTON | 370 Oak Street, Brockton, MA 02301 |
| Iowa Business Entities | PEDIATRIC ASSOCIATES IOWA CITY BUILDING PARTNERSHIP LLP | 605 E Jefferson St, Iowa City, IA 52245 |
| Virginia Business Entities | PEDIATRIC ASSOCIATES OF ALEXANDRIA INC. | 6355 Walker Lane #401, Alexandria, Virginia 22310 |
| Virginia Business Entities | PEDIATRIC ASSOCIATES OF CHARLOTTESVILLE P.L.C. | 1011 E Jefferson St, Charlottesville, Virginia 22902 |
| Iowa Business Entities | PEDIATRIC ASSOCIATES OF CORALVILLE BUILDING PARTNERSHIP LLP | 605 E Jefferson St, Iowa City, IA 52245 |
| Colorado Business Entities | Pediatric Associates of Durango, Inc. | 29423 Highway 160, Durango, CO 81301 |
| Massachusetts Corporations | PEDIATRIC ASSOCIATES OF FALL RIVER, INC. | 851 Middle St., Fall River, MA 02721 |
| Massachusetts Corporations | PEDIATRIC ASSOCIATES OF FRANKLIN COUNTY, P.C. | 56 Main St., Turners Falls, MA 01376 |
| Oregon Corporations, Companies and Business Names | PEDIATRIC ASSOCIATES OF GRESHAM, P.C. | 2150 Ne Division St Ste 103, Gresham, OR 97030 |
| Street Address |
321C E COLLEGE AVE |
| City | STANTON |
| State | KY |
| Zip Code | 40380-2325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578716213 | Sarah L Murphy | Physician Assistant | 321c E College Ave, Stanton, KY 40380-2325 | 2008-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932570 | Sterling Health Solutions, Inc | Clinic/Center | 642 Rose Way, Stanton, KY 40380 | 2020-11-03 |
| 1144857319 | Jing Yang | Technician | 494 N. Main St., Stanton, KY 40380 | 2020-03-26 |
| 1457624488 | Powell County Schools | Local Education Agency (LEA) | 691 Breckinridge St., Stanton, KY 40380 | 2012-02-22 |
| 1740570191 | Kimberly Blevins Moore | Pharmacist | 125 N. Main Street, Stanton, KY 40380 | 2011-04-19 |
| 1154653897 | Evergreen Community Supports, LLC | Community/Behavioral Health | 316b Steam Shovel Road, Stanton, KY 40380 | 2010-02-05 |
| 1235265117 | David Glen Barnes | Chiropractor | 242 Washington St., Stanton, KY 40380 | 2007-02-26 |
| 1184779761 | Donald W Rogers | Psychologist | 203 North Main St, Stanton, KY 40380 | 2007-01-24 |
| 1104834779 | Laura Tipton Cockrell | Physical Therapist | 436 S Main St, Stanton, KY 40380 | 2006-08-03 |
| 1689681363 | Kimberly Anne Sparks | Occupational Therapist | 436 South Main Street, Stanton, KY 40380 | 2006-08-02 |
| 1245246867 | Rosemary Stuehler Capo | Occupational Therapist | 436 South Main St, Stanton, KY 40380 | 2006-08-01 |
| Find all providers in zip 40380 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821068479 | Sparrow Carson Hospital | Clinic/Center | 545 N State St, Stanton, MI 48888 | 2006-01-25 |
| 1679560866 | Martin County Hospital District | Clinic/Center | 600 East I-20, Stanton, TX 79782 | 2005-10-03 |
| 1396369906 | Willis F Gaffney M.d. P.C. | Clinic/Center | 2939 S Sheridan Rd, Stanton, MI 48888-9285 | 2020-05-31 |
| 1982976700 | Casa San Pio Clinics of Appalachia, LLC | Clinic/Center | 638 E College Ave, Ste B, Stanton, KY 40380-2363 | 2012-02-09 |
| 1487806147 | Ivy Street Medical LLC | Clinic/Center | 902 Ivy St, Stanton, NE 68779-2348 | 2008-10-14 |
| 1700990462 | Regional Physicians Corporation II | Clinic/Center | 68 East Elkins Street, Stanton, KY 40380-0190 | 2006-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669072757 | Arh Mary Breckinridge Health Services, Inc. | Clinic/Center | 302 Walnut Street, Pineville, KY 40977 | 2020-10-28 |
| 1316553167 | Flaget Healthcare Inc | Clinic/Center | 2387 Main St, Willisburg, KY 40078-8102 | 2020-09-17 |
| 1710590880 | Flaget Healthcare, Inc | Clinic/Center | 4359 Shepherdsville Road, Ste 255, Bardstown, KY 40004 | 2020-08-28 |
| 1649881335 | Emerald Therapy Center, LLC | Clinic/Center | 111 Poplar St, Murray, KY 42071-2571 | 2020-08-14 |
| 1407472319 | Family Health Care Associates 7 Limited Liability Company | Clinic/Center | 422 N Highway 27, Whitley City, KY 42653 | 2020-06-17 |
| 1154950699 | Family Health Care Associates 6 Limited Liability Company | Clinic/Center | 8070 Us Highway 60 W, Lewisport, KY 42351-7087 | 2020-04-06 |
| 1568098838 | Appalachian Regional Healthcare, Inc | Clinic/Center | 186 Breanna Blvd, Suite 100, Salyersville, KY 41465-7525 | 2020-03-19 |
| 1780217794 | Family Health Care Associates 5 Limited Liability Company | Clinic/Center | 74 H&b Partin Lane, Pineville, KY 40977 | 2020-02-18 |
| 1023649514 | Memorial Hospital Inc | Clinic/Center | 485 Memorial Dr Ste 1, Manchester, KY 40962-9111 | 2020-02-03 |
| 1265072946 | Baptist Health Medical Group Inc | Clinic/Center | 800 Hospital Dr Fl 2, Madisonville, KY 42431-1658 | 2020-01-10 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on PEDIATRIC ASSOCIATES.
| 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.