PRIMARY PEDIATRICS (NPI# 1164573564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164573564 |
| Entity Type | Organization |
| Organization Name | PRIMARY PEDIATRICS |
| Practice Address |
59 Cavalier Blvd Suite 330 Florence KY 41042-3901 |
| Practice Telephone | 8593713232 |
| Practice Fax Number | 8593716943 |
| Mailing Telephone | 8593713232 |
| Mailing Fax Number | 8593716943 |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | BRIDGET COOK (BILLING) |
| Authorized Official Telephone | 8593713232 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942239876 | Primary Pediatrics | Pediatrics | 9811 Mallard Dr, Suite 109, Laurel, MD 20708-3143 | 2006-07-02 |
| Street Address |
59 CAVALIER BLVD SUITE 330 |
| City | FLORENCE |
| State | KY |
| Zip Code | 41042-3901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437585825 | Amanda Leigh Race | Nurse Practitioner | 59 Cavalier Blvd, Suite 330, Florence, KY 41042-3901 | 2013-09-18 |
| 1306054135 | Brian Anthony Moore | Dentist | 59 Cavalier Blvd, Suite 300, Florence, KY 41042-3901 | 2007-05-17 |
| 1073720090 | Amanda Jo Dropic | Pediatrics | 59 Cavalier Blvd, # 330, Florence, KY 41042-3901 | 2007-05-17 |
| 1205968120 | Moore Dental Services, Inc | Dentist | 59 Cavalier Blvd, 300, Florence, KY 41042 | 2007-03-09 |
| 1053462457 | Michael A Fiedler | Pediatrics | 59 Cavalier Blvd, Suite 330, Florence, KY 41042-3901 | 2007-01-15 |
| 1598816803 | Sheila C Harmeling | Pediatrics | 59 Cavalier Blvd, Suite 330, Florence, KY 41042-3901 | 2007-01-15 |
| 1013068337 | Kristie L Thelen Mcmanus | Nurse Practitioner | 59 Cavalier Blvd, Suite 330, Florence, KY 41042-3901 | 2007-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710596010 | Stacey Deann Cruse | Counselor | 71 Cavalier Blvd #303, Florance, KY 41042 | 2020-07-23 |
| 1760044705 | Loretta Macaluso | Speech-Language Pathologist | 1515 Cavalry Drive, Suite 202, Florence, KY 41042 | 2019-06-29 |
| 1659879559 | Christina Shrader | Counselor | 71 Cavalier Blvd Ste 113, Florence, KY 41042 | 2018-01-25 |
| 1891200267 | Rachel Knuehl | Case Manager/Care Coordinator | 8140 Dream Street, Florence, KY 41042 | 2017-12-07 |
| 1427560697 | Marie Nicole Sartori | Nurse Practitioner | 7766 Ewing Blvd Ste 100, Florence, KY 41042 | 2017-10-27 |
| 1669903910 | Northern Kentucky Smiles | Dentist | 1481 Cavalry Drive, Suite 100, Florence, KY 41042 | 2017-03-27 |
| 1306394937 | Mary Austin | Nurse Practitioner | 7766 Ewing Boulevard, Florence, KY 41042 | 2016-09-12 |
| 1598211633 | Samantha Growe | Counselor | 7000 Houston Rd Ste 16, Florence, KY 41042 | 2016-08-29 |
| 1982079299 | Jessica Adelyn Goodridge | Doula | 2224 Forest Lawn Dr., Florence, KY 41042 | 2015-12-11 |
| 1083083414 | Victoria Maruca Havron | Psychologist | 6900 Houston Rd Ste 11, Florence, KY 41042 | 2015-09-16 |
| Find all providers in zip 41042 | ||||
| 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 |
|---|---|---|---|---|
| 1518062561 | Daniel James Hammond | Pediatrics | 208 Ana Dr, Florence, AL 35630-1750 | 2006-09-14 |
| 1225132665 | Deidre L. Mcsweeney - Tyson | Pediatrics | 101 William H Johnson St Ste 420, Florence, SC 29506-2769 | 2006-09-07 |
| 1790793719 | David Richard Colvard | Pediatrics | 421 W College St, Infant & Childrens Clinic PC, Florence, AL 35630-5520 | 2006-08-04 |
| 1700894714 | Grant R Allen | Pediatrics | 421 West College St, Infants and Childrens Clinic PC, Florence, AL 35630 | 2006-08-04 |
| 1992749220 | Eastern Carolina Pediatric Associates | Pediatrics | 1530 Mcclure Ct, Florence, SC 29505-6046 | 2006-06-16 |
| 1194767723 | Christopher Thomas Bardi | Pediatrics | 1530 Mcclure Court, Florence, SC 29505-6046 | 2006-06-11 |
| 1356305478 | Sharon Schroeder Wynn | Pediatrics | 7409 Us 42, Florence, KY 41042-1905 | 2006-04-14 |
| 1912967027 | Camille R Crawford | Pediatrics | 10032 Demia Way, Florence, KY 41042 | 2006-03-23 |
| 1528048980 | Robert M Siegel | Pediatrics | 7380 Tufway Rd, Florence, KY 41042 | 2006-01-20 |
| 1972583367 | Brian S. Naylor | Pediatrics | 204 E Cheves St, Florence, SC 29506-2604 | 2006-01-20 |
| Find all providers in FLORENCE | ||||
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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.