Parkway Pediatrics PSC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

36054 Issued in KY

Legal business name

PARKWAY PEDIATRICS PSC

Practice address

809 Meyers Baker Rd
Suite 1
London, KY 40741-3025

Phone

(606) 864-7337

Fax

(606) 878-3257

NPI assigned

Mar 21, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Indira Moodumane, MD

Title

Pediatric Physician

Phone

(606) 864-7337

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carla R. Phelps, ARNP

  • Family Nurse Practitioner
  • London, KY
  • NPI 1629080148
  NPD (past)
• Whitney Leann Minton Philpot, P.A.

  • Physician Assistant
  • London, KY
  • NPI 1730559048
  NPD (past)
• Imran Ashraf Awan, M.D.

  • Neonatal-Perinatal Medicine Physician
  • Oklahoma City, OK
  • NPI 1801073507
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245801600000",
    "number": "1003875709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 689",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "40741",
            "telephone_number": "606-864-7337",
            "fax_number": "606-878-3257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 MEYERS BAKER RD",
            "address_2": "SUITE 1",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407413025",
            "telephone_number": "606-864-7337",
            "fax_number": "606-878-3257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKWAY PEDIATRICS PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-21",
        "last_updated": "2009-06-24",
        "status": "A",
        "authorized_official_last_name": "MOODUMANE",
        "authorized_official_first_name": "INDIRA",
        "authorized_official_title_or_position": "PEDIATRIC PHYSICIAN",
        "authorized_official_telephone_number": "606-864-7337",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "36054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65942187",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cheryl Parker, APRN
• Teresa Lynn Parker, APRN
• Parkviewrx Ky, LLC
• Parkway Med Assoc PSC Nurse Pract
• Parkway Medical Associates PSC
• Sara Beth Parman, APRN
• Ernest Wayne Parrott, DMD
• Dena Kay Partin, OT
• Melissa Ann Partin, LPCC
• Pinkesh Patel, D.C.

• Pediatrics Physician in London, KY
• Providers in London, KY by specialty
• Pediatrics Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.