Mt Sterling Pediatrics

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

MT STERLING PEDIATRICS

Practice address

130 New Towne Square
Morehead, KY 40351

Phone

(606) 740-0986

Fax

(606) 780-9096

NPI assigned

Nov 17, 2014

Organization subpart

No

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

Authorized official

Name

Brandy B Fouch, M.D.NPI 1417967753

Title

Owner

Phone

(859) 498-5243

Specialties & licenses 4

Addresses

Other identifiers 3

Other names 1

• Morehead Pediatrics Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Mt Sterling Pediatrics3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Mt. Sterling Pediatrics

  • Pediatrics Physician
  • Mt Sterling, KY
  • NPI 1063650471
  NPD tax ID
• Mt. Sterling Pediatrics PSC

  • Rural Health Clinic/Center
  • Mt Sterling, KY
  • NPI 1356939235
  NPD tax ID

Practitioners 1

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

• Brandy Bromagen Fouch, MD

  • Pediatrics Physician
  • Mt Sterling, KY
  • NPI 1417967753
  NPD (past) Authorized official

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

{
    "created_epoch": "1416182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602633600000",
    "number": "1013313162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1347",
            "city": "MT STERLING",
            "state": "KY",
            "postal_code": "403535347",
            "telephone_number": "859-498-5243",
            "fax_number": "859-498-5396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 NEW TOWNE SQUARE",
            "city": "MOREHEAD",
            "state": "KY",
            "postal_code": "40351",
            "telephone_number": "606-740-0986",
            "fax_number": "606-780-9096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT STERLING PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-17",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A",
        "authorized_official_last_name": "FOUCH",
        "authorized_official_first_name": "BRANDY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-498-5243",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "KY",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100377630",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100337060",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100338390",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Morehead Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Morehead Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Morehead State University
• Jasmine Morris
• Jonia Morris
• Kimberly Morris, M.S.,CCC/SLP
• Elizabeth Morton
• Muha Optometric Group, PLLC
• Kevin Mark Muha, OD
• Kristie Lynn Mullins, CRNA
• Savannah Muse
• Amanda Marie Music-Stepp, MA LPCC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.