NPIMap

Organization Active NPI

Growing Kids Pediatrics LLC

  • Pediatrics Physician
  • New Albany, IN
National Provider Identifier
1053646679
Registry record updated Oct 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
GROWING KIDS PEDIATRICS LLC
Practice address
3707 Charlestown Rd
Suite C1
New Albany, IN 47150-9254
Phone
(502) 802-5976
NPI assigned
Oct 15, 2009
Last updated
Oct 15, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2009

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

Authorized official

Name
Christina A Lane, MD
Title
Owner
Phone
(502) 802-5976

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X KY Primary

Addresses

Primary practice location

3707 Charlestown Rd
Suite C1
New Albany, IN 47150-9254

Mailing address

3707 Charlestown Rd
Suite C1
New Albany, IN 47150-9254
Phone (502) 802-5976

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1255564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255564800000",
    "number": "1053646679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3707 CHARLESTOWN RD",
            "address_2": "SUITE C1",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471509254",
            "telephone_number": "502-802-5976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3707 CHARLESTOWN RD",
            "address_2": "SUITE C1",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471509254",
            "telephone_number": "502-802-5976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROWING KIDS PEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-15",
        "last_updated": "2009-10-15",
        "status": "A",
        "authorized_official_last_name": "LANE",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-802-5976",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Albany, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.