Organization Active NPI

Union Pediatrics, PSC

  • Pediatrics Physician
  • Union, KY
National Provider Identifier
1154588325
Registry record updated Jun 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35665 Issued in KY
Legal business name
UNION PEDIATRICS, PSC
Practice address
8667 US Highway 42 Ste 300
Union, KY 41091-8759
Phone
(859) 384-2550
Fax
(859) 384-0947
NPI assigned
May 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2020

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

Authorized official

Name
Robin Michelle Warner, MDNPI 1255394532
Title
Owner
Phone
(859) 384-2550

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 35665 KY Primary

Addresses

Primary practice location

8667 US Highway 42 Ste 300
Union, KY 41091-8759

Mailing address

8667 US Highway 42 Ste 300
Union, KY 41091-8759
Phone (859) 384-2550

Other identifiers 1

IdentifierTypeStateIssuer
64012412MedicaidKY

National Provider Directory

National Provider Directory

Locations

8667 US Highway 42
Ste 300
Union, KY 41091
Phone (859) 384-2550

2012 Callie Way
Ste 102
Union, KY 41091

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1210896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593475200000",
    "number": "1154588325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8667 US HIGHWAY 42 STE 300",
            "city": "UNION",
            "state": "KY",
            "postal_code": "410918759",
            "telephone_number": "859-384-2550",
            "fax_number": "859-384-0947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8667 US HIGHWAY 42 STE 300",
            "city": "UNION",
            "state": "KY",
            "postal_code": "410918759",
            "telephone_number": "859-384-2550",
            "fax_number": "859-384-0947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNION PEDIATRICS, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-16",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A",
        "authorized_official_last_name": "WARNER",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-384-2550",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "35665",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64012412",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Union, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2020; 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.