NPIMap

Organization Active NPI

Primary Pediatrics

  • Pediatrics Physician
  • Florence, KY
National Provider Identifier
1164573564
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
PRIMARY PEDIATRICS
Practice address
59 Cavalier Blvd
Suite 330
Florence, KY 41042-3901
Phone
(859) 371-3232
Fax
(859) 371-6943
NPI assigned
Jan 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Bridget Cook
Title
Billing
Phone
(859) 371-3232

Specialties & licenses 1

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

Addresses

Primary practice location

59 Cavalier Blvd
Suite 330
Florence, KY 41042-3901

Mailing address

59 Cavalier Blvd
Suite 330
Florence, KY 41042-3901
Phone (859) 371-3232

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
18D0672538Primary Pediatrics PSC59 Cavalier Boulevard Suite 330, Florence, KY 41042Certificate of waiverNov 6, 2026

National Provider Directory

National Provider Directory

Locations

59 Cavalier Blvd
Ste 330
Florence, KY 41042
Phone (859) 371-3232

3333 Burnet Ave
#2001
Cincinnati, OH 45229
Phone (513) 636-4408

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/bee4e7d6-454c-40de-9abd-9e2eb1cc9600/

Practitioners & affiliated clinicians

Practitioners 7

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": "1168819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164573564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 CAVALIER BLVD",
            "address_2": "SUITE 330",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410423901",
            "telephone_number": "859-371-3232",
            "fax_number": "859-371-6943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 CAVALIER BLVD",
            "address_2": "SUITE 330",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410423901",
            "telephone_number": "859-371-3232",
            "fax_number": "859-371-6943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "BRIDGET",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "859-371-3232"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.