Pediatric Partners of Western Ky

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

21411 Issued in KY

Legal business name

PEDIATRIC PARTNERS OF WESTERN KY

Practice address

1102 Triplett St
Ste 1000
Owensboro, KY 42303-3104

Phone

(270) 926-8828

Fax

(270) 926-0760

NPI assigned

Sep 26, 2008

Organization subpart

No

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

Authorized official

Name

Dr. John T Houston, MDNPI 1508865783

Title

Owner

Phone

(270) 926-8828

Specialties & licenses 5

Addresses

Other identifiers 2

Locations

Practitioners 1

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

• John T Houston, M.D.

  • Pediatrics Physician
  • Owensboro, KY
  • NPI 1508865783
  NPD (past) Authorized official

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

{
    "created_epoch": "1222387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337817600000",
    "number": "1174773188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 TRIPLETT ST",
            "address_2": "STE 1000",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423033104",
            "telephone_number": "270-926-8828",
            "fax_number": "270-926-0760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 TRIPLETT ST",
            "address_2": "STE 1000",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423033104",
            "telephone_number": "270-926-8828",
            "fax_number": "270-926-0760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC PARTNERS OF WESTERN KY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-26",
        "last_updated": "2012-05-24",
        "status": "A",
        "authorized_official_last_name": "HOUSTON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-926-8828",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Legal Medicine",
            "state": "KY",
            "license": "21411",
            "primary": true
        },
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Legal Medicine",
            "state": "KY",
            "license": "40582",
            "primary": false
        },
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Legal Medicine",
            "state": "KY",
            "license": "42304",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "KY",
            "license": "PA787",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3007096",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64214117",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64127582",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Pearre, LPCA
• Denise Rebecca Pearson, M.ED
• Anna Peck, LPCC, TCADC
• Pediatric Dentistry of Owensboro
• Pediatric Partners of Western Kentucky
• Pediatric Partners of Western Ky
• Pediatric Partners of Western Ky-Aprn
• Harry E Pedigo
• Kelsey Elizabeth Pedley, APRN
• Deborah T Peech, APRN

• Legal Medicine in Owensboro, KY
• Providers in Owensboro, KY by specialty
• Legal Medicine in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2012; 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.