Organization Active NPI

Corner Pediatrics, PSC

  • Pediatrics Physician
  • Lexington, KY
National Provider Identifier
1184382525
Registry record updated Dec 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
CORNER PEDIATRICS, PSC
Practice address
2505 Larkin Rd Ste 103
Lexington, KY 40503-3256
Phone
(859) 600-1999
Fax
(859) 600-1998
NPI assigned
Dec 2, 2021
Last updated
Dec 2, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2021

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

Authorized official

Name
Dr. Sandra Green, MDNPI 1700041977
Title
President
Phone
(859) 600-1999

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 Physician 208000000X NU Primary

Addresses

Primary practice location

2505 Larkin Rd Ste 103
Lexington, KY 40503-3256

Mailing address

2505 Larkin Rd Ste 103
Lexington, KY 40503-3256
Phone (859) 600-1999

National Provider Directory

National Provider Directory

Locations

2505 Larkin Rd
Ste 103
Lexington, KY 40503
Phone (859) 600-1999

Practitioners & affiliated clinicians

Practitioners 1

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": "1638403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638403200000",
    "number": "1184382525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 LARKIN RD STE 103",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405033256",
            "telephone_number": "859-600-1999",
            "fax_number": "859-600-1998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 LARKIN RD STE 103",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405033256",
            "telephone_number": "859-600-1999",
            "fax_number": "859-600-1998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNER PEDIATRICS, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-02",
        "last_updated": "2021-12-02",
        "certification_date": "2021-12-02",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "859-600-1999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2021; 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.