Pediatric & Adolescent Associates

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

PEDIATRIC & ADOLESCENT ASSOCIATES

Practice address

171 N Eagle Creek Dr
Lexington, KY 40509-1801

Phone

(859) 977-3044

Fax

(859) 977-0237

NPI assigned

Apr 12, 2007

Organization subpart

No

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

Authorized official

Name

Martina Lane Padilla

Title

Administrative Assistant

Phone

(859) 977-3044

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Pediatric Adolescent Assoc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Pediatric & Adolescent Associates

  • Pediatric Adolescent Medicine Physician
  • Lexington, KY
  • NPI 1952402091
  NPD tax ID

Locations

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265656136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 HARRODSBURG RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405032747",
            "telephone_number": "859-977-3044",
            "fax_number": "859-977-0237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 N EAGLE CREEK DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091801",
            "telephone_number": "859-977-3044",
            "fax_number": "859-977-0237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC & ADOLESCENT ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PADILLA",
        "authorized_official_first_name": "MARTINA",
        "authorized_official_middle_name": "LANE",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "859-977-3044"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65911612",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kassie M Peck
• Anthony R Pecoraro, MD
• Ann Peden, ARNP, DSN
• Ann Mook Pedersen, CSW
• Bailey Pedersen
• Pediatric & Adolescent Associates
• Pediatric and Adult Therapy Associates Incorporated
• Pediatric Dentistry of Hamburg
• Pediatric Orthotic and Prosthetic Services-Midwest, LLC
• Pediatric Specialty Clinic, LLC.

• Pediatrics Physician in Lexington, KY
• Providers in Lexington, KY by specialty
• Pediatrics Physician in Kentucky

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.