Leonor S Pagtakhan So, MD

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

17816 Issued in KY

Practice address

156 Island Creek Rd
Pikeville, KY 41501-9340

Phone

(606) 432-0174

Fax

(606) 437-0438

NPI assigned

Oct 25, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Allergy/ImmunologyAlso: Pediatric Medicine

Education

Other, 1965

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medical Investment TrustGroup PAC ID 7214845072, 2 clinicians

Pediatric AssociatesGroup PAC ID 9436147048, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Pikeville Medical Center Hospital, Pikeville, KY, CCN 180044

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Aaron K. Jonan Memorial Clinic Inc.

  • Rural Health Clinic/Center
  • Jackson, KY
  • NPI 1477569226

  5% Or Greater Direct Ownership Interest, W-2 Managing Employee

  CMS ownership
• Pediatric Associates

  • Rural Health Clinic/Center
  • Stanton, KY
  • NPI 1013954510

  5% Or Greater Direct Ownership Interest

  CMS ownership
• Salyersville Medical Center, LLC

  • Rural Health Clinic/Center
  • Salyersville, KY
  • NPI 1215984711

  5% Or Greater Direct Ownership Interest

  CMS ownership

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Medical Investment Trust

  • Allergy & Immunology Physician
  • Pikeville, KY
  • NPI 1053382788
  Medicare reassignment Care Compare group NPD
• Pediatric Associates

  • Rural Health Clinic/Center
  • Stanton, KY
  • NPI 1013954510

  Pediatrics

  Medicare reassignment Care Compare group NPD
• Salyersville Medical Center, LLC

  • Rural Health Clinic/Center
  • Salyersville, KY
  • NPI 1215984711

  Pediatrics

  Medicare reassignment NPD
• Pediatric Associates

  • Rural Health Clinic/Center
  • Hazard, KY
  • NPI 1487600615

  Pediatrics

  NPD
• Pediatric Associates

  • Rural Health Clinic/Center
  • Pikeville, KY
  • NPI 1851348338

  Pediatrics

  NPD
• Green Valley Rural Clinics, LLC

  • Family Nurse Practitioner
  • Pikeville, KY
  • NPI 1962602821

  Allergy & Immunology

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Pikeville Medical Center Inc

  • General Acute Care Hospital
  • Pikeville, KY
  • NPI 1285621623
  Care Compare affiliation

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1376533091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 ISLAND CREEK RD",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415019340",
            "telephone_number": "606-432-0174",
            "fax_number": "606-437-0438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 ISLAND CREEK RD",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415019340",
            "telephone_number": "606-432-0174",
            "fax_number": "606-437-0438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGTAKHAN SO",
        "first_name": "LEONOR",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-25",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "17816",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "KY",
            "license": "17816",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64178163",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Ousley
• Ovp Health Care
• Emuesiri Catherine Ovwigho, MD
• Monica Louise Owens, MS, RD, LD
• Stacey Denise Owens, HYPNOTHERAPIST
• John E. Pappas, M.D.
• Parker Professional Pharmacy, Inc.
• Carman Ann Parker, DO
• Thomas Tid Parker, R.PH.
• Joseph Dewayne Parks, PMHNP-BC

• Allergy & Immunology Physician in Pikeville, KY
• Providers in Pikeville, KY by specialty
• Allergy & Immunology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• 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.