Pediatrics of Bullitt County PLLC

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

PEDIATRICS OF BULLITT COUNTY PLLC

Practice address

327 Eastbrooke Pointe Dr Ste 200
Mount Washington, KY 40047-5577

Phone

(502) 538-5090

Fax

(502) 538-4089

NPI assigned

Jan 10, 2024

Last updated

Jan 10, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Casey Miles Lewis, MD

Title

Managing Partner

Phone

(502) 538-5090

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

Tax ID family

Pediatrics of Bullitt County PLLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Pediatrics of Bullitt County PLLC

  • Rural Health Clinic/Center
  • Shepherdsville, KY
  • NPI 1164293908
  NPD tax ID
• Pediatrics of Bullitt County PLLC

  • Pediatrics Physician
  • Shepherdsville, KY
  • NPI 1730326109
  NPD tax ID

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

{
    "created_epoch": "1704844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704844800000",
    "number": "1427829274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 EASTBROOKE POINTE DR STE 200",
            "city": "MOUNT WASHINGTON",
            "state": "KY",
            "postal_code": "400475577",
            "telephone_number": "502-538-5090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 EASTBROOKE POINTE DR STE 200",
            "city": "MOUNT WASHINGTON",
            "state": "KY",
            "postal_code": "400475577",
            "telephone_number": "502-538-5090",
            "fax_number": "502-538-4089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRICS OF BULLITT COUNTY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-10",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "CASEY",
        "authorized_official_middle_name": "MILES",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "502-538-5090",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• No Place Like Home, LLC (No Place Like Home, Home Health)
• Oak Grove Dental Mt Washington PLLC
• Ohio River Health LLC
• Denisa Dawn Parker, APRN
• Michael S Payne, MD
• Jennifer L Penland, OTR/L, MSOT
• Kristin Pentecost, BA
• Physical Therapy Associates Inc
• Tracy Pickett
• Carol R Pierce, PHARMD

• Rural Health Clinic/Center in Mt Washington, KY
• Providers in Mt Washington, KY by specialty
• Rural Health Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; 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.