Pediatric Associates of Bowling Green, LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

PEDIATRIC ASSOCIATES OF BOWLING GREEN, LLC

Practice address

1211 Ashley Cir
Bowling Green, KY 42104-3383

Phone

(270) 782-8700

Fax

(270) 782-8704

NPI assigned

Mar 13, 2007

Last updated

Aug 22, 2020By 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

Dr. Zahid G. Fraser, M.D.NPI 1255426268

Title

Physician Partner

Phone

(270) 782-8700

Specialties & licenses 1

Addresses

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.

• Zahid G Fraser, MD

  • Pediatrics Physician
  • Bowling Green, KY
  • NPI 1255426268
  Authorized official Same address or phone

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497888358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 ASHLEY CIR",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421043383",
            "telephone_number": "270-782-8700",
            "fax_number": "270-782-8704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 ASHLEY CIR",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421043383",
            "telephone_number": "270-782-8700",
            "fax_number": "270-782-8704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC ASSOCIATES OF BOWLING GREEN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FRASER",
        "authorized_official_first_name": "ZAHID",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PHYSICIAN PARTNER",
        "authorized_official_telephone_number": "270-782-8700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Jane Pearson, RPH
• Charles Christopher Pearson, RPH
• Whitney Dawn Peay, LPCC, NCC
• Evelyn Anne Peck, PH.D.
• Lindsey Peden
• Pediatric Dentistry of Southern Kentucky (SKY Pediatric Dentistry)
• Joshua A Pedigo, M.D.
• Lereasa Lynne Pedigo, CADC
• Brandie Pellett
• Brittany Pelly, BS

• Pediatrics Physician in Bowling Green, KY
• Providers in Bowling Green, 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.