Active NPI
Madison Pediatric Assoc
- Pediatrics Physician
- Richmond, KY
National Provider Identifier
1508923715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- MADISON PEDIATRIC ASSOC
- Practice address
- 793 Eastern Byp
Suite 110
Richmond, KY 40475-2422 - Phone
- (859) 624-2020
- Fax
- (859) 623-7362
- NPI assigned
- Jan 3, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Natalie Murrell
- Title
- Office Manager
- Phone
- (859) 624-2020
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | KY | Primary |
Addresses
Primary practice location
793 Eastern Byp
Suite 110
Richmond, KY 40475-2422
Mailing address
793 Eastern Byp
Suite 110
Richmond, KY 40475-2422
Phone (859) 624-2020
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 18D0322849 | Madison Pediatric Associates, PSC | Certificate of waiver | Nov 19, 2026 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1295913600000",
"number": "1508923715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "793 EASTERN BYP",
"address_2": "SUITE 110",
"city": "RICHMOND",
"state": "KY",
"postal_code": "404752422",
"telephone_number": "859-624-2020",
"fax_number": "859-623-7362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "793 EASTERN BYP",
"address_2": "SUITE 110",
"city": "RICHMOND",
"state": "KY",
"postal_code": "404752422",
"telephone_number": "859-624-2020",
"fax_number": "859-623-7362"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MADISON PEDIATRIC ASSOC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-03",
"last_updated": "2011-01-25",
"status": "A",
"authorized_official_last_name": "MURRELL",
"authorized_official_first_name": "NATALIE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "859-624-2020"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "KY",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2011; 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.