Georgetown Pediatrics, PSC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

GEORGETOWN PEDIATRICS, PSC

Practice address

1162 Lexington Rd
Georgetown, KY 40324-9330

Phone

(502) 863-6426

Fax

(502) 868-9724

NPI assigned

Feb 16, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Horace P. Hambrick, M.D.

Title

President

Phone

(502) 863-6426

Specialties & licenses 3

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mari Catherine Hamm, APRN

  • Pediatric Nurse Practitioner
  • Cincinnati, OH
  • NPI 1376073460

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681257600000",
    "number": "1598809097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1162 LEXINGTON RD",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403249330",
            "telephone_number": "502-863-6426",
            "fax_number": "502-868-9724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1162 LEXINGTON RD",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403249330",
            "telephone_number": "502-863-6426",
            "fax_number": "502-868-9724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGETOWN PEDIATRICS, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2023-04-12",
        "certification_date": "2022-04-25",
        "status": "A",
        "authorized_official_last_name": "HAMBRICK",
        "authorized_official_first_name": "HORACE",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "502-863-6426",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100177200",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100552220",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Georgetown Obstetrics and Gynecology P.S.C.
• Georgetown Obstetrics and Gynecology PSC
• Georgetown Open MRI Center
• Georgetown Oral and Facial Surgery, LLC
• Georgetown Pediatrics, PSC
• Georgetown Sedation Dentistry
• Georgetown Urgent Care PLLC
• Georgetown-Scott County Ambulance Service (Georgetown-Scott County EMS)
• Gerogetown Community Hospital LLC
• Anne-Claire Gibson, RBT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; 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.