NPIMap

Organization Active NPI

Pediatric Partners of Western Kentucky

  • Medical Physician Assistant
  • Owensboro, KY
National Provider Identifier
1689919862
Registry record updated Nov 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Legal business name
PEDIATRIC PARTNERS OF WESTERN KENTUCKY
Practice address
1102 Triplett St
Ste. 1000
Owensboro, KY 42303-3104
Phone
(270) 926-8842
Fax
(270) 926-0760
NPI assigned
Nov 29, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2012

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

Authorized official

Name
Mrs. Bonnie M Castlen
Title
Office Manager
Phone
(270) 926-8842

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363AM0700X Primary

Addresses

Primary practice location

1102 Triplett St
Ste. 1000
Owensboro, KY 42303-3104

Mailing address

1102 Triplett St
Ste. 1000
Owensboro, KY 42303-3104
Phone (270) 926-8842

National Provider Directory

National Provider Directory
Tax ID family
Pediatric Partners of Western Kentucky3 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.

NPI Registry JSON

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

{
    "created_epoch": "1354147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354147200000",
    "number": "1689919862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 TRIPLETT ST",
            "address_2": "STE. 1000",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423033104",
            "telephone_number": "270-926-8842",
            "fax_number": "270-926-0760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 TRIPLETT ST",
            "address_2": "STE. 1000",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423033104",
            "telephone_number": "270-926-8842",
            "fax_number": "270-926-0760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC PARTNERS OF WESTERN KENTUCKY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-29",
        "last_updated": "2012-11-29",
        "status": "A",
        "authorized_official_last_name": "CASTLEN",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "270-926-8842",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owensboro, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2012; 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.