Active NPI
Glasgow Pediatric Associates PSC
- Pediatrics Physician
- Glasgow, KY
National Provider Identifier
1700936754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- GLASGOW PEDIATRIC ASSOCIATES PSC
- Practice address
- 301 Professional Park Dr
Glasgow, KY 42141-3487 - Phone
- (270) 651-9696
- Fax
- (270) 651-0385
- NPI assigned
- Jan 11, 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
- Melissa B Dennison, MD
- Title
- Owner
- Phone
- (270) 651-9696
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | KY | ||
| Pediatrics Physician | 208000000X | KY | Primary |
Addresses
Primary practice location
301 Professional Park Dr
Glasgow, KY 42141-3487
Mailing address
301 Professional Park Dr
Glasgow, KY 42141-3487
Phone (270) 651-9696
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 65935595 | Medicaid | KY |
National Provider Directory
National Provider Directory- Tax ID family
- Glasgow Pediatric Associates
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Family Nurse Practitioner
- Greensburg, KY
- NPI 1922152123
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1255478400000",
"number": "1700936754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 PROFESSIONAL PARK DR",
"city": "GLASGOW",
"state": "KY",
"postal_code": "421413487",
"telephone_number": "270-651-9696",
"fax_number": "270-651-0385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 PROFESSIONAL PARK DR",
"city": "GLASGOW",
"state": "KY",
"postal_code": "421413487",
"telephone_number": "270-651-9696",
"fax_number": "270-651-0385"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GLASGOW PEDIATRIC ASSOCIATES PSC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-11",
"last_updated": "2009-10-14",
"status": "A",
"authorized_official_last_name": "DENNISON",
"authorized_official_first_name": "MELISSA",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "270-651-9696",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "KY",
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "KY",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "65935595",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Glasgow, KY
- Lindsey T Gilliam, APRN
- Gilman Peterson MD PSC
- Glasgow Children'S Dental Center, PLLC
- Glasgow Ind. Board of Education
- Glasgow Ky Opco LLC
- Glasgow Prescription Center Inc
- Glasgow Prescription Center Inc
- Glasgow Prescription Center, Inc.
- Glasgow Prescription Center, Inc.
- Glasgow Prescription Center, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.