NPIMap

Organization Active NPI

Lebanon Pediatrics, LLC

  • Pediatrics Physician
  • Lebanon, KY
National Provider Identifier
1700969458
Registry record updated Dec 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
32504 Issued in KY
Legal business name
LEBANON PEDIATRICS, LLC
Practice address
311 W High St
Lebanon, KY 40033-1427
Phone
(270) 692-5811
Fax
(270) 692-3863
NPI assigned
Oct 23, 2006
Last updated
Dec 14, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2007

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

Authorized official

Name
Dr. Diane S. Thomas, M.D.NPI 1861458374
Title
Proprietor
Phone
(270) 692-5811

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 32504 KY Primary

Addresses

Primary practice location

311 W High St
Lebanon, KY 40033-1427

Mailing address

311 West High Street
Lebanon, KY 40033
Phone (270) 692-5811

National Provider Directory

National Provider Directory
Tax ID family
Lebanon Pediatrics LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197590400000",
    "number": "1700969458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 WEST HIGH STREET",
            "city": "LEBANON",
            "state": "KY",
            "postal_code": "40033",
            "telephone_number": "270-692-5811",
            "fax_number": "270-692-3863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 W HIGH ST",
            "city": "LEBANON",
            "state": "KY",
            "postal_code": "400331427",
            "telephone_number": "270-692-5811",
            "fax_number": "270-692-3863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEBANON PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2007-12-14",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "270-692-5811",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "32504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2007; 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.