Lebanon Pediatrics, LLC

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

Organization subpart

No

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.

Title

Proprietor

Phone

(270) 692-5811

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Lebanon Pediatrics LLC

  • Nurse Practitioner
  • Lebanon, KY
  • NPI 1063686509
  NPD tax ID

Locations

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.

• Lebanon Pediatrics LLC

  • Nurse Practitioner
  • Lebanon, KY
  • NPI 1063686509
  NPPES parent name

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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65934671",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lebanon Chiropractic, PLLC
• Lebanon Emergency Group LLC
• Lebanon Family Dental Care, PSC
• Lebanon Massage Therapeutics, Inc.
• Lebanon Pediatrics LLC
• Lebanon Physicians for Women
• Lebanon Surgical Associates, P.S.C.
• Robert Lee
• Lincoln Trail District Health Department
• Kimberly Dean Lobb, MHA

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

• 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.