Organization Active NPI

Danville Pediatrics, PSC

  • Pediatrics Physician
  • Danville, KY
National Provider Identifier
1730129586
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
DANVILLE PEDIATRICS, PSC
Practice address
303 S 4TH St
Danville, KY 40422-2004
Phone
(859) 236-1080
Fax
(859) 236-1862
NPI assigned
Jun 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Larry Scott, M.D.
Title
President
Phone
(859) 236-1080

Specialties & licenses 1

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

Addresses

Primary practice location

303 S 4TH St
Danville, KY 40422-2004

Mailing address

303 S 4TH St
Danville, KY 40422-2004
Phone (859) 236-1080

Other identifiers 1

IdentifierTypeStateIssuer
65911711MedicaidKY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730129586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 S 4TH ST",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404222004",
            "telephone_number": "859-236-1080",
            "fax_number": "859-236-1862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 S 4TH ST",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404222004",
            "telephone_number": "859-236-1080",
            "fax_number": "859-236-1862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANVILLE PEDIATRICS, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "859-236-1080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65911711",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.