Mountain Pediatrics

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

MOUNTAIN PEDIATRICS

Practice address

TRM Plaza
Suite 203
Louisa, KY 41230

Phone

(606) 638-4888

Fax

(606) 638-9003

NPI assigned

Mar 6, 2007

Organization subpart

No

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

Authorized official

Name

Alan A Ferrara, M.D.

Title

President

Phone

(606) 638-4888

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1740310168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "TRM PLAZA",
            "address_2": "SUITE 203",
            "city": "LOUISA",
            "state": "KY",
            "postal_code": "41230",
            "telephone_number": "606-638-4888",
            "fax_number": "606-638-9003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TRM PLAZA",
            "address_2": "SUITE 203",
            "city": "LOUISA",
            "state": "KY",
            "postal_code": "41230",
            "telephone_number": "606-638-4888",
            "fax_number": "606-638-9003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "FERRARA",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "606-638-4888",
        "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": "64324544",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Michelle Morris, LCSW
• Tyrone Morris, APRN, FNP-BC
• Whitney Morris, PSS
• Michael Moses
• Mountain Comprehensive Care Center, Inc.
• Jodi Brook Mullins, PSS
• Kimberly Ann Mullins, PSS
• Matthew Blake Mullins, PSS
• Danesha Shayne Muncy, LPCC
• Justin Bradley Muncy, PSS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.