August Pediatrics Teens N Tots Pediatrics
Organization Active NPI Pediatrics Physician · Middlesboro, KY
NPI 1780142968 · NPPES record last updated Mar 8, 2019
Key facts
- NPI
- 1780142968
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatrics Physician 208000000X
- Legal business name
- AUGUST PEDIATRICS TEENS N TOTS PEDIATRICS
- Practice address
- 123 N 19TH St Ste 302
Middlesboro, KY 40965-2865 - Phone
- (606) 302-7036
- NPI assigned
- Mar 7, 2019
- Organization subpart
- No
Authorized official
- Name
- Robin Cline
- Title
- Office Manager
- Phone
- (000) 000-0002
National Provider Directory
Locations
123 N 19th St
Ste 302
Middlesboro, KY 40965
Phone (606) 302-7036
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician |
208000000X | Yes | ||
| Clinic/Center | 261Q00000X |
Addresses
Primary practice location
123 N 19TH St Ste 302
Middlesboro, KY 40965-2865
Mailing address
123 N 19TH St Ste 302
Middlesboro, KY 40965-2865
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3012178 | Medicaid | KY |
Other names
- Teens N Tots Pediatrics
Other providers in Middlesboro, KY
- Appalachian Regional Healthcare, Inc.
- Arh Mary Breckinridge Health Services, Inc.
- Arh Mary Breckinridge Health Services, Inc.
- Arh Mary Breckinridge Health Services, Inc.
- Kierstyn Arnold
- August Pediatrics, LLC
- James Casper Ausmus III
- Clarissa Bailey
- Marcinia Michelle Bailey
- Tracy Bailey
All providers in Middlesboro, KY · Pediatrics Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 8, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.