Active NPI
Somerset Pediatric Specialists PLLC
- Pediatrics Physician
- Somerset, KY
National Provider Identifier
1902031602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- SOMERSET PEDIATRIC SPECIALISTS PLLC
- Practice address
- 350 Langdon St
Somerset, KY 42503-2786 - Phone
- (606) 678-8155
- NPI assigned
- May 26, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Janie Ison
- Title
- Asst. Office Manager
- Phone
- (606) 678-8155
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary | ||
| Pediatric Nurse Practitioner | 363LP0200X |
Addresses
Primary practice location
350 Langdon St
Somerset, KY 42503-2786
Mailing address
350 Langdon St
Somerset, KY 42503-2786
Phone (606) 678-8155
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100087290 - MD | Medicaid | KY | |
| 7100087330 - NP | Medicaid | KY |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Pediatrics Physician
- Somerset, KY
- NPI 1578768842
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243296000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1354579200000",
"number": "1902031602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 LANGDON ST",
"city": "SOMERSET",
"state": "KY",
"postal_code": "425032786",
"telephone_number": "606-678-8155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 LANGDON ST",
"city": "SOMERSET",
"state": "KY",
"postal_code": "425032786",
"telephone_number": "606-678-8155"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOMERSET PEDIATRIC SPECIALISTS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-05-26",
"last_updated": "2012-12-04",
"status": "A",
"authorized_official_last_name": "ISON",
"authorized_official_first_name": "JANIE",
"authorized_official_title_or_position": "ASST. OFFICE MANAGER",
"authorized_official_telephone_number": "606-678-8155"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LP0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Pediatrics",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100087290 - MD",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100087330 - NP",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Somerset, KY
- Somerset Mental Health
- Somerset Mental Health, PSC
- Somerset Mental Health, PSC
- Somerset Operations, LLC
- Somerset Outpatient Diagnostic Center
- Somerset Pharmacy Inc
- Somerset Regional Pain Center LLC
- Somerset Rehab Services, Inc.
- Somerset Sleep Solutions PLC (Cumberland Sleep Center)
- Somerset Spine & Performance Physiotherapy, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.