Westside Pediatrics PSC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

18125 Issued in KY

Legal business name

WESTSIDE PEDIATRICS PSC

Practice address

1701 Alexandria Dr
Lexington, KY 40504-3149

Phone

(859) 277-3490

Fax

(859) 278-5014

NPI assigned

Jan 5, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Rebecca G Bosomworth, M.D.NPI 1124024708

Title

President

Phone

(859) 277-3490

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rebecca G Bosomworth, MD

  • Pediatrics Physician
  • Lexington, KY
  • NPI 1124024708
  Medicare reassignment NPD Authorized official
• Sandra D. Green, M.D.

  • Pediatrics Physician
  • Lexington, KY
  • NPI 1700041977
  Medicare reassignment NPD
• Barry W Ramsey, MD

  • Pediatrics Physician
  • Lexington, KY
  • NPI 1073519641
  NPD (past)

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394064000000",
    "number": "1922155407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 ALEXANDRIA DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405043149",
            "telephone_number": "859-277-3490",
            "fax_number": "859-278-5014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 ALEXANDRIA DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405043149",
            "telephone_number": "859-277-3490",
            "fax_number": "859-278-5014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE PEDIATRICS PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2014-03-06",
        "status": "A",
        "authorized_official_last_name": "BOSOMWORTH",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "859-277-3490",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "18125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65941155",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Max Westlake, MD
• Stephen Brock Westlund
• Autumn Gayheart Westmoreland, APRN
• Michael Westneat, OTR/L
• Nicholas Alexander Westray
• Martha Welling Wetter, PH.D.
• Margaret English Wetzel
• Amber Weygandt, SLP-CF
• Caitlin Elizabeth Whale, ATC
• Bailey Whalen, RBT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.