Pediatric & Adolescent Associates

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

Legal business name

PEDIATRIC & ADOLESCENT ASSOCIATES

Practice address

3050 Harrodsburg Rd
Lexington, KY 40503-2747

Phone

(859) 277-6102

Fax

(859) 977-0237

NPI assigned

Sep 25, 2006

Organization subpart

No

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

Authorized official

Name

Barnett Lewis, M.D.

Title

President

Phone

(859) 277-6102

Specialties & licenses 3

Addresses

Other identifiers 1

Tax ID family

Pediatric Adolescent Assoc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Pediatric & Adolescent Associates

  • Pediatrics Physician
  • Lexington, KY
  • NPI 1265656136
  NPD tax ID

Locations

Practitioners 3

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

• Katrina M Hood

  • Pediatric Adolescent Medicine Physician
  • Lexington, KY
  • NPI 1881669737
  NPD (past)
• Daphne T Hosinski, MD

  • Pediatric Adolescent Medicine Physician
  • Lexington, KY
  • NPI 1336258920
  NPD (past)
• Charles G Ison

  • Pediatric Adolescent Medicine Physician
  • Lexington, KY
  • NPI 1144298993
  NPD (past)

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682035200000",
    "number": "1952402091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 HARRODSBURG RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405032747",
            "telephone_number": "859-277-6102",
            "fax_number": "859-977-0237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 HARRODSBURG RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405032747",
            "telephone_number": "859-277-6102",
            "fax_number": "859-977-0237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC & ADOLESCENT ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "BARNETT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "859-277-6102",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65911612",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anthony R Pecoraro, MD
• Ann Peden, ARNP, DSN
• Ann Mook Pedersen, CSW
• Bailey Pedersen
• Pediatric & Adolescent Associates
• Pediatric and Adult Therapy Associates Incorporated
• Pediatric Dentistry of Hamburg
• Pediatric Orthotic and Prosthetic Services-Midwest, LLC
• Pediatric Specialty Clinic, LLC.
• Pediatrix Medical Group of Kentucky PSC

• Pediatric Adolescent Medicine Physician in Lexington, KY
• Providers in Lexington, KY by specialty
• Pediatric Adolescent Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2023; 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.