Northside Pediatrics Psc
Pediatrics
Northside Pediatrics Psc is a Glasgow, Kentucky based Pediatric center with medical specialization in
General Pediatrics.
It is located at
290 Old Jackson Hwy 31e Loop, Glasgow, Kentucky - 42141-9089. They can be contacted on phone at
270-678-5740.
NPI number (Unique professional ID) for Northside Pediatrics Psc is
1295894137 which was assigned by NPPES on 06 Dec, 2006 and it was last updated on 22 Aug, 2020.
Northside Pediatrics Psc license number is
19876 for Pediatrics (208000000X) in Kentucky.
Northside Pediatrics Psc is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Northside Pediatrics Psc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Northside Pediatrics Psc |
|---|
Business Address:
Northside Pediatrics Psc address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 290 Old Jackson Hwy 31e Loop
Glasgow, KY, 42141-9089
United States |
|---|
| Phone Number : | 270-678-5740 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1295894137 |
|---|
| NPI Entity Type : | Organization |
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| First Enrolment Date : | 06 Dec, 2006 |
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| Last Updated On : | 22 Aug, 2020 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Sandradotson Moss |
|---|
| Authorized Official Credential : | M.D. |
|---|
| Official Title or Position : | PRESIDENT |
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| Phone Number : | 270-678-5740 |
|---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Northside Pediatrics Psc are as mentioned. Primary taxonomy code for Northside Pediatrics Psc is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 19876 | KY |
Legacy Identifiers:
Other legacy medical identifiers of Northside Pediatrics Psc such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 64198765 | MEDICAID | KY | |
| 000000057724 | Other | KY | BLUE CROSS BLUE SHIELD |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 290 Old Jackson Hwy 31e Loop
Glasgow, KY, 42141-9089
United States |
|---|
| Phone Number : | 270-678-5740 |
|---|
Business Location:
Patients can refer following map for directions to
Northside Pediatrics Psc practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.