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
First Enrolment Date : 06 Dec, 2006
Last Updated On : 22 Aug, 2020
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
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 SpecialityPrimaryLicense No.State
208000000XPediatricsYes19876KY
Legacy Identifiers:
Other legacy medical identifiers of Northside Pediatrics Psc such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
IdentifierIdentifier TypeStateIssuer
64198765MEDICAIDKY
000000057724OtherKYBLUE 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. Last updated on 08 January, 2024.