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PROFESSIONAL PEDIATRICS, PSC
NPI 1083819304
Pediatrics in Russell, KY

Active since June 18, 2007
105 THOMPSON RD, RUSSELL, KY 41169(606) 833-8480 Get Directions Write a Review

NPPES record last updated: August 6, 2012. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Professional Pediatrics, Psc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROFESSIONAL PEDIATRICS, PSC (NPI 1083819304) is a healthcare organization registered as a pediatrics in Russell, Kentucky and active in the NPI registry since June 2007. The organization lists Susan M. Lichtenberger, President, as its authorized official.

NPPES Registry Identity

NPI1083819304
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePROFESSIONAL PEDIATRICS, PSC
Location Address105 THOMPSON RDRussell, KY 41169-1645
Mailing Address105 Thompson RdRussell, KY 41169-1645 · (606) 833-8480
Phone(606) 833-8480
Organization SubpartNo
Authorized OfficialSusan M. LichtenbergerPresident · (606) 833-8480
Enumeration DateJune 18, 2007
Last NPPES UpdateAugust 6, 2012
✔ NPI 1083819304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician 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.
105 THOMPSON RD, Russell, KY 41169
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Other Identifiers 2

Medicaid64296262KY
Medicaid0918645OH

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health.Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KELLI BROWN MD
Pediatrics
105 THOMPSON RD
RUSSELL, KY 41169
Greenup County (606) 833-8480
DR. SUSAN M. LICHTENBERGER M.D.
Pediatrics
105 THOMPSON RD
RUSSELL, KY 41169
Greenup County (606) 833-8480

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Professional Pediatrics, Psc's NPI number?

The NPI number for Professional Pediatrics, Psc is 1083819304. It was assigned to this organization in the NPPES registry on June 18, 2007.

Where is Professional Pediatrics, Psc located?

Professional Pediatrics, Psc is located at 105 Thompson Rd, Russell, KY 41169. The listed phone number is (606) 833-8480.

What is Professional Pediatrics, Psc's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

What insurance does Professional Pediatrics, Psc accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Professional Pediatrics, Psc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Professional Pediatrics, Psc was last updated on August 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.