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PREMIUM PEDIATRICS PLLC
NPI 1174699359
Pediatrics in Campbellsville, KY

Active since November 28, 2006
307 E BROADWAY ST, CAMPBELLSVILLE, KY 42718(270) 789-4788(270) 572-4227 Get Directions Write a Review

NPPES record last updated: August 11, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Premium Pediatrics Pllc NPPES

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

PREMIUM PEDIATRICS PLLC (NPI 1174699359) is a healthcare organization registered as a pediatrics in Campbellsville, Kentucky and active in the NPI registry since November 2006. The organization lists Dan G. Bodeanu, Physician And Owner, as its authorized official.

NPPES Registry Identity

NPI1174699359
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePREMIUM PEDIATRICS PLLC
Location Address307 E BROADWAY STCampbellsville, KY 42718-2003
Mailing Address307 E Broadway StCampbellsville, KY 42718-2003 · (270) 789-4788 · Fax (270) 572-4227
Phone(270) 789-4788
Fax(270) 572-4227
Organization SubpartNo
Authorized OfficialDan G. BodeanuPhysician And Owner · (270) 789-4788
Enumeration DateNovember 28, 2006
Last NPPES UpdateAugust 11, 2008
✔ NPI 1174699359 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.
307 E BROADWAY ST, Campbellsville, KY 42718
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Other Identifiers 3

Other50013851KY · Passport
Medicare PIN00203KY
Medicaid64128457KY

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

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.

DR. DAN GEORGE BODEANU MD
Pediatrics
307 E BROADWAY ST
CAMPBELLSVILLE, KY 42718
Taylor County (270) 789-4788
ASHLEY DAWN YATES LPCA
Counselor
307 E BROADWAY ST
CAMPBELLSVILLE, KY 42718
Taylor County (859) 421-5435

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 Premium Pediatrics PLLC's NPI number?

The NPI number for Premium Pediatrics PLLC is 1174699359. It was assigned to this organization in the NPPES registry on November 28, 2006.

Where is Premium Pediatrics PLLC located?

Premium Pediatrics PLLC is located at 307 E Broadway St, Campbellsville, KY 42718. The listed phone number is (270) 789-4788.

What is Premium Pediatrics PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Premium Pediatrics PLLC was last updated on August 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.