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NORTHSIDE PEDIATRICS PSC
NPI 1295894137
Pediatrics in Glasgow, KY

Active since December 06, 2006
290 OLD JACKSON HWY 31E LOOP, GLASGOW, KY 42141(270) 678-5740 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Northside Pediatrics Psc NPPES

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

NORTHSIDE PEDIATRICS PSC (NPI 1295894137) is a healthcare organization registered as a pediatrics in Glasgow, Kentucky and active in the NPI registry since December 2006. The organization lists Sandra Dotson Moss, President, as its authorized official.

NPPES Registry Identity

NPI1295894137
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameNORTHSIDE PEDIATRICS PSC
Location Address290 OLD JACKSON HWY 31E LOOPGlasgow, KY 42141-9089
Mailing Address290 Old Jackson Hwy 31e LoopGlasgow, KY 42141-9089 · (270) 678-5740
Phone(270) 678-5740
Organization SubpartNo
Authorized OfficialSandra Dotson MossPresident · (270) 678-5740
Enumeration DateDecember 6, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1295894137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in KY · 19876
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.
290 OLD JACKSON HWY 31E LOOP, Glasgow, KY 42141
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Other Identifiers 2

Medicaid64198765KY
Other000000057724KY · Blue Cross Blue Shield

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

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 Northside Pediatrics Psc's NPI number?

The NPI number for Northside Pediatrics Psc is 1295894137. It was assigned to this organization in the NPPES registry on December 6, 2006.

Where is Northside Pediatrics Psc located?

Northside Pediatrics Psc is located at 290 Old Jackson Hwy 31E Loop, Glasgow, KY 42141. The listed phone number is (270) 678-5740.

What is Northside Pediatrics Psc'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 Northside Pediatrics Psc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.