PEDIATRIC ASSOCIATES OF HAZARD
NPI 1487600615
Clinic/Center - Rural Health in Hazard, KY

Q: What is Pediatric Associates's NPI number?

The NPI number for Pediatric Associates is 1487600615. It was assigned to this organization in the NPPES registry on May 26, 2006. The provider is doing business as Pediatric Associates Of Hazard.

Q: What is Pediatric Associates's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Active since May 26, 2006CLIA 18D0997986 · Waiver

1710 N MAIN ST, PEDIATRIC ASSOCIATES, HAZARD, KY 41701(606) 487-8300(606) 436-9953 Get Directions Write a Review

NPPES record last updated: March 27, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Pediatric Associates Of Hazard NPPES

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

PEDIATRIC ASSOCIATES OF HAZARD (NPI 1487600615) is a healthcare organization registered as a rural health in Hazard, Kentucky and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through April 24, 2027 and lists Djien Hwat So, Administrator, as its authorized official.

NPPES Registry Identity

NPI1487600615

Entity TypeOrganization

Primary Taxonomy261QR1300X

Legal Business NamePEDIATRIC ASSOCIATES

Location Address1710 N MAIN ST, PEDIATRIC ASSOCIATESHazard, KY 41701-1278

Mailing AddressPo Box 2748, Pediatric AssociatesPikeville, KY 41502-2748 · (606) 432-3221 · Fax (606) 437-0438

Phone(606) 487-8300

Fax(606) 436-9953

Organization SubpartNo

Authorized OfficialDjien Hwat SoAdministrator · (606) 487-8300

Enumeration DateMay 26, 2006

Last NPPES UpdateMarch 27, 2019

✔ NPI 1487600615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities

Taxonomy Code261QR1300X

License✔ Licensed in KY · 900138

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedPediatricsTaxonomy 208000000X

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 3006127 (KY)

1710 N MAIN ST, Hazard, KY 41701

Open in Google Maps ↗

Other Names 1

Doing Business AsPediatric Associates Of Hazard

Other Identifiers 1

Medicaid35001627KY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 18D0997986

Pediatric Associates · Hazard, KY

Active · expires Apr 24, 2027

CLIA Number18D0997986

Laboratory TypePhysician Office

Certificate Effective DateApril 25, 2025

Certificate Expiration DateApril 24, 2027

Laboratory DirectorDr. Leonor Pagtakhan-So

Laboratory Phone(606) 487-8300

Laboratory LocationPediatric Associates1710 North Main Street, Hazard, KY 41701

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Pediatric Associates's NPI number?

The NPI number for Pediatric Associates is 1487600615. It was assigned to this organization in the NPPES registry on May 26, 2006. The provider is doing business as Pediatric Associates Of Hazard.

Where is Pediatric Associates located?

Pediatric Associates is located at 1710 N Main St Pediatric Associates, Hazard, KY 41701. The listed phone number is (606) 487-8300.

What is Pediatric Associates's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Pediatric Associates hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D0997986) is associated with this NPI, valid through April 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pediatric Associates accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Pediatric Associates 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 Pediatric Associates was last updated on March 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.