NORTHERN KENTUCKY PEDIATRIC GROUP PSC
NPI 1952365215
Pediatrics in Highland Heights, KY

Q: What is Northern Kentucky Pediatric Group Psc's specialty?

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

Active since April 13, 2006CLIA 18D0684355 · Waiver

1805 ALEXANDRIA PIKE, HIGHLAND HEIGHTS, KY 41076(859) 441-7600(859) 441-7144 Get Directions Write a Review

NPPES record last updated: April 7, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Northern Kentucky Pediatric Group Psc NPPES

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

NORTHERN KENTUCKY PEDIATRIC GROUP PSC (NPI 1952365215) is a healthcare organization registered as a pediatrics in Highland Heights, Kentucky and active in the NPI registry since April 2006. The organization holds a CLIA Waiver certificate valid through September 30, 2027 and lists Rebecca Thompson, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1952365215

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameNORTHERN KENTUCKY PEDIATRIC GROUP PSC

Location Address1805 ALEXANDRIA PIKEHighland Heights, KY 41076

Mailing Address1805 Alexandria PikeHighland Heights, KY 41076 · (859) 441-7600 · Fax (859) 441-7144

Phone(859) 441-7600

Fax(859) 441-7144

Organization SubpartNo

Authorized OfficialRebecca ThompsonOffice Manager · (859) 441-7600

Enumeration DateApril 13, 2006

Last NPPES UpdateApril 7, 2015

✔ NPI 1952365215 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.

1805 ALEXANDRIA PIKE, Highland Heights, KY 41076

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Other Identifiers 1

Medicaid65906224KY

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

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 18D0684355

Northern Kentucky Pediatric Group Psc · Wilder, KY

Active · expires Sep 30, 2027

CLIA Number18D0684355

Laboratory TypePhysician Office

Certificate Effective DateOctober 1, 2025

Certificate Expiration DateSeptember 30, 2027

Laboratory DirectorDr. Ted Pappas

Laboratory Phone(859) 441-7600

Laboratory LocationNorthern Kentucky Pediatric Group Psc1016 Town Drive, Wilder, KY 41076

CLIA data matches this NPI record on: Name Phone

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

Other Providers at the Same Location NPPES 6

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

DR. TED GEORGE PAPPAS MD

Pediatrics