Westside Pediatrics Psc

LBN: Westside Pediatrics Psc
Westside Pediatrics Psc is an health care organization with primary practice located at 1701 Alexandria Dr , Lexington KY 40504-3149. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Westside Pediatrics Psc can be contacted via phone (859) 277-3490, or through Bosomworth, Rebecca G via phone (859) 277-3490.

Contact Information

Primary practice address
1701 Alexandria Dr Lexington KY 40504-3149
Phone: (859) 277-3490
Fax: (859) 278-5014
Website:
Map and Directions
Authorized official contact:
Name: Bosomworth, Rebecca G Doctor of Medicine (MD)
Phone: (859) 277-3490

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 18125 Kentucky

Profile Details

NPI number 1922155407
LBN Legal business name Westside Pediatrics Psc
DBA Doing business as
Authorized official Bosomworth, Rebecca G Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 5th, 2007
Last updated Mar 6th, 2014 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922155407 NPPES
Kentucky MEDICAID 65941155

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