Pediatric Associates
Pediatric Associates is a healthcare organization registered as Rural Health Clinic/Center in Stanton, KY, holding Type 2 (organization) NPI 1013954510 since 2006. The authorized official on file is Djien So, Operating Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1013954510 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Pediatric Associates |
| Other name | <Unavail> |
| Practice address | 321C E COLLEGE AVE, Stanton, KY, 40380 |
| Phone | 6066639797 |
| Fax | 6066639470 |
| Enumeration date | 2006-06-01 |
| Last updated in NPPES | 2017-03-21 |
Authorized official
| Name | Djien So |
|---|---|
| Title | Operating Manager |
| Phone | 6064320174 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 208000000X | Pediatrics Physician | Secondary | 900183 | KY |
| 363LF0000X | Family Nurse Practitioner | Secondary | 3006123 | KY |
| 363A00000X | Physician Assistant | Secondary | PA1161 | KY |
| 261QR1300X | Rural Health Clinic/Center | Primary | 900183 | KY |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 35001783 | Medicaid | KY | — |
Copy-ready billing details
Provider: Pediatric Associates NPI: 1013954510 Taxonomy: 261QR1300X (Rural Health Clinic/Center) Address: 321C E COLLEGE AVE, Stanton, KY, 40380
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1578716213 | Sarah Murphy | Individual | Physician Assistant | Stanton, KY |
| 1659917524 | Marie Baker | Individual | Family Nurse Practitioner | Stanton, KY |
| 1629708052 | Haley Bloom | Individual | Family Nurse Practitioner | Stanton, KY |
Verify this record
Cross-check NPI 1013954510 against the authoritative CMS record: view Pediatric Associates on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Pediatric Associates?
Who is the authorized official for Pediatric Associates?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2017-03-21.