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Pediatric Associates

Rural Health Clinic/Center in Hazard, KY · enumerated 2006 · authorized official Djien So, Administrator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1487600615

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Registry record

Entity type Organization (Type 2)
Legal business name Pediatric Associates
Other name <Unavail>
Practice address 1710 N Main St, Pediatric Associates, Hazard, KY, 41701
Phone (606) 487-8300
Fax (606) 436-9953
Enumeration date May 26, 2006
Last updated in NPPES Mar 27, 2019

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Secondary
208000000X Pediatrics Physician Allopathic & Osteopathic Physicians Secondary
261QR1300X Rural Health Clinic/Center Ambulatory Health Care Facilities · License 900138 (KY) Primary
363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 3006127 (KY) Secondary

Authorized official

Name Djien So
Title Administrator
Phone (606) 487-8300

Other identifiers

Identifier Type State Issuer
35001627 Medicaid KY -

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.

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Frequently asked questions

Who is the authorized official for Pediatric Associates?
NPPES lists Djien So (Administrator) as the authorized official for this organization.
What is the NPI number for Pediatric Associates?
The NPI for Pediatric Associates is 1487600615, a Type 2 (organization) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-03-27.