MAYFIELD MEDICAL CENTER – NPI #1205079134
Pediatrics

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.

MAYFIELD MEDICAL CENTER is a provider located in MAYFIELD, KY. NPPES has assigned the NPI number 1205079134 to MAYFIELD MEDICAL CENTER on April 07, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MAYFIELD MEDICAL CENTER” is a dba name, the actual legal business name for this organization is MAYFIELD PEDIATRIC CLINIC PLLC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 8 years ago on Jul 19, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MAYFIELD MEDICAL CENTER below.

NPI Profile for
MAYFIELD PEDIATRIC CLINIC PLLC

NPI Number
1205079134
Enumeration Date

(more than 17 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MAYFIELD PEDIATRIC CLINIC PLLC
Doing Business As (dba): MAYFIELD MEDICAL CENTER
Primary location
417 S 6TH ST
MAYFIELD, KY 42066
Phone: (270) 247-1104 Fax: (270) 247-1107
Mailing address
417 S. 6TH ST.
MAYFIELD, KY 42066
Phone: (270) 247-1104 Fax: (270) 247-1107
Organization Subpart
No
Authorized Official
ABID HUSSAIN
OWNER
Phone: (270) 247-1104
Updated
Identifiers

Identifiers for MAYFIELD MEDICAL CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDKY7100059060
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208000000X
- Pediatrics (Primary)
363LF0000X
- Nurse Practitioner / Family
208D00000X
- General Practice
KY 41115
207Q00000X
- Family Medicine
KY 41115

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.