OWENSBORO PEDIATRICS LLC – NPI #1720092240
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.

OWENSBORO PEDIATRICS LLC is a provider located in OWENSBORO, KY. NPPES has assigned the NPI number 1720092240 to OWENSBORO PEDIATRICS LLC on July 28, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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. Keep in mind, having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was last updated on May 06, 2026. 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 OWENSBORO PEDIATRICS LLC below.

NPI Profile for
OWENSBORO PEDIATRICS LLC

NPI Number
1720092240
Enumeration Date

(about 20 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
OWENSBORO PEDIATRICS LLC
Primary location
2200 E PARRISH AVE
BLDG B SUITE 101
OWENSBORO, KY 42303
Phone: (270) 683-3232 Fax: (270) 852-1600
Mailing address
2200 E PARRISH AVE STE 101B
OWENSBORO, KY 42303-1450
Phone: (270) 683-3232 Fax: (270) 852-1600
Organization Subpart
No
Authorized Official
JENNIFER HARRIS
PRACTICE ADMINISTRATOR
Phone: (270) 683-3232
Updated
Certification Date
May 06, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for OWENSBORO PEDIATRICS LLC

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
medicaidIN2003226760A
medicaidKY65939241
medicaidKY1172074
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.

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.