OrganizationActive
Professional Pediatrics, Psc
NPI 1083819304 · Pediatrics Physician · Russell, KY
Professional Pediatrics, Psc is a Pediatrics Physician organization in Russell, KY (NPI 1083819304).
Provider details
- NPI number
- 1083819304
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Susan Lichtenberger, President(606) 833-8480
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
105 Thompson Rd
Russell, KY 41169-1645
Phone: (606) 833-8480
Approximate (ZIP-level) locationGet directions
Mailing address
105 Thompson Rd
Russell, KY 41169-1645
Registry dates
- Enumerated
- 2007-06-18
- Last updated
- 2012-08-06
Frequently asked questions
- What is Professional Pediatrics, Psc's NPI number?
- Professional Pediatrics, Psc's National Provider Identifier (NPI) is 1083819304, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Professional Pediatrics, Psc?
- Professional Pediatrics, Psc is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Professional Pediatrics, Psc located?
- Professional Pediatrics, Psc's practice location on file with NPPES is 105 Thompson Rd, Russell, KY 41169-1645.
- What is Professional Pediatrics, Psc's phone number?
- The practice phone number listed in the NPPES registry for Professional Pediatrics, Psc is (606) 833-8480.
- Who is the authorized official for Professional Pediatrics, Psc?
- The authorized official listed on Professional Pediatrics, Psc's NPPES record is Susan Lichtenberger, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Professional Pediatrics, Psc's NPI active?
- Yes — Professional Pediatrics, Psc's NPI (1083819304) is active in the NPPES registry as of the last update on 2012-08-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.