Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Northside Pediatrics PSC

Organization Pediatrics Physician · NPI 1295894137

Northside Pediatrics PSC is a Pediatrics Physician in Glasgow, Kentucky. Licensed in Kentucky. Registered with an NPI since 2006.

Licensed in
KY
In the registry since
2006
What do these letters mean?
PSC — Professional service corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

290 Old Jackson Hwy 31E Loop
Glasgow, KY 42141-9089
Phone: (270) 678-5740
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 19876 (KY)

Record details

NPI number1295894137
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sandra Moss — President · (270) 678-5740
NPI enumeratedDecember 6, 2006
Last updated in NPPESAugust 22, 2020
Mailing address290 Old Jackson Hwy 31e Loop, Glasgow, KY 42141-9089

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