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SOMERSET PEDIATRIC SPECIALISTS, PLLC

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Company Details

Name: SOMERSET PEDIATRIC SPECIALISTS, PLLC
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Bad
Profit or Non-Profit: Profit
File Date: 01 Jan 2009 (16 years ago)
Organization Date: 01 Jan 2009 (16 years ago)
Last Annual Report: 18 Aug 2020 (5 years ago)
Managed By: Members
Organization Number: 0718915
ZIP code: 42501
City: Somerset, Acorn, Alcalde, Elihu, Poplarville, Publ...
Primary County: Pulaski County
Principal Office: 350 LANGDON STREET, SOMERSET, KY 42501
Place of Formation: KENTUCKY

Organizer

Name Role
DR. DANA GIBSON Organizer
DR. LISETTE GARRETT Organizer
DR. MICHAEL MCBRIDE Organizer
DR. ANITA FACKLER Organizer
DR. CHERICE PATTERSON Organizer
DR. GLEN BLACKBURN Organizer
DR. MELISSA HANSFORD Organizer

Member

Name Role
LISETTE GARRETT, MD Member
MELISSA HANSFORD MD Member
CHERICE PATTERSON, MD Member
DEANNA GRUBBS, MD Member

Registered Agent

Name Role
DR. LISETTE GARRETT Registered Agent

National Provider Identifier

NPI Number:
1902031602

Authorized Person:

Name:
JANIE ISON
Role:
ASST. OFFICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
363LP0200X - Pediatric Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
208000000X - Pediatrics Physician
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
263918799
Plan Year:
2018
Number Of Participants:
22
Sponsors Telephone Number:
Plan Year:
2018
Number Of Participants:
20
Sponsors Telephone Number:
Plan Year:
2017
Number Of Participants:
24
Sponsors Telephone Number:
Plan Year:
2016
Number Of Participants:
24
Sponsors Telephone Number:
Plan Year:
2015
Number Of Participants:
27
Sponsors Telephone Number:

Assumed Names

Name Status Expiration Date
CHILDREN'S CLINIC OF SOMERSET Inactive 2024-01-13
SOMERSET PEDIATRIC AND ADOLESCENT ASSOCIATES Inactive 2023-04-23

Filings

Name File Date
Administrative Dissolution 2021-10-19
Annual Report 2020-08-18
Annual Report 2019-04-25
Name Renewal 2019-01-03
Annual Report 2018-04-13

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Sources: Kentucky Secretary of State