DAVILA PEDIATRICS P.C. (NPI# 1013900166) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013900166 |
| Entity Type | Organization |
| Organization Name | DAVILA PEDIATRICS P.C. |
| Practice Address |
1874 Beltline Rd Sw Suite 110 Decatur AL 35601-5514 |
| Practice Telephone | 2563558077 |
| Practice Fax Number | 2563558710 |
| Mailing Telephone | 2563558077 |
| Mailing Fax Number | 2563558710 |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MARIO VIRGILIO DAVILA (M.D.) |
| Authorized Official Telephone | 2563558077 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 17830 | AL | Allopathic & Osteopathic Physicians |
| Street Address |
1874 BELTLINE RD SW SUITE 110 |
| City | DECATUR |
| State | AL |
| Zip Code | 35601-5514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144703430 | Malea Robinson | Nurse Practitioner | 1874 Beltline Rd Sw, Decatur, AL 35601-5514 | 2018-09-12 |
| 1336639491 | Harvey Andrew Pleasanton Jr. | Registered Nurse | 1874 Beltline Rd Sw, Decatur, AL 35601 | 2018-05-15 |
| 1568840684 | Physynergy, LLC | Anesthesiology | 1874 Beltline Rd Sw, Decatur, AL 35601-5514 | 2015-05-08 |
| 1376883934 | Sherri A Pester | Dietitian, Registered | 1874 Beltline Rd Sw, Decatur, AL 35601-5514 | 2013-02-19 |
| 1740554054 | Hh Health System-morgan Inc. | Internal Medicine | 1874 Beltline Rd Sw, Suite 107, Decatur, AL 35601-5514 | 2012-03-05 |
| 1700150026 | Hh Health System-morgan Inc. | Pediatrics | 1874 Beltline Rd Sw, Suite 110, Decatur, AL 35601-5514 | 2012-03-05 |
| 1285904276 | Hh Health System - Morgan, Inc. | General Acute Care Hospital | 1874 Beltline Rd Sw, Decatur, AL 35601-5514 | 2012-01-06 |
| 1760770770 | Kelly Young | Clinic/Center | 1874 Beltline Rd Sw, Decatur, AL 35601-5514 | 2011-07-12 |
| 1205122249 | Jacqueline Kay Rutherford | Nurse Practitioner | 1874 Beltline Rd Sw, Decatur, AL 35601-5514 | 2011-06-28 |
| 1770877599 | Melissa Foster Lonnergan | Registered Nurse | 1874 Beltline Rd Sw, Decatur, AL 35601-5514 | 2011-06-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376000679 | Monica Dawn Ross | Counselor | 106 Lee St. Ne, Suite C, Decatur, AL 35601 | 2019-02-23 |
| 1063950319 | Samantha Elizabeth Pickett | Nurse Practitioner | 1115 Beltline Rd Se, Ste 400, Decatur, AL 35601 | 2017-02-07 |
| 1497208250 | Beronica Goodwin | Home Health Aide | 1102b Suite #2 4th Ave Se, Decatur, AL 35601 | 2016-07-28 |
| 1770957177 | Xochitl Dupre | Obstetrics & Gynecology | 1874 Beltline Road Sw, Suite 105, Decatur, AL 35601 | 2015-11-23 |
| 1104224708 | River City Psychiatry, Inc. | Community/Behavioral Health | 115 Johnston Street, Se, Suite 202, Decatur, AL 35601 | 2014-12-12 |
| 1760882690 | Derrick Aaron Randolph | Registered Nurse | 1207 7th St S.e., Decatur/morgan Hospital - Parkway Campus, Decatur, GA 35601 | 2014-08-28 |
| 1427465434 | Martha Read | Family Medicine | 2208 Danville Rd Sw Ste A, Decatur, AL 35601 | 2014-07-22 |
| 1205242948 | Pure Heart Home Care of Alabama, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 107 B 14th Street Sw, Decatur, AL 35601 | 2014-07-02 |
| 1720492242 | Christopher John Phillips | Emergency Medicine | 1201 7th Street Se, Decatur, AL 35601 | 2014-06-12 |
| 1366794711 | Complete Dental Decatur LLC | Dentist | 1241 Point Mallard Parkway, Suite. 105, Decatur, AL 35601 | 2012-10-10 |
| Find all providers in zip 35601 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003465162 | Emily Rhoades | Pediatrics | 637 E Snyder Dr, Decatur, IL 62526-4766 | 2019-09-10 |
| 1477013720 | Decatur Morgan Pediatrics | Pediatrics | 1215 7th St Se Ste 210, Decatur, AL 35601-3385 | 2019-03-22 |
| 1508363128 | Life Cycle Pediatrics, LLC | Pediatrics | 428 Winn Ct Ste 100a, Decatur, GA 30030-1726 | 2018-04-10 |
| 1063956902 | Anna Bowen | Pediatrics | 128 Fairview Ave, Decatur, GA 30030-2416 | 2016-12-12 |
| 1780057042 | William Walker | Pediatrics | 1561 Blackhall Ln Se, Decatur, AL 35601-6917 | 2015-11-09 |
| 1336542240 | Eva Harris | Pediatrics | 2613 Danforth Ln, Decatur, GA 30033-2214 | 2014-10-06 |
| 1750796967 | Sugantha Krishnan | Pediatrics | 1201 7th St Se Ste 210, Decatur, AL 35601-3337 | 2014-06-25 |
| 1093158370 | Ruth Wessen Stefanos | Pediatrics | 609 Medical Center Dr # 2218, Decatur, TX 76234-3836 | 2013-04-17 |
| 1265772917 | William Jennings Branan Jr. | Pediatrics | 2592 River Oak Drive, Decatur, GA 30033 | 2013-02-18 |
| 1245576115 | Sharmila Shetty | Pediatrics | 446 Woodhaven Dr, Decatur, GA 30030-1650 | 2012-12-21 |
| Find all providers in DECATUR | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.