THE CHILDREN'S HOSPITAL OF ALABAMA (NPI# 1124105762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124105762 |
| Entity Type | Organization |
| Organization Name | THE CHILDREN'S HOSPITAL OF ALABAMA |
| Other Organization Name | GREENVALE PEDIATRICS |
| Practice Address |
5295 Preserve Parkway Suite 100 Hoover AL 35244-4702 |
| Practice Telephone | 2059874444 |
| Practice Fax Number | 2059874451 |
| Mailing Telephone | 2059874444 |
| Mailing Fax Number | 2059874451 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-09-14 |
| Authorized Official Name | DAWN WALTON (CFO) |
| Authorized Official Telephone | 2056389901 |
| Is Organization Subpart | Y |
| Parent Organization Name | THE CHILDREN'S HOSPITAL OF ALABAMA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Greenvale Pediatrics | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1022 1st St N Ste 102, Alabaster, AL 350078710 | 2056639550 | 2056200864 |
| 101 Eagle Ridge Dr, Birmingham, AL 352425319 | 2059951004 | 2059916075 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720257645 | The Children's Hospital of Alabama | Clinic/Center | 1600 7th Ave S # Clinic9, Birmingham, AL 35233-1711 | 2008-02-25 |
| 1629161112 | The Children's Hospital of Alabama | Otolaryngology | 1940 Elmer J. Bissell, Birmingham, AL 35243 | 2006-10-02 |
| 1447369525 | The Children's Hospital of Alabama | Ambulance | 1512 5th Ave S, Birmingham, AL 35233-1615 | 2006-08-30 |
| 1841674181 | The Children's Hospital of Alabama | Clinic/Center | 1600 7th Ave S, 6th Floor Mcwane, Birmingham, AL 35233-1711 | 2015-07-16 |
| 1568893626 | The Children's Hospital of Alabama | Nurse Anesthetist, Certified Registered | 1600 7th Ave S, Birmingham, AL 35233-1711 | 2013-11-27 |
| 1659628683 | The Children's Hospital of Alabama | General Acute Care Hospital | 1600 7th Ave S, Birmingham, AL 35233-1711 | 2012-08-09 |
| 1598904047 | The Children's Hospital of Alabama | Pediatrics | 403 Medical Park Ofc Park, Talladega, AL 35160-2259 | 2009-02-06 |
| 1497920243 | The Children's Hospital of Alabama | Pediatrics | 101 Eagle Ridge Dr, Birmingham, AL 35242-5319 | 2008-04-23 |
| 1225151087 | The Children's Hospital of Alabama | Pharmacy | 1600 7th Ave S, Ground Floor Pharmacy, Birmingham, AL 35233-1711 | 2007-04-09 |
| 1720166085 | The Children's Hospital of Alabama | Clinic/Center | 1600 7th Ave S, Birmingham, AL 35233-1711 | 2006-11-02 |
| Street Address |
5295 PRESERVE PARKWAY SUITE 100 |
| City | HOOVER |
| State | AL |
| Zip Code | 35244-4702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932125101 | Caesar John Cortopassi | Pediatrics | 5295 Preserve Parkway, Suite 100, Hoover, AL 35244 | 2006-07-14 |
| 1811105398 | Elizabeth Leath Perkins | Internal Medicine | 5295 Preserve Parkway, Suite 260, Hoover, AL 35244 | 2007-05-18 |
| 1255350963 | John Nick Petelos | Pediatrics | 5295 Preserve Parkway, Suite 100, Hoover, AL 35244 | 2006-07-19 |
| 1558380279 | Toren James Anderson | Pediatrics | 5295 Preserve Parkway, Suite 100, Hoover, AL 35244 | 2006-07-19 |
| 1780603407 | Brian Paul Dudgeon | Pediatrics | 5295 Preserve Parkway, Suite 100, Hoover, AL 35244 | 2006-07-19 |
| 1679592398 | Jeffery Davis Stone | Pediatrics | 5295 Preserve Parkway, Suite 100, Hoover, AL 35244 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720691991 | Husam Jebril | Pharmacist | 5445 Park Side Road, Hoover, AL 35244 | 2020-08-27 |
| 1588272546 | Tyana Thomas | Behavior Technician | 1820 Southpark Dr, Hoover, Al 35244, Hoover, AL 35244 | 2020-07-16 |
| 1912520115 | Magic City Physical Therapy | Home Health | 1217 Willow Leaf Circle, Birmingham, AL 35244 | 2020-05-21 |
| 1851941660 | Carehere LLC | Family Medicine | Carehere Clinic- Mercedes Hoover, 130 Riverchase Parkway East, Hoover, AL 35244 | 2019-09-13 |
| 1033690888 | Danielle Waldrep Rich | Speech-Language Pathologist | 605 Russet Lake Drive, Hoover, AL 35244 | 2018-08-28 |
| 1699253559 | Lauren M Martinez | Social Worker | 2524 Valleydale Rd. Suite 100, Birmingham, AL 35244 | 2018-08-02 |
| 1982110284 | Regenerative Medical Institute for Pain & Neuropathy, LLC | Plastic Surgery | 1849 Data Dr Ste 1, Hoover, AL 35244 | 2017-12-21 |
| 1891217014 | Kristen Michelle Woods | Counselor | 3825 Lorna Rd Ste 240, Birmingham, AL 35244 | 2017-07-10 |
| 1255868170 | Home Sweet Home Senior Care | Home Health | 1 Chase Corporate Drive, Suite 400, Birmingham, AL 35244 | 2017-05-23 |
| 1801347455 | Megan Sarah St John | Nurse Practitioner | 2321 Alabama Highway 150, Birmingham, AL 35244 | 2016-10-19 |
| Find all providers in zip 35244 | ||||
| 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 |
|---|---|---|---|---|
| 1518303494 | Gina Mittenzwei Labovitz | Pediatrics | 5000 Southlake Park Ste 250, Hoover, AL 35244-3265 | 2013-05-17 |
| 1538303888 | Julia Mcmath Stewart | Pediatrics | 5295 Preserve Pkwy Ste 100, Hoover, AL 35244-4702 | 2009-04-29 |
| 1932125101 | Caesar John Cortopassi | Pediatrics | 5295 Preserve Parkway, Suite 100, Hoover, AL 35244 | 2006-07-14 |
| 1811959679 | Amy E Mccollum | Pediatrics | 5295 Preserve Pkwy, Suite 100, Hoover, AL 35244-4701 | 2006-04-05 |
| 1952303711 | Amy Jarvis Albert | Pediatrics | 5330 Stadium Trace Pkwy, Ste. 150, Hoover, AL 35244-4538 | 2005-08-11 |
| 1215423686 | Focus Md 1015 LLC | Pediatrics | 5330 Stadium Trace Pkwy Ste 150, Hoover, AL 35244-4528 | 2018-07-09 |
| 1699919944 | Daniel Thomas Carter | Pediatrics | 5295 Preserve Pkwy, Suite 100, Hoover, AL 35244-4701 | 2009-04-29 |
| 1255350963 | John Nick Petelos | Pediatrics | 5295 Preserve Parkway, Suite 100, Hoover, AL 35244 | 2006-07-19 |
| 1558380279 | Toren James Anderson | Pediatrics | 5295 Preserve Parkway, Suite 100, Hoover, AL 35244 | 2006-07-19 |
| 1780603407 | Brian Paul Dudgeon | Pediatrics | 5295 Preserve Parkway, Suite 100, Hoover, AL 35244 | 2006-07-19 |
| Find all providers in HOOVER | ||||
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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.