DR. PETER STROGOV (NPI# 1295964682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295964682 |
| Entity Type | Individual |
| Full Name | DR. PETER STROGOV |
| Credential | M.D. |
| Practice Address |
1359 Old Water Works Rd Sw Fort Payne AL 35968-3347 |
| Mailing Address |
1359 Old Waterworks Rd Sw Fort Payne AL 35968-3347 |
| Practice Telephone | 2569975900 |
| Mailing Telephone | 2569975900 |
| Mailing Fax Number | 2569975995 |
| Enumeration Date | 2009-07-07 |
| Last Update Date | 2015-11-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 30426 | AL | Other Service Providers |
| Y | 208000000X | Pediatrics | 30426 | AL | Allopathic & Osteopathic Physicians |
| N | 261QR1300X |
Clinic/Center Specialization: Rural Health |
30426 | AL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 139791 | 05 |
| Street Address |
1359 OLD WATER WORKS RD SW |
| City | FORT PAYNE |
| State | AL |
| Zip Code | 35968-3347 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063405744 | Robin P Renfroe | Pediatrics | 1359 Old Water Works Rd Sw, Fort Payne, AL 35968-3347 | 2005-08-26 |
| 1912507104 | Kaylee Ragan Kwan | Nurse Practitioner | 1359 Old Water Works Rd Sw, Fort Payne, AL 35968-3347 | 2020-10-28 |
| 1841848124 | Tommy Dewayne Trotman | Nurse Practitioner | 1359 Old Water Works Rd Sw, Fort Payne, AL 35968-3347 | 2019-08-29 |
| 1073013884 | Jennifer Frances Hand | Nurse Practitioner | 1359 Old Water Works Rd Sw, Fort Payne, AL 35968-3347 | 2018-02-19 |
| 1366807711 | Mary Rebecca Epps | Nurse Practitioner | 1359 Old Water Works Rd Sw, Fort Payne, AL 35968-3347 | 2015-12-29 |
| 1871976639 | Austin Lively | Pediatrics | 1359 Old Water Works Rd Sw, Fort Payne, AL 35968-3347 | 2015-06-29 |
| 1356746085 | Fort Payne Pediatrics, LLC | Pediatrics | 1359 Old Water Works Rd Sw, Fort Payne, AL 35968-3347 | 2014-10-23 |
| 1881095073 | Erica Danielle Blalock | Nurse Practitioner | 1359 Old Water Works Rd Sw, Fort Payne, AL 35968-3347 | 2014-09-08 |
| 1649690595 | Kara Vanessa Carter | Nurse Practitioner | 1359 Old Water Works Rd Sw, Fort Payne, AL 35968-3347 | 2014-04-18 |
| 1134485386 | Sarah Elizabeth Gilreath | Nurse Practitioner | 1359 Old Water Works Rd Sw, Fort Payne, AL 35968-3347 | 2012-04-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417382623 | Lori Land Camp | Pharmacist | 101 Cracker Barrel Row, Ft Payne, AL 35968 | 2013-09-06 |
| 1841424959 | Ashley Renee Cole | Emergency Medicine | 590 Medical Center Dr, Fort Payne, AL 35968 | 2009-05-05 |
| 1871758938 | Michael Steven Digby | Dermatology | 1403 Old Water Works Rd Sw, Fort Payne, AL 35968 | 2008-07-28 |
| 1356516611 | Robyn Reesman, O.d.,inc. | Optometrist | 2001 Glenn Blvd. Sw, Fort Payne, AL 35968 | 2008-04-28 |
| 1124219902 | Rebecca Burns Ingram | Occupational Therapist | 2804 Greenhill Blvd Nw Ste 102, Fort Payne, AL 35968 | 2007-08-06 |
| 1467657957 | Palmer Orthopaedic & Sports Medicine, PC | Orthopaedic Surgery | 315 Medical Center Dr. Sw, Fort Payne, AL 35968 | 2007-06-15 |
| 1225171309 | Dekalb County Health Dept Offsite Epsdt | Public Health or Welfare | 2401 Calvin Dr, S.w., Ft. Payne, AL 35968 | 2007-02-15 |
| 1376612648 | American Hospice -- Fort Payne | Hospice Care, Community Based | 103 3rd Street North West, Suite 202, Fort Payne, AL 35968 | 2006-11-08 |
| 1316978588 | Bhc-palmer Orthopaedics and Sports Medicine | Specialist | 315 Medical Park, Fort Payne, AL 35968 | 2006-07-06 |
| 1487694782 | Fort Payne Hospital Corporation | Hospitalist | 200 Medical Center Dr., Fort Payne, AL 35968 | 2006-06-07 |
| Find all providers in zip 35968 | ||||
| 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 |
|---|---|---|---|---|
| 1366861395 | Focusal1011, LLC | Pediatrics | 2202 Jordan Rd Sw Ste 501, Fort Payne, AL 35968-3691 | 2014-04-07 |
| 1265487185 | Frine T Roca | Pediatrics | 205 Grand Ave Nw, Ste B, Fort Payne, AL 35967-2107 | 2006-05-23 |
| 1871574632 | David Allen Atchley | Pediatrics | 550 Medical Center Dr Sw, Fort Payne, AL 35968-3418 | 2005-11-09 |
| 1063405744 | Robin P Renfroe | Pediatrics | 1359 Old Water Works Rd Sw, Fort Payne, AL 35968-3347 | 2005-08-26 |
| 1871976639 | Austin Lively | Pediatrics | 1359 Old Water Works Rd Sw, Fort Payne, AL 35968-3347 | 2015-06-29 |
| 1356746085 | Fort Payne Pediatrics, LLC | Pediatrics | 1359 Old Water Works Rd Sw, Fort Payne, AL 35968-3347 | 2014-10-23 |
| 1033477393 | Fort Payne Pediatrics LLC | Pediatrics | 1906 Glenn Blvd Sw Ste 100a, Fort Payne, AL 35968-3546 | 2012-04-24 |
| 1487607297 | Angela E Chaney | Pediatrics | 550 Medical Center Dr Sw, Fort Payne, AL 35968-3418 | 2006-05-19 |
| 1053364810 | Robert Mike Story | Pediatrics | 550 Medical Center Dr Sw, Fort Payne, AL 35968-3418 | 2006-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811595226 | Sunshine Pediatrics, LLC | Pediatrics | 3983 Nash Creek Dr, Opelika, AL 36804-4859 | 2020-10-16 |
| 1922615749 | Smart Care, LLC | Pediatrics | 801 North St E, Talladega, AL 35160-2529 | 2020-09-25 |
| 1124667415 | Brittany Johnson Mccullough | Pediatrics | 134 Foothills Pkwy, Chelsea, AL 35043-8179 | 2020-01-03 |
| 1982240941 | Heritage Pediatrics LLC | Pediatrics | 3358 Highway 280, Suite 108, Alexander City, AL 35010 | 2019-11-25 |
| 1952945602 | East Montgomery Pediatrics LLC | Pediatrics | 337 St Lukes Drive, Montgomery, AL 36117 | 2019-11-05 |
| 1326699190 | Kids Cove Pediatrics | Pediatrics | 19 Abby Glen Way, Gurley, AL 35748-8035 | 2019-09-24 |
| 1386290781 | Deshazo Medical | Pediatrics | 4387 Boulder Lake Cir, Vestavia, AL 35242-2116 | 2019-08-13 |
| 1477013720 | Decatur Morgan Pediatrics | Pediatrics | 1215 7th St Se Ste 210, Decatur, AL 35601-3385 | 2019-03-22 |
| 1801367107 | Tera Walters Therapy LLC | Pediatrics | 2523 D'iberville Drive North, Mobile, AL 36695 | 2018-12-12 |
| 1629573928 | Kaitlyn Brown Parker | Pediatrics | 2451 Usa Medical Center Dr Rm 714, Mobile, AL 36617-2300 | 2018-03-28 |
| Find all providers with the same taxonomy | ||||
| City | FORT PAYNE |
| Zip Code | 35968 |
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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.