CENTRAL PEDIATRICS OF SOMERVILLE LLC (NPI# 1336634666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336634666 |
| Entity Type | Organization |
| Organization Name | CENTRAL PEDIATRICS OF SOMERVILLE LLC |
| Practice Address |
3609 Highway 67 S Somerville AL 35670 |
| Mailing Address |
101 Fitness Way Ste 1100 Athens AL 35611-2481 |
| Practice Telephone | 2562330712 |
| Mailing Telephone | 2562330712 |
| Enumeration Date | 2018-06-28 |
| Last Update Date | 2018-07-11 |
| Authorized Official Name | CHRISTY THOMAS RUTHERFORD (CFO OFFICE MGR) |
| Authorized Official Telephone | 2562330712 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities | ||
| Y | 305R00000X | Preferred Provider Organization | Managed Care Organizations |
| Street Address |
3609 HIGHWAY 67 S |
| City | SOMERVILLE |
| State | AL |
| Zip Code | 35670 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871959643 | Florence Denise Waters | Occupational Therapy Assistant | 127 Whisperwood Dr, Somerville, AL 35670-3862 | 2016-01-11 |
| 1255991394 | Erica Allen Patterson | Home Health Aide | 2099 New Center Rd Lot B, Somerville, AL 35670-3887 | 2019-06-20 |
| 1396307153 | Alabama Caregivers LLC | Home Health | 2099 New Center Rd Lot B, Somerville, AL 35670-3887 | 2019-07-02 |
| 1740548171 | Candi L Hayes | Ambulance | 301 Nelson Hollow Rd, Somerville, AL 35670-5703 | 2012-04-23 |
| 1700238508 | Medical East of Decatur Inc | Nurse Practitioner | 4166 Highway 36 E, Somerville, AL 35670-5803 | 2016-07-06 |
| 1174997514 | Encore Rehabilitation Inc | Clinic/Center | 59 Eva Rd, Somerville, AL 35670-6423 | 2015-11-23 |
| 1710051974 | Jewel Elizabeth Bishop Euto | Counselor | 335 Fowler Road, Somerville, AL 35670-6908 | 2006-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596117 | Tinischa Lahens | Health Educator | 5 Middlesex Ave Fl 1, Somerville, MA 02145-1102 | 2020-10-19 |
| 1912506395 | Kelsey Elizabeth Oakes | Social Worker | 47 Pearson Ave Apt 2, Somerville, MA 02144-2305 | 2020-10-18 |
| 1760080378 | Jason Lee | Physician Assistant | 42 Electric Ave, Somerville, MA 02144-1604 | 2020-10-15 |
| 1023616042 | Elizabeth Varall | Speech-Language Pathologist | 21 E High St Ste 2, Somerville, NJ 08876-2320 | 2020-10-12 |
| 1508463811 | Clear Minded Care, Pllc | Community/Behavioral Health | 519 Somerville Ave # 291, Somerville, MA 02143-3347 | 2020-10-08 |
| 1821605221 | Allison Reid | Speech-Language Pathologist | 15 Quincy St Apt 6, Somerville, MA 02143-1751 | 2020-09-29 |
| 1033726716 | Patrick James Manders | Technician/Technologist | 52 Porter St Apt 1, Somerville, MA 02143-2318 | 2020-09-28 |
| 1639785777 | Spring Hill Dental | Dentist | 174 Highland Ave Ste 1, Somerville, MA 02143-1546 | 2020-09-22 |
| 1477168417 | Ss Holdings, LLC | Counselor | 502 Flippin St, Somerville, TN 38068-1801 | 2020-09-15 |
| 1235744111 | Sarah L Patches | Nurse Practitioner | 40 Central St Unit 2, Somerville, MA 02143-2826 | 2020-09-09 |
| Find all providers in SOMERVILLE | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639523798 | Elite Physical Therapy and Wellness Center, Inc | Preferred Provider Organization | 1404 S Brundidge St, Troy, AL 36081-3129 | 2016-04-14 |
| 1114321643 | Marble City Pediatric Dentistry | Preferred Provider Organization | 1039 W Fort Williams St, Sylacauga, AL 35150-2301 | 2014-10-13 |
| 1093122533 | Noahs Ark Child & Family Treatment Center Inc | Preferred Provider Organization | 1728 5th Ave N, Birmingham, AL 35203-2023 | 2014-07-16 |
| 1932510005 | Robert J. Howard D.m.d., P.C. | Preferred Provider Organization | 705 S George Wallace Dr, Troy, AL 36081-3824 | 2014-05-12 |
| 1407266729 | Precise Family Dental, LLC | Preferred Provider Organization | 23730 John T Reid Pkwy, Suite C, Scottsboro, AL 35768-2839 | 2014-05-08 |
| 1609209253 | Healthsource of Huntsville, LLC | Preferred Provider Organization | 975 Airport Rd Sw, Suite H, Huntsville, AL 35802-1392 | 2013-08-19 |
| 1003150160 | Imaging Network Group, Inc. | Preferred Provider Organization | 26831 Canal Rd Ste 7, Orange Beach, AL 36561-4125 | 2012-11-15 |
| 1083966386 | Kenneth W Chancey Dmd LLC | Preferred Provider Organization | 534 Boll Weevil Cir, Enterprise, AL 36330-4012 | 2012-10-10 |
| 1679839328 | Kenneth E. Pitts, Md, PC | Preferred Provider Organization | 185 Whitesport Dr Sw Ste 4, Huntsville, AL 35801-6487 | 2012-04-06 |
| 1952667123 | Jones Family Services | Preferred Provider Organization | 47 Queen Dr, Columbiana, AL 35051-4082 | 2012-04-02 |
| Find all providers with the same taxonomy | ||||
| City | SOMERVILLE |
| Zip Code | 35670 |
Please comment or provide details below to improve the information on CENTRAL PEDIATRICS OF SOMERVILLE LLC.
| 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.