MARSHALL MEDICAL CENTER SOUTH PEDIATRIC HOSPITAL SERVICES (NPI# 1508011297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508011297 |
| Entity Type | Organization |
| Organization Name | MARSHALL MEDICAL CENTER SOUTH PEDIATRIC HOSPITAL SERVICES |
| Practice Address |
227 Brittany Rd Guntersville AL 35976-5766 |
| Practice Telephone | 2568913144 |
| Practice Fax Number | 2568781742 |
| Mailing Telephone | 2568913144 |
| Mailing Fax Number | 2568781742 |
| Enumeration Date | 2008-11-21 |
| Last Update Date | 2008-11-21 |
| Authorized Official Name | VICKY R HICKS (PRACTICE MANAGEMENT) |
| Authorized Official Telephone | 2568913144 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
AL | Allopathic & Osteopathic Physicians |
| Street Address |
227 BRITTANY RD |
| City | GUNTERSVILLE |
| State | AL |
| Zip Code | 35976-5766 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699322818 | Sienna Berryman | Nurse Practitioner | Marshall County Health Department, 150 Judy Smith Drive, Guntersville, AL 35976 | 2019-08-22 |
| 1548821176 | Christopher Leo Harman | Nurse Practitioner | 1084 Heritage Dr, Guntersville, AL 35976 | 2019-06-25 |
| 1134685324 | Jennifer Lynn Sanders | Nurse Practitioner | Marshall Medical Center North, 8000 Alabama Hwy 69, Guntersville, AL 35976 | 2019-02-13 |
| 1841761814 | Emily Defourneaux | Nurse Practitioner | 8000 Al-69, Guntersville, AL 35976 | 2018-12-16 |
| 1447746433 | Christina Turner Godfrey | Nurse Practitioner | 7938 Al-69, Suite 130, Guntersville, AL 35976 | 2018-07-02 |
| 1871014969 | Katherine Greer Kennedy | Optometrist | 390 Gunter Ave, Guntersville, AL 35976 | 2017-06-29 |
| 1225577349 | Katie Giles | Nurse Practitioner | 55 Rowe Dr Ste A, Guntersville, AL 35976 | 2017-02-22 |
| 1700217551 | Jubal Matthews | Chiropractor | 12844 Suite B U.s Hwy 431, Guntersville, AL 35976 | 2013-12-04 |
| 1326479171 | Jubilee Family Chiropractic LLC | Chiropractor | 12844 Suite B. U.S. Hwy 431, Guntersville, AL 35976 | 2013-12-04 |
| 1407286776 | Lashae Watkins | Physician Assistant | 8000 Alabama Hwy 69, Guntersville, AL 35976 | 2013-11-22 |
| Find all providers in zip 35976 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| 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/certification - 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 |
|---|---|---|---|---|
| 1154810224 | Kids Clinic Pediatric and Adolescent Medicine | Pediatrics | 101 Stephen J White Memorial Blvd, Talladega, AL 35160-2106 | 2018-05-04 |
| 1023452406 | Samantha Veronica Hill | Pediatrics | The University of Alabama At Birmingham, 1600 5th Ave South, Birmingham, AL 35233 | 2013-04-29 |
| 1285960674 | Just Kidz Medical LLC | Pediatrics | 5466 Old Shell Rd, Ste. A, Mobile, AL 36608-3046 | 2009-10-20 |
| 1427252766 | Medpeds of Dothan Inc | Pediatrics | 318 Westgate Pkwy Ste 2, Dothan, AL 36303-2963 | 2007-06-12 |
| 1295871556 | Evelyn Simpkins Evans | Pediatrics | Health Services, Inc, 1845 Cherry Street, Montgomery, AL 36107-0365 | 2007-01-30 |
| 1033276035 | Brenda Layton Mcgivern | Pediatrics | 300 W Pettus St, Demopolis, AL 36732-2830 | 2007-01-02 |
| 1205905361 | Imc-pediatric & Adolescent Medicine, LLC | Pediatrics | 4013 Airport Blvd Ste C, Mobile, AL 36608-2201 | 2006-11-06 |
| 1063511582 | Adolescent & Pediatric Associates | Pediatrics | 2611 Woodley Park Dr, Montgomery, AL 36116-3834 | 2006-09-21 |
| 1588683262 | Milton Stanhope Brasfield IIi | Pediatrics | 105 Hwy 80 East, Suite 205, Demopolis, AL 36732 | 2006-07-19 |
| 1629028642 | Carmel Health Network | Pediatrics | 1653 Springhill Ave, Mobile, AL 36604-1404 | 2006-05-11 |
| Find all providers with the same taxonomy | ||||
| City | GUNTERSVILLE |
| Zip Code | 35976 |
Please comment or provide details below to improve the information on MARSHALL MEDICAL CENTER SOUTH PEDIATRIC HOSPITAL SERVICES.
| 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.