NEONATOLOGY ASSOCIATES OF TUSCALOOSA, LLC (NPI# 1689088650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689088650 |
| Entity Type | Organization |
| Organization Name | NEONATOLOGY ASSOCIATES OF TUSCALOOSA, LLC |
| Practice Address |
809 University Blvd E Tuscaloosa AL 35401-2029 |
| Mailing Address |
10250 Lake Side Dr Tuscaloosa AL 35406-5007 |
| Practice Telephone | 2053334655 |
| Practice Fax Number | 2053334660 |
| Mailing Telephone | 2053334655 |
| Mailing Fax Number | 2053334660 |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2014-06-17 |
| Authorized Official Name | DR. JAVIER REPETTO (ACTING MANAGER/SECRETARY) |
| Authorized Official Telephone | 2053334655 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
809 UNIVERSITY BLVD E |
| City | TUSCALOOSA |
| State | AL |
| Zip Code | 35401-2029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497751226 | Helena T Buchalter | Pathology | 809 University Blvd E, Tuscaloosa, AL 35401-2029 | 2005-06-27 |
| 1548873045 | Jerome Edwards | Pharmacy Technician | 809 University Blvd E, Tuscaloosa, AL 35401-2029 | 2020-08-25 |
| 1215552021 | Lauren Kyzar | Nurse Practitioner | 809 University Blvd E, Tuscaloosa, AL 35401-2029 | 2020-06-08 |
| 1912532664 | Clint Winfield Miller | Nurse Anesthetist, Certified Registered | 809 University Blvd E, Tuscaloosa, AL 35401-2029 | 2020-03-03 |
| 1124667332 | James Lewis Fenley IIi | Registered Nurse | 809 University Blvd E, Tuscaloosa, AL 35401-2029 | 2020-01-06 |
| 1609418342 | Joshua Wayne Bankston | Nurse Practitioner | 809 University Blvd E, Tuscaloosa, AL 35401-2029 | 2019-10-15 |
| 1821651589 | Jenna L Gaut | Nurse Practitioner | 809 University Blvd E, Tuscaloosa, AL 35401-2029 | 2019-04-18 |
| 1881150738 | Tyler Matthew Elmore | Nurse Anesthetist, Certified Registered | 809 University Blvd E, Tuscaloosa, AL 35401-2071 | 2019-02-15 |
| 1093282691 | Courtney Hendrix | Nurse Practitioner | 809 University Blvd E, Tuscaloosa, AL 35401-2029 | 2018-11-01 |
| 1841766375 | Haley Tipps | Nurse Practitioner | 809 University Blvd E, Tuscaloosa, AL 35401-2029 | 2018-10-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942768031 | Serenity and Hope LLC | Clinic/Center | 2703 7th Street, Tuscaloosa, AL 35401 | 2019-03-07 |
| 1356834428 | Heather Glenn Macleod | Social Worker | 303 Hargrove Rd E Ste A, Tuscaloosa, AL 35401 | 2018-06-12 |
| 1154832921 | Imc of Alabama | Physical Therapist | 5101 21st Street, Tuscaloosa, AL 35401 | 2017-10-19 |
| 1316466238 | Parents Resource Institute for Drug Education (pride) of Tuscaloosa | Community/Behavioral Health | 620 14th Street, Suite E, Tuscaloosa, AL 35401 | 2017-09-12 |
| 1871967075 | Jeri Zemke | Specialist/Technologist | 504 University Blvd, Tuscaloosa, AL 35401 | 2015-11-25 |
| 1356719033 | Jimmy Dean Winters | Nurse Practitioner | Five Horizons Health Services, 2720 6th Street, Tuscaloosa, AL 35401 | 2015-09-11 |
| 1831505429 | Jennifer Baggett | Speech-Language Pathologist | 603 Hackberry Lane, Tuscaloosa, AL 35401 | 2014-07-03 |
| 1184045684 | Samantha Pasteur | Massage Therapist | 2601 12 St, Tuscaloosa, AL 35401 | 2013-12-31 |
| 1386089282 | John Logan Bailey | Pharmacist | 809 University Boulevard, Dch Regional Medical Center, Tuscaloosa, AL 35401 | 2013-05-06 |
| 1104170539 | Kristin C Townsend | Technician, Other | 500 -b Paul Bryant Drive East, Tuscaloosa, AL 35401 | 2012-11-07 |
| Find all providers in zip 35401 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| 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 |
|---|---|---|---|---|
| 1336361732 | Tuscaloosa Newborn Medicine PC | Pediatrics | 1820 Rice Mine Rd North, Suite 200, Tuscaloosa, AL 35406-3282 | 2007-05-03 |
| 1275929853 | Tuscaloosa Neonatal PC | Pediatrics | 809 University Blvd E, Tuscaloosa, AL 35401-2029 | 2015-04-10 |
| 1659410249 | Guillermo Godoy | Pediatrics | 1820 Rice Mine Rd N, Tuscaloosa, AL 35406-3281 | 2007-02-06 |
| 1194885087 | Hanseek Choi | Pediatrics | 1820 Rice Mine Rd N, Suite 200, Tuscaloosa, AL 35406-3281 | 2006-12-11 |
| 1881754042 | Javier E Repetto | Pediatrics | 809 University Blvd E, Tuscaloosa, AL 35401-2029 | 2006-12-11 |
| 1346300514 | Neonatal Medical Care P.C. | Pediatrics | 809 University Blvd E, Tuscaloosa, AL 35401-2029 | 2006-12-11 |
| 1861552754 | Hanseek Choi | Pediatrics | 1820 Rice Mine Rd N, Suite 200, Tuscaloosa, AL 35406-3281 | 2006-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629013412 | Virginia Anne Karle | Pediatrics | 1700 6th Ave S # 176f, Birmingham, AL 35233 | 2006-06-17 |
| 1225085608 | Brian Sims | Pediatrics | 619 20th Ave S, Nhb 525, Birmingham, AL 35205-6417 | 2006-05-30 |
| 1639126006 | Rune Toms | Pediatrics | 619 South 20th Street, 525 Nhb, Birmingham, AL 35294-0001 | 2006-05-30 |
| 1902857899 | Carl Herndon Coghill IIi | Pediatrics | 525 Nhb, 619 South 19th Street, Birmingham, AL 35249-0001 | 2006-05-15 |
| 1316908809 | Walter Clark Boutwell | Pediatrics | 207 Hunter Trl, Pike Road, AL 36064-3415 | 2006-04-01 |
| 1609837640 | Cynthia M Bonner | Pediatrics | 2019 Normandie Dr, Montgomery, AL 36111-2711 | 2006-03-29 |
| 1821075110 | Martha J Strange | Pediatrics | 2010 Brookwood Medical Center Dr, Birmingham, AL 35209-6804 | 2005-12-28 |
| 1023091378 | Meyer Edwin Dworsky | Pediatrics | 2324 Pansy St Sw, Huntsville, AL 35801-3803 | 2005-11-21 |
| 1245898683 | Usa Health Physician Billing Services LLC | Pediatrics | 1700 Center St, Mobile, AL 36604-3301 | 2019-05-31 |
| 1609337005 | Paige Sanders Miller | Pediatrics | 101 Sivley Rd Sw, Huntsville, AL 35801-4470 | 2019-03-28 |
| Find all providers with the same taxonomy | ||||
| City | TUSCALOOSA |
| Zip Code | 35401 |
Please comment or provide details below to improve the information on NEONATOLOGY ASSOCIATES OF TUSCALOOSA, 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.