ABC PEDIATRIC CLINIC LLC (NPI# 1841495603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841495603 |
| Entity Type | Organization |
| Organization Name | ABC PEDIATRIC CLINIC LLC |
| Practice Address |
1900 Main Ave Sw Cullman AL 35055-7200 |
| Practice Telephone | 2567343759 |
| Practice Fax Number | 2567349764 |
| Mailing Telephone | 2567343759 |
| Mailing Fax Number | 2567349764 |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2008-06-04 |
| Authorized Official Name | DR. LISA KAREN JOINES (OWNER) |
| Authorized Official Telephone | 2567343759 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 173000000X | Legal Medicine | 00023029 | AL | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 009923945 | 05 |
| Street Address |
1900 MAIN AVE SW |
| City | CULLMAN |
| State | AL |
| Zip Code | 35055-7200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932216462 | Marsena Mayfield Stewart | Nurse Practitioner | 1900 Main Ave Sw, Cullman, AL 35055 | 2006-08-23 |
| 1881189959 | Stacy Brooks | Nurse Practitioner | 1900 Main Ave Sw, Cullman, AL 35055-7200 | 2018-06-29 |
| 1043735707 | Family Medicine of Cullman | Family Medicine | 1900 Main Ave Sw, Cullman, AL 35055-7200 | 2017-08-03 |
| 1083976344 | Johnson Hearing Services, P.C. | Clinic/Center | 1900 Main Ave Sw, Suite 1, Cullman, AL 35055-7200 | 2012-06-13 |
| 1447439237 | Abc Pediatric Clinic, LLC | Legal Medicine | 1900 Main Ave Sw, Cullman, AL 35055-7200 | 2007-10-29 |
| 1285826883 | Karen Pence Metz | Registered Nurse | 1900 Main Ave Sw, Suite 3, Cullman, AL 35055-7200 | 2007-08-16 |
| 1720154875 | Aaron Leroy Johnson | Audiologist | 1900 Main Ave Sw, Suite 1, Cullman, AL 35055-7200 | 2006-11-28 |
| 1144337668 | Lisa Karen Joines | Pediatrics | 1900 Main Ave Sw, Cullman, AL 35055-7200 | 2006-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013482694 | Timothy Brett Hunt | Counselor | 1912 Commerce Avenue Nw, Cullman, AL 35055 | 2018-10-10 |
| 1073017919 | Kaitlin Roberts | Occupational Therapist | 1640 2nd Ave Sw, Cullman, AL 35055 | 2018-03-23 |
| 1922514488 | Dialysis Clinic Inc | Clinic/Center | 208 Broadway Drive, Sw, Cullman, AL 35055 | 2017-12-20 |
| 1447789870 | Alexis Lindsey | Specialist | 1909 Commerce Avenue Nw, Cullman, AL 35055 | 2017-06-08 |
| 1003297144 | Thomas Ricky Cosper | Counselor | 1528 Peachtree Lane Ste #104, Cullman, AL 35055 | 2015-06-15 |
| 1053574434 | Joshua Michael Robinson | Dentist | 1851 Main Ave Se, Suite A, Cullman, AL 35055 | 2008-07-07 |
| 1902088206 | Dr Henry S Beeler | Family Medicine | 1900 Main Ave, Ste 3, Cullman, AL 35055 | 2007-11-29 |
| 1982896627 | Ronald Wilson Carter | Dentist | 305 6th Ave Se, Cullman, AL 35055 | 2007-08-16 |
| 1710048640 | Home Oxygen Inc | Durable Medical Equipment & Medical Supplies | 408 2nd Avenue Nw, Suite B, Cullman, AL 35055 | 2006-12-13 |
| 1912071150 | Econo Med Inc | Pharmacy | 1824 Main Avenue Sw, Cullman, AL 35055 | 2006-11-20 |
| Find all providers in zip 35055 | ||||
| Taxonomy Code | 173000000X |
| Grouping | Other Service Providers |
| Classification | Legal Medicine |
| The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447439237 | Abc Pediatric Clinic, LLC | Legal Medicine | 1900 Main Ave Sw, Cullman, AL 35055-7200 | 2007-10-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669919650 | Dr James H Blanton Md | Legal Medicine | 4453 Fredericksburg Cir, Mountain Brk, AL 35213-1817 | 2017-01-27 |
| 1679969927 | Walter Miller White | Legal Medicine | 4209 Old Leeds Ln, Mountain Brk, AL 35213-3313 | 2015-04-14 |
| 1770905200 | James Jackson | Legal Medicine | 1404 Chandler Rd Se, Huntsville, AL 35801-1406 | 2014-01-17 |
| 1053623264 | John R. Boname | Legal Medicine | 4657 Old Looney Mill Rd, Birmingham, AL 35243-2640 | 2010-07-06 |
| 1609933514 | Ladiga Medical, LLC | Legal Medicine | 1460 2nd Ave Sw # A, Jacksonville, AL 36265-3358 | 2007-01-02 |
| 1154497105 | Family Practice Associates of Montrose, Pa | Legal Medicine | 770 Middle St Ste B, Fairhope, AL 36532-1766 | 2006-11-28 |
| 1144301128 | Staff of Life Medical Corporation, PC | Legal Medicine | 1011 Leighton Ave, Anniston, AL 36207-5701 | 2006-10-18 |
| 1275641425 | Ostap Woloschuk | Legal Medicine | 604 Gandy St Ne, Russellville, AL 35653-1912 | 2006-08-28 |
| 1841209020 | Medicine Beyond Walls | Legal Medicine | 6291 Letson Farms Dr, Bessemer, AL 35022-7025 | 2006-08-05 |
| 1992723019 | Gary R Newsom | Legal Medicine | 701 University Blvd E Ste 204, Tuscaloosa, AL 35401-7431 | 2006-07-17 |
| Find all providers with the same taxonomy | ||||
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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.