PEDIATRIC ADOLESCENT MEDICINE, INC. (NPI# 1902975899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902975899 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC ADOLESCENT MEDICINE, INC. |
| Practice Address |
1107 Voeglin Ave Suite 202 Selma AL 36703-4301 |
| Practice Telephone | 3348744843 |
| Practice Fax Number | 3348749598 |
| Mailing Telephone | 3348744843 |
| Mailing Fax Number | 3348749598 |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. PATRICIA ANN KENDRICK-ROBINSON (M.D.) |
| Authorized Official Telephone | 3348744843 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
14314 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BCBS | 51500362 | 01 |
| Street Address |
1107 VOEGLIN AVE SUITE 202 |
| City | SELMA |
| State | AL |
| Zip Code | 36703-4301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831190263 | Prohealth Selma, Inc | Clinic/Center | 1107 Voeglin Ave, Selma, AL 36703-4301 | 2005-08-09 |
| 1073692232 | Patricia Ann Kendrick-robinson | Pediatrics | 1107 Voeglin Ave, Suite 202, Selma, AL 36703-4301 | 2006-11-06 |
| 1396824462 | Samuel C Lett | Obstetrics & Gynecology | 1107 Voeglin Ave, Suite 300, Selma, AL 36703-4301 | 2006-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477900124 | Rural Urgent Care LLC | Clinic/Center | 1475 Al Hwy 14 East, Selma, AL 36703 | 2016-05-23 |
| 1407468689 | Yasmeen Antheana-neshaygreen Brenson | Student in an Organized Health Care Education/Training Program | 206 Lakeview Ave, Selma, AL 36703-1705 | 2020-08-19 |
| 1043440142 | Brenda Sanders Mccary | Social Worker | 4002 Merrifield Dr, Valley Grande, AL 36703-2731 | 2009-07-23 |
| 1932112430 | Ball Healthcare Dallas LLC | Skilled Nursing Facility | 2911 Earl Goodwin Pkwy, Selma, AL 36703-2825 | 2006-08-14 |
| 1669790986 | Larry Lee Nalls | Counselor | 2990 Earl Goodwin Pkwy, Selma, AL 36703-2860 | 2010-05-11 |
| 1629389697 | Pinkie Platt | Counselor | 2990 Earl Goodwin Pkwy, Selma, AL 36703-2860 | 2010-06-24 |
| 1205292984 | Mary Chelimo Kipchumba | Nurse Practitioner | 1475 Al Highway 14 E, Selma, AL 36703-2996 | 2016-01-11 |
| 1568953396 | Yalonda Evette Ferguson | Nurse Practitioner | 1475 Al Highway 14 E, Selma, AL 36703-2996 | 2018-05-29 |
| 1700804127 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1501 Al Highway 14 E, Selma, AL 36703-3201 | 2006-07-17 |
| 1609362722 | Adam J Allen | Pharmacist | 1501 Al Highway 14 E, Selma, AL 36703-3201 | 2018-07-02 |
| Find all providers in zip 36703 | ||||
| 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 |
|---|---|---|---|---|
| 1073692232 | Patricia Ann Kendrick-robinson | Pediatrics | 1107 Voeglin Ave, Suite 202, Selma, AL 36703-4301 | 2006-11-06 |
| 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 |
| 1508011297 | Marshall Medical Center South Pediatric Hospital Services | Pediatrics | 227 Brittany Rd, Guntersville, AL 35976-5766 | 2008-11-21 |
| 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 |
| 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.