MARSHALL COUNTY PEDIATRICS, PC (NPI# 1003078270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003078270 |
| Entity Type | Organization |
| Organization Name | MARSHALL COUNTY PEDIATRICS, PC |
| Practice Address |
2525 Us Highway 431 Ste 104 Boaz AL 35957-5934 |
| Mailing Address |
45 Medical Park Dr Suite B Guntersville AL 35976-6999 |
| Practice Telephone | 2565718969 |
| Practice Fax Number | 2565718980 |
| Mailing Telephone | 2565718969 |
| Mailing Fax Number | 2565718980 |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2008-06-30 |
| Authorized Official Name | MRS. VICKY HICKS (PRACTICE MANAGEMENT) |
| Authorized Official Telephone | 2568915102 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 6719 | AL | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | NPI | 1508935545 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043242514 | Marshall County Pediatrics, PC | Specialist | 45 Medical Park Dr Ste B, Guntersville, AL 35976-6999 | 2006-07-07 |
| Street Address |
2525 US HIGHWAY 431 STE 104 |
| City | BOAZ |
| State | AL |
| Zip Code | 35957-5934 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952342982 | James T Payne | Radiology | 2525 Us Highway 431, Boaz, AL 35957-5934 | 2006-06-09 |
| 1215487152 | Ashley Nicole Colquitt | Nurse Practitioner | 2525 Us Highway 431, Suite 104, Boaz, AL 35957-5934 | 2016-10-04 |
| 1619337268 | Kayla Deone Walls | Nurse Practitioner | 2525 Us Highway 431, Boaz, AL 35957-5934 | 2016-02-24 |
| 1386021822 | Marshall Medical Center South Burson Urology | Urology | 2525 Us Highway 431, Suite 150, Boaz, AL 35957-5971 | 2015-05-05 |
| 1740567486 | Melvin D Thornbury Jr Md PC | Obstetrics & Gynecology | 2525 Us Highway 431, Suite 220, Boaz, AL 35957-5934 | 2011-11-09 |
| 1790923563 | Kathleen Erin Evans | Internal Medicine | 2525 Us Highway 431, Boaz, AL 35957-5934 | 2009-02-01 |
| 1326284902 | George Philip | Internal Medicine | 2525 Us Highway 431, Suite 250, Boaz, AL 35957-5934 | 2009-01-02 |
| 1639321789 | Marshall Medical Center South | Obstetrics & Gynecology | 2525 Us Highway 431, 210, Boaz, AL 35957-5934 | 2008-10-21 |
| 1508014457 | Andreana Megan Johnson | Obstetrics & Gynecology | 2525 Us Highway 431, Suite 200, Boaz, AL 35957-5934 | 2008-09-04 |
| 1467609420 | Sand Mountain Ob/gyn Associates, Inc. | Obstetrics & Gynecology | 2525 Us Highway 431, Suite 220, Boaz, AL 35957-5934 | 2008-08-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124639935 | Twindom Counseling Services, LLC | Community/Behavioral Health | 202 Lackey Street, Boaz, AL 35957 | 2020-08-14 |
| 1407464308 | Brittany C Mcclendon | Nurse Practitioner | 2505 Us Hwy. 431, Suite A, Women's Center, Boaz, AL 35957 | 2020-07-16 |
| 1942831169 | Kayleigh Danielle Eller | Student in an Organized Health Care Education/Training Program | 147 Stephans Road, Boaz, AL 35957 | 2020-01-27 |
| 1710443767 | Antallia Shauntell Johnson | Nurse Practitioner | 2505 Us Hwy 431 Women's Center Suite A, Boaz, AL 35957 | 2019-02-14 |
| 1649516659 | Tiffany Brown Butler | Nurse Practitioner | 2505 U.S. Highway 431, Boaz, AL 35957 | 2012-12-19 |
| 1811263270 | Abundant Life Family Chiropractic LLC | Chiropractor | 100 Bel Air St, Boaz, AL 35957 | 2012-03-29 |
| 1659696375 | Rachel Lambert | Pharmacist | 10402 Al Hwy 168, Boaz, AL 35957 | 2010-04-06 |
| 1407028368 | Brenda J Parrish | Nurse Practitioner | 2505highway 431, Boaz, AL 35957 | 2008-03-31 |
| 1942346234 | Candi Denise Blackwell | Nurse Anesthetist, Certified Registered | 2055 Us Hwy 431, Boaz, AL 35957 | 2007-01-30 |
| 1558418426 | Gideon P Ewing | Internal Medicine | 2505 Highway 431, Boaz, AL 35957 | 2007-01-04 |
| Find all providers in zip 35957 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831596717 | Jennifer Lauren Mccoy | Specialist | 411 Overlook Rd, Boaz, AL 35956-5928 | 2014-11-20 |
| 1396741740 | Jeffrey Scott Barton | Specialist | 2525 Hwy 431, Suite 150, Boaz, AL 35976 | 2005-06-21 |
| 1205187663 | Premier Orthopedic Surgery, Inc | Specialist | 2367 Us Highway 431, Boaz, AL 35957-5910 | 2012-09-26 |
| 1376588350 | Lisa Gregory Driskill | Specialist | 2505 Us Highway 431, Boaz, AL 35957-5908 | 2006-06-17 |
| 1285679266 | Larry Wayne Greer | Specialist | 2505 Us Highway 431, Boaz, AL 35957-5908 | 2006-06-17 |
| 1497790471 | James Francis Mcallister | Specialist | 2505 Us Highway 431, Boaz, AL 35957-5908 | 2006-06-16 |
| 1720020092 | Quirino Lim Pua | Specialist | 2505 Us Highway 431, Boaz, AL 35957-5908 | 2006-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235745571 | Rachel Kestler | Specialist | 4102 Gadiator Street, Fort Rucker, AL 36362 | 2020-09-22 |
| 1528699444 | Jackson Hospital and Clinic, Inc | Specialist | 321 Greenville Byp Ste 2, Greenville, AL 36037-3757 | 2020-01-29 |
| 1548809403 | Mizell Memorial Hospital, Inc. | Specialist | 103 E Memorial Ave Ste A, Opp, AL 36467-1746 | 2019-12-24 |
| 1013564285 | Octavia Elisa Bruce | Specialist | 808 Green Springs Hwy, Suite 124 Studio 4, Homewood, AL 35216 | 2019-08-22 |
| 1407417702 | Sasha J White | Specialist | 410 Governors Dr. Sw, Huntsville, AL 35801 | 2019-06-26 |
| 1609342088 | Vituro Health of Georgia, LLC | Specialist | 2901 2nd Ave S Ste 130, Birmingham, AL 35233-2928 | 2018-10-23 |
| 1598248205 | Almatriga Vladzetta Essex | Specialist | 1110 15th St Ste G, Tuscaloosa, AL 35401-3393 | 2018-09-09 |
| 1013428580 | Larry Dell Turner | Specialist | 600 S Court St Ste 312, Montgomery, AL 36104-4106 | 2017-10-23 |
| 1447789870 | Alexis Lindsey | Specialist | 1909 Commerce Avenue Nw, Cullman, AL 35055 | 2017-06-08 |
| 1912447210 | Neal Laye | Specialist | 29 W 3rd St, Suite B, Sylacauga, AL 35150-2480 | 2017-03-06 |
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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.