PROFESSIONAL PEDIATRICS PA (NPI# 1003904327) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003904327 |
| Entity Type | Organization |
| Organization Name | PROFESSIONAL PEDIATRICS PA |
| Practice Address |
4154 Carmicheal Road Montgomery AL 36106 |
| Practice Telephone | 3342715959 |
| Practice Fax Number | 3342728775 |
| Mailing Telephone | 3342715959 |
| Mailing Fax Number | 3342728775 |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. CHARLES ALLEN WHITE (PRESIDENT) |
| Authorized Official Telephone | 3342715959 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Street Address |
4154 CARMICHEAL ROAD |
| City | MONTGOMERY |
| State | AL |
| Zip Code | 36106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235747205 | Rural Urgent Care LLC | Clinic/Center | 3039 Vaughn Road, Montgomery, AL 36106 | 2020-07-16 |
| 1548733306 | Bennett Family Dentistry, LLC | Dentist | 4270 Carmichael Road, Montgomery, AL 36106 | 2019-01-04 |
| 1588133854 | Lori Leanne Fail | Physical Therapist | 1615 Windsor Hill Court, Montgomery, AL 36106 | 2018-11-16 |
| 1073020749 | Charlene Richmond Harrell | Chiropractor | 2900 Zelda Rd., Suite A, Montgomery, AL 36106 | 2018-01-03 |
| 1780123109 | Montgomery Accident and Injury Center, Inc | Nurse Practitioner | 2900 Zelda Rd, Ste B, Montgomery, AL 36106 | 2017-02-17 |
| 1467843573 | Ernest Porterfield | Non-emergency Medical Transport (VAN) | 4183 Carmichael Road, Suite A, Montgomery, AL 36106 | 2015-02-11 |
| 1114334281 | Daniel Gerald O'bryant | Specialist/Technologist | 1160 Navarro Avenue, Montgomery, AL 36106 | 2014-07-21 |
| 1801213764 | Amanda Hodge | Specialist/Technologist | 4605 Cherry Tree Terrace, Montgomery, AL 36106 | 2014-03-27 |
| 1871861542 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1758 Park Pl Ste 102, Montgomery, AL 36106 | 2011-12-08 |
| 1578862546 | Helping Hands Preventitive Health Center | Community/Behavioral Health | 2015 Mulberry St, Montgomery, AL 36106 | 2011-03-16 |
| Find all providers in zip 36106 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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/certificatio - 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 |
|---|---|---|---|---|
| 1952945602 | East Montgomery Pediatrics LLC | Pediatrics | 337 St Lukes Drive, Montgomery, AL 36117 | 2019-11-05 |
| 1760914691 | Bradley Gilbert Marple | Pediatrics | 401 6th Ave Ste 101, Montgomery, WV 25136-2116 | 2017-03-30 |
| 1235527417 | John Henry Tholking | Pediatrics | 10064 Old Farm Ct, Montgomery, OH 45242-5926 | 2014-12-22 |
| 1578999256 | Wright Pediatrics, Pa | Pediatrics | 18924 Freeport Dr, Suite B, Montgomery, TX 77356-4589 | 2013-09-25 |
| 1912219387 | Pediatrics At Twilight,llc | Pediatrics | 128 Mitylene Park Ln, Montgomery, AL 36117-3758 | 2010-07-13 |
| 1942536867 | Gillis L. Payne, Jr., M.d., P.C. | Pediatrics | 7006 Fulton Court, Montgomery, AL 36117 | 2009-10-28 |
| 1699930784 | Linda L Kho | Pediatrics | 3183 Venetian Way, Montgomery, IL 60538-3454 | 2008-07-28 |
| 1457409955 | Shearlyn Deanne Peoples | Pediatrics | 1338 Biscayne Dr, Montgomery, AL 36116-2816 | 2007-01-08 |
| 1215008065 | Eddie Hao Uy | Pediatrics | 42d Medical Group, 300 S.twining St. Bldg 760, Montgomery, AL 36112-6219 | 2006-11-13 |
| 1386732642 | Rama Lakshmi Mukkamala | Pediatrics | 8160 Seaton Pl, Montgomery, AL 36116-7204 | 2006-10-11 |
| Find all providers in MONTGOMERY | ||||
| City | MONTGOMERY |
| Zip Code | 36106 |
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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.