PEDIATRIC ASSOCIATES OF ALEXANDER CITY PC (NPI# 1144284084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144284084 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC ASSOCIATES OF ALEXANDER CITY PC |
| Practice Address |
1962 Cherokee Rd Alexander City AL 35010-3437 |
| Mailing Address |
Po Box 1269 Alexander City AL 35011-1269 |
| Practice Telephone | 2562345021 |
| Practice Fax Number | 2562345640 |
| Mailing Telephone | 2562345021 |
| Mailing Fax Number | 2562345640 |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2019-09-25 |
| Authorized Official Name | ERIC OWEN TYLER (PRESIDENT/CEO) |
| Authorized Official Telephone | 2562345021 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities | ||
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 528501050 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952952541 | Pediatric Associates of Alexander City PC | Clinic/Center | 21 Coosa County Road 50, Kellyton, AL 35089-1900 | 2019-09-25 |
| Street Address |
1962 CHEROKEE RD |
| City | ALEXANDER CITY |
| State | AL |
| Zip Code | 35010-3437 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720590409 | Ashley Lane Eden | Pediatrics | 1962 Cherokee Rd, Alexander City, AL 35010-3437 | 2017-11-02 |
| 1881658706 | Eric Owen Tyler | Pediatrics | 1962 Cherokee Rd, Alexander City, AL 35010-3437 | 2006-04-17 |
| 1912961830 | Kathryn Ann Lashley | Nurse Practitioner | 1962 Cherokee Rd, Alexander City, AL 35010-3437 | 2006-04-17 |
| 1558325308 | Arnold J Tauro | Pediatrics | 1962 Cherokee Rd, Alexander City, AL 35010-3437 | 2006-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518216 | Acaf of East Alabama, LLC | Home Health | 2056 Cherokee Road, Alexander City, AL 35010 | 2020-11-04 |
| 1982240941 | Heritage Pediatrics LLC | Pediatrics | 3358 Highway 280, Suite 108, Alexander City, AL 35010 | 2019-11-25 |
| 1902330251 | Evelyn Angels Health Care LLC | In Home Supportive Care | 2508 Countyr Rd, Alexander City, AL 35010 | 2017-04-13 |
| 1104279504 | Rural Urgent Care LLC | Clinic/Center | 2508 Hwy 280, Alexander City, AL 35010 | 2016-07-20 |
| 1881849024 | Russell Medical Center | Pharmacy | Us Hwy 280 By-pass, Alexander City, AL 35010 | 2008-12-01 |
| 1710142773 | Chante Mitchell Ruffin | Pediatrics | 1962 Cherokee Road, Alexander City, AL 35010 | 2008-07-18 |
| 1790998508 | John Coley Blythe | Internal Medicine | 3185 Highway 22 West, Alexander City, AL 35010 | 2007-05-08 |
| 1518098060 | Tso and Young PC | Dentist | 659 Alex City Shopping Center Dr, Alexander City, AL 35010 | 2007-03-08 |
| 1750423174 | Carlisle Drug Co. Inc | Pharmacy | 839 Airport Dr. Suite 101, Alexander City, AL 35010 | 2007-02-13 |
| 1407917743 | Ruth S Nabors | Anesthesiology | 3316 Us Hwy 280, Alexander City, AL 35010 | 2006-12-12 |
| Find all providers in zip 35010 | ||||
| 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 |
|---|---|---|---|---|
| 1982240941 | Heritage Pediatrics LLC | Pediatrics | 3358 Highway 280, Suite 108, Alexander City, AL 35010 | 2019-11-25 |
| 1710142773 | Chante Mitchell Ruffin | Pediatrics | 1962 Cherokee Road, Alexander City, AL 35010 | 2008-07-18 |
| 1053321281 | Billy Brandon Sellers Jr. | Pediatrics | 5030 Highway 280, Suite D, Alexander City, AL 35010-7217 | 2006-08-09 |
| 1720590409 | Ashley Lane Eden | Pediatrics | 1962 Cherokee Rd, Alexander City, AL 35010-3437 | 2017-11-02 |
| 1396756730 | Bbsmd PC | Pediatrics | 125 Alison Dr, Suite 5, Alexander City, AL 35010-4469 | 2006-08-10 |
| 1881658706 | Eric Owen Tyler | Pediatrics | 1962 Cherokee Rd, Alexander City, AL 35010-3437 | 2006-04-17 |
| 1558325308 | Arnold J Tauro | Pediatrics | 1962 Cherokee Rd, Alexander City, AL 35010-3437 | 2006-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811595226 | Sunshine Pediatrics, LLC | Pediatrics | 3983 Nash Creek Dr, Opelika, AL 36804-4859 | 2020-10-16 |
| 1922615749 | Smart Care, LLC | Pediatrics | 801 North St E, Talladega, AL 35160-2529 | 2020-09-25 |
| 1124667415 | Brittany Johnson Mccullough | Pediatrics | 134 Foothills Pkwy, Chelsea, AL 35043-8179 | 2020-01-03 |
| 1952945602 | East Montgomery Pediatrics LLC | Pediatrics | 337 St Lukes Drive, Montgomery, AL 36117 | 2019-11-05 |
| 1326699190 | Kids Cove Pediatrics | Pediatrics | 19 Abby Glen Way, Gurley, AL 35748-8035 | 2019-09-24 |
| 1386290781 | Deshazo Medical | Pediatrics | 4387 Boulder Lake Cir, Vestavia, AL 35242-2116 | 2019-08-13 |
| 1477013720 | Decatur Morgan Pediatrics | Pediatrics | 1215 7th St Se Ste 210, Decatur, AL 35601-3385 | 2019-03-22 |
| 1801367107 | Tera Walters Therapy LLC | Pediatrics | 2523 D'iberville Drive North, Mobile, AL 36695 | 2018-12-12 |
| 1629573928 | Kaitlyn Brown Parker | Pediatrics | 2451 Usa Medical Center Dr Rm 714, Mobile, AL 36617-2300 | 2018-03-28 |
| 1114438462 | Tamara Morris Sheffield | Pediatrics | 1965 Al Highway 157 Ste B, Cullman, AL 35058-0672 | 2017-10-13 |
| Find all providers with the same taxonomy | ||||
| City | ALEXANDER CITY |
| Zip Code | 35010 |
Please comment or provide details below to improve the information on PEDIATRIC ASSOCIATES OF ALEXANDER CITY PC.
| 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.