SOUTHLAKE PEDIATRICS, INC. (NPI# 1144315250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144315250 |
| Entity Type | Organization |
| Organization Name | SOUTHLAKE PEDIATRICS, INC. |
| Practice Address |
4515 Southlake Parkway Suite 202 Birmingham LA 35244-3317 |
| Practice Telephone | 2059822500 |
| Practice Fax Number | 2059822574 |
| Mailing Telephone | 2059822500 |
| Mailing Fax Number | 2059822574 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2007-08-29 |
| Authorized Official Name | DR. ANDREW N MCCOWN (PHYSICIAN/DIRECTOR) |
| Authorized Official Telephone | 2059822500 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 16701 | AL | Allopathic & Osteopathic Physicians |
| Street Address |
4515 SOUTHLAKE PARKWAY SUITE 202 |
| City | BIRMINGHAM |
| State | LA |
| Zip Code | 35244-3317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124113501 | John Christopher Davis | Otolaryngology | 4515 Southlake Parkway, Suite 300, Birmingham, AL 35244 | 2006-10-03 |
| 1982790572 | Robert James Sciacca | Otolaryngology | 4515 Southlake Parkway, Suite 300, Birmingham, AL 35244 | 2006-10-04 |
| 1851485445 | Alabama Ent Associates, P.C. | Otolaryngology | 4515 Southlake Parkway, Suite 300, Birmingham, AL 35244 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720691991 | Husam Jebril | Pharmacist | 5445 Park Side Road, Hoover, AL 35244 | 2020-08-27 |
| 1588272546 | Tyana Thomas | Behavior Technician | 1820 Southpark Dr, Hoover, Al 35244, Hoover, AL 35244 | 2020-07-16 |
| 1912520115 | Magic City Physical Therapy | Home Health | 1217 Willow Leaf Circle, Birmingham, AL 35244 | 2020-05-21 |
| 1851941660 | Carehere LLC | Family Medicine | Carehere Clinic- Mercedes Hoover, 130 Riverchase Parkway East, Hoover, AL 35244 | 2019-09-13 |
| 1033690888 | Danielle Waldrep Rich | Speech-Language Pathologist | 605 Russet Lake Drive, Hoover, AL 35244 | 2018-08-28 |
| 1699253559 | Lauren M Martinez | Social Worker | 2524 Valleydale Rd. Suite 100, Birmingham, AL 35244 | 2018-08-02 |
| 1982110284 | Regenerative Medical Institute for Pain & Neuropathy, LLC | Plastic Surgery | 1849 Data Dr Ste 1, Hoover, AL 35244 | 2017-12-21 |
| 1891217014 | Kristen Michelle Woods | Counselor | 3825 Lorna Rd Ste 240, Birmingham, AL 35244 | 2017-07-10 |
| 1255868170 | Home Sweet Home Senior Care | Home Health | 1 Chase Corporate Drive, Suite 400, Birmingham, AL 35244 | 2017-05-23 |
| 1801347455 | Megan Sarah St John | Nurse Practitioner | 2321 Alabama Highway 150, Birmingham, AL 35244 | 2016-10-19 |
| Find all providers in zip 35244 | ||||
| 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 |
|---|---|---|---|---|
| 1518488253 | Ananya Manchikalapati | Pediatrics | 1600 5th Ave S Ste 102, Birmingham, AL 35233-1700 | 2017-07-03 |
| 1194254490 | Maggie Lawrence | Pediatrics | 1601 7th Ave S, Birmingham, AL 35233-1710 | 2017-06-08 |
| 1154855807 | Margaret Elaine Wester | Pediatrics | 1600 7th Ave S Fl 4, Birmingham, AL 35233-1711 | 2017-04-19 |
| 1477085629 | Abbey Rocco | Pediatrics | 1600 7th Ave S Bldg Suite512, Birmingham, AL 35233-1711 | 2017-03-28 |
| 1548647407 | Anastasia T Nelson | Pediatrics | 3729 Mary Taylor Road, Birmingham, AL 35235 | 2015-04-29 |
| 1649666785 | Stephen T Clark | Pediatrics | 1700 6th Ave S # Wic9100, Birmingham, AL 35233 | 2015-04-14 |
| 1407242712 | James Raphael Statler | Pediatrics | 1600 7th Ave S # 110, Birmingham, AL 35233-1711 | 2015-04-13 |
| 1376954271 | Rona Lynzee Head | Pediatrics | 1600 7th Ave S Ste 210, Birmingham, AL 35233 | 2014-05-13 |
| 1992140784 | Erica Christen Bjornstad | Pediatrics | 1600 7th Ave S # 516, Birmingham, AL 35233 | 2013-05-07 |
| 1255686523 | John Cocoris | Pediatrics | 4334 Kennesaw Drive, Birmingham, AL 35213 | 2012-07-23 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35244 |
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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.