GULF COAST PEDIATRICS, LLC (NPI# 1194011288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194011288 |
| Entity Type | Organization |
| Organization Name | GULF COAST PEDIATRICS, LLC |
| Practice Address |
5675 Three Notch Rd Ste C Mobile AL 36619-1617 |
| Mailing Address |
Po Box 191178 Mobile AL 36619-6178 |
| Practice Telephone | 2514454440 |
| Practice Fax Number | 2514454435 |
| Mailing Telephone | 2514454440 |
| Mailing Fax Number | 2514454435 |
| Enumeration Date | 2011-06-27 |
| Last Update Date | 2014-01-31 |
| Authorized Official Name | MICHELLE K NAMAN (MANAGING PARTNER) |
| Authorized Official Telephone | 2514454440 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 25929 | AL | Allopathic & Osteopathic Physicians |
| Street Address |
5675 THREE NOTCH RD STE C |
| City | MOBILE |
| State | AL |
| Zip Code | 36619-1617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184263816 | Julia Cheryl Tritch | Registered Nurse | 5130 Southbend Drive West, Mobile, AL 36619 | 2019-12-28 |
| 1386058311 | Monica Leigh Postage | Pharmacist | 5245 Rangeline Service Road South, Mobile, AL 36619 | 2014-06-18 |
| 1548604739 | Tillman's Corner Dental, P.C. | Dentist | 5659 Three Notch Rd., Mobile, AL 36619 | 2013-04-18 |
| 1417248410 | Quyen Nguyen | Pharmacist | 5440-a Highway 90 West, Mobile, AL 36619 | 2011-04-25 |
| 1760791909 | Brenetta M. Carraway | Pharmacist | 5451 Halls Mill Road, Suite 14, Mobile, AL 36619 | 2010-10-06 |
| 1881841419 | Virginia Leigh Childress | Physical Therapist | 5320 Us Hwy 90 Service Rd, Mobile, AL 36619 | 2008-08-26 |
| 1952457855 | Infirmary Occupational Health, PC | Preventive Medicine | 5320 Us Hwy 90 West, Mobile, AL 36619 | 2007-01-25 |
| 1417035676 | Leslie G Lovorn | Pharmacist | 5440 U.S. Highway 90 West, Mobile, AL 36619 | 2006-11-02 |
| 1427149947 | Foster Chiropractic Group, PC | Chiropractor | 4400 B Rangeline Rd, Mobile, AL 36619 | 2006-09-28 |
| 1306942628 | Mobile Family Care Center,inc | Family Medicine | 5560 Nevius Road, Mobile, AL 36619 | 2006-09-15 |
| Find all providers in zip 36619 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1881149557 | Child Behavioral Resources LLC | Pediatrics | 6304 Piccadilly Square Dr Ste 3, Mobile, AL 36609-5143 | 2016-08-23 |
| 1013327097 | Charlotte Steelman Macdonell | Pediatrics | 1601 Center St Ste 1n, Mobile, AL 36604-1541 | 2014-04-30 |
| 1912271834 | Mobile Pediatric Clinic LLC | Pediatrics | 1835 Old Shell Rd, Mobile, AL 36607-3416 | 2012-02-24 |
| 1376833319 | Nina Sheree Ford Johnson | Pediatrics | 4013c Airport Blvd, Mobile, AL 36608-2201 | 2011-04-11 |
| 1720305030 | Sonia Singh Grevenitis | Pediatrics | 6321 Piccadilly Square Dr Ste A, Mobile, AL 36609-5305 | 2010-04-26 |
| 1164746806 | Jennifer Gremse Adair | Pediatrics | 3920 Airport Blvd., Mobile, AL 36608-1622 | 2010-03-24 |
| 1538366190 | Nancy Oppenheimer Wood | Pediatrics | 610 Providence Park Dr E Ste 201, Mobile, AL 36695-4615 | 2007-06-28 |
| 1932311917 | Kimberly Allison Cole | Pediatrics | 1700 Center Street, Mobile, AL 36608 | 2007-05-04 |
| Find all providers in MOBILE | ||||
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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.