DR. KAICEE PONDS RICHARDSON (NPI# 1255770533) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255770533 |
| Entity Type | Individual |
| Full Name | DR. KAICEE PONDS RICHARDSON |
| Credential | M.D. |
| Practice Address |
1060 Fairfax Park Ste C Tuscaloosa AL 35406-2837 |
| Practice Telephone | 2057527337 |
| Practice Fax Number | 2057528013 |
| Mailing Telephone | 2057527337 |
| Mailing Fax Number | 2057528013 |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 36303 | AL | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 35996 | SC | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 57 Jessamine Ave, Georgetown, SC 294405837 | 8435468686 |
| Street Address |
1060 FAIRFAX PARK STE C |
| City | TUSCALOOSA |
| State | AL |
| Zip Code | 35406-2837 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245872589 | Kristyn Nicole Junkin | Registered Nurse | 1060 Fairfax Park Ste C, Tuscaloosa, AL 35406-2837 | 2019-10-08 |
| 1487202917 | Jerri Lynn Carlisle | Registered Nurse | 1060 Fairfax Park Ste C, Tuscaloosa, AL 35406-2837 | 2019-08-28 |
| 1154987345 | Katherine S Zieman | Clinical Nurse Specialist | 1060 Fairfax Park Ste C, Tuscaloosa, AL 35406-2837 | 2019-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134757735 | Susan Tingle Mills | Counselor | 1470 Northbank Parkway, Tuscaloosa, AL 35406 | 2020-03-30 |
| 1508416314 | Carehere LLC | Family Medicine | Carehere Clinic-mercedes Tuscaloosa Health and Wellness, 971 Fairfax Park, Suite B, Tuskaloosa, AL 35406 | 2019-09-13 |
| 1093275364 | Medfusions | Nurse Anesthetist, Certified Registered | 120 Rice Mine Road N, Tuscaloosa, AL 35406 | 2019-03-22 |
| 1891144259 | Gregory Chad Green, Od, PC | Optometrist | 1490 Northbank Parkway, Suite 120, Tuscaloosa, AL 35406 | 2016-06-07 |
| 1164767083 | First Care LLC | Clinic/Center | 1251 Mcfarland Blvd. Ne, Tuscaloosa, AL 35406 | 2012-12-04 |
| 1144520487 | Ladonna Demetrice Snider | Registered Nurse | 825 Rice Mine Road No., Tuscaloosa, AL 35406 | 2010-11-02 |
| 1699923102 | Nancy M. Tactuk Romanenko | Internal Medicine | 1015 Rice Valley Rd N, Tuscaloosa, AL 35406 | 2008-09-09 |
| 1912042433 | Patrick Bruce Atkins | Psychiatry & Neurology | 1649 Mcfarland Boulevard North, Suite 201, Tuscaloosa, AL 35406 | 2007-02-21 |
| 1073663555 | Mark Linden Prohaska | Clinical Neuropsychologist | 100 Rice Mine Road, Suite 303, Tuscaloosa, AL 35406 | 2007-01-10 |
| 1225197155 | Jane Watkins Phd | Counselor | 150 Rice Mine Road, Suite B, Tuscalcosa, AL 35406 | 2006-12-06 |
| Find all providers in zip 35406 | ||||
| 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 |
|---|---|---|---|---|
| 1205282761 | Amber Michelle Beg | Pediatrics | 1229 Newport Dr, Tuscaloosa, AL 35406-2604 | 2016-05-13 |
| 1639225832 | Philip Morgan Phillips Jr. | Pediatrics | 1800 Rice Mine Rd N, Tuscaloosa, AL 35406-2383 | 2007-01-28 |
| 1437262698 | Mary Allison Cunningham | Pediatrics | 4880 Harkey Ln, Tuscaloosa, AL 35406-2863 | 2006-08-15 |
| 1710957394 | Ashley Evans | Pediatrics | 2731 Martin Luther King Blvd, Tuscaloosa, AL 35401-5235 | 2006-01-25 |
| 1376986059 | Sara Boutwell Phillips | Pediatrics | 850 Peter Bryce Blvd, Tuscaloosa, AL 35401-7419 | 2013-04-11 |
| 1700139664 | Faye Knowles | Pediatrics | 2731 Martin Luther King Blvd, Tuscaloosa, AL 35401-5235 | 2012-10-17 |
| 1356640817 | Michelle Murphree Parchman | Pediatrics | 4880 Harkey Ln, Tuscaloosa, AL 35406-2863 | 2011-03-23 |
| 1518175652 | Megan W Mcgiffert | Pediatrics | 4880 Harkey Ln, Tuscaloosa, AL 35406-2863 | 2007-05-21 |
| 1447371026 | Heather Marie Taylor | Pediatrics | 850 Peter Bryce Blvd, Tuscaloosa, AL 35401-7419 | 2007-04-02 |
| 1811057003 | Bruce A Petitt | Pediatrics | 1060 Fairfax Park, Suite C, Tuscaloosa, AL 35406-2806 | 2006-12-11 |
| Find all providers in TUSCALOOSA | ||||
| City | TUSCALOOSA |
| Zip Code | 35406 |
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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.