LIBERTY MOUNTAIN PEDIATRICS, P.C. (NPI# 1487133898) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487133898 |
| Entity Type | Organization |
| Organization Name | LIBERTY MOUNTAIN PEDIATRICS, P.C. |
| Practice Address |
4600 Highway 280 Birmingham AL 35242-5028 |
| Practice Telephone | 2057901650 |
| Mailing Telephone | 2057901650 |
| Enumeration Date | 2018-08-08 |
| Last Update Date | 2018-08-08 |
| Authorized Official Name | GREGG WILLIAM THOMAS (ADMINISTRATOR) |
| Authorized Official Telephone | 2057091650 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Street Address |
4600 HIGHWAY 280 |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35242-5028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104812494 | Larisa Viktorovna Russell | Family Medicine | 4600 Highway 280, Birmingham, AL 35242-5028 | 2005-09-22 |
| 1215412283 | Medhelp Rx LLC | Pharmacy | 4600 Highway 280, Birmingham, AL 35242-5028 | 2018-09-26 |
| 1801336425 | Adam S Harris Md LLC | Specialist | 4600 Highway 280, Birmingham, AL 35242-5028 | 2017-03-01 |
| 1669768537 | Donald Blake Perry | Family Medicine | 4600 Highway 280, Birmingham, AL 35242-5028 | 2011-06-20 |
| 1639303506 | Jordan Frank Vaughn | Internal Medicine | 4600 Highway 280, Birmingham, AL 35242-5028 | 2009-05-07 |
| 1811136468 | Adam S Harris | Surgery | 4600 Highway 280, Birmingham, AL 35242-5028 | 2009-02-05 |
| 1881711471 | Greg Mckinney | Family Medicine | 4600 Highway 280, Birmingham, AL 35242-5028 | 2007-03-26 |
| 1710041777 | Elizabeth Currie Stevenson | Family Medicine | 4600 Highway 280, Birmingham, AL 35242-5028 | 2006-12-21 |
| 1174681654 | Med Help 280 LLC | Clinic/Center | 4600 Highway 280, Birmingham, AL 35242-5028 | 2006-12-05 |
| 1881624211 | James S. Faulkner Jr. | Orthopaedic Surgery | 4600 Highway 280, Suite 200, Birmingham, AL 35242 | 2006-07-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558960138 | A Friend of Mind | Behavioral Analyst | 5271 Harvest Ridge Ln, Birmingham, AL 35242 | 2020-10-23 |
| 1295347789 | Restore Therapy Services, Ltd | Physical Therapist | 6328 Farley Lane, Birmingham, AL 35242 | 2020-08-18 |
| 1447894175 | Publix Alabama, LLC | Durable Medical Equipment & Medical Supplies | 3201 Endeavor Lane, Vestavia Hills, AL 35242 | 2019-11-06 |
| 1952956468 | Publix Alabama, LLC | Durable Medical Equipment & Medical Supplies | 6219 Tattersall Blvd., Hoover, AL 35242 | 2019-08-02 |
| 1033670120 | Rachel Monahan -patterson | Registered Nurse | 7191 Cahaba Valley Road, Suite 300, Birmingham, AL 35242 | 2019-03-29 |
| 1891283818 | Elizabeth Mcrae | Counselor | 150 Glenwood Lane, Birmingham, AL 35242 | 2018-04-25 |
| 1326549429 | Mary Virginia Colvert | Nurse Practitioner | 200 Riverhill Business Park, #250, Birmingham, AL 35242 | 2018-02-23 |
| 1669980504 | Liberty Park Anesthesia Services, LLC | Nurse Anesthetist, Certified Registered | 1940 Stonegate Dr Ste 30, Vestavia Hls, AL 35242 | 2018-01-12 |
| 1942710983 | Southern Dental Sleep Specialists LLC | Clinic/Center | 4960 Valleydale Rd Ste 100, Birmingham, AL 35242 | 2017-10-04 |
| 1922526557 | Sarah Katherine Fleming | Specialist/Technologist | 1524 Southern Drive, Birmingham, AL 35242 | 2017-09-04 |
| Find all providers in zip 35242 | ||||
| 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 | 35242 |
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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.