MONTGOMERY PEDIATRICS (NPI# 1548890221) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548890221 |
| Entity Type | Organization |
| Organization Name | MONTGOMERY PEDIATRICS |
| Practice Address |
401 6th Ave Montgomery WV 25136-2116 |
| Mailing Address |
Po Box 270 Montgomery WV 25136-0270 |
| Practice Telephone | 3044425151 |
| Practice Fax Number | 3044427494 |
| Mailing Telephone | 3044425151 |
| Mailing Fax Number | 3044427494 |
| Enumeration Date | 2020-01-22 |
| Last Update Date | 2020-01-22 |
| Authorized Official Name | DONNA RAYNES (EXECUTIVE ASSISTANT) |
| Authorized Official Telephone | 3044425151 |
| Is Organization Subpart | Y |
| Parent Organization Name | MONTGOMERY GENERAL HOSPITAL, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Street Address |
401 6TH AVE |
| City | MONTGOMERY |
| State | WV |
| Zip Code | 25136-2116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144226424 | Fred L Akerberg | Family Medicine | 401 6th Ave, # D303, Montgomery, WV 25136-2116 | 2005-06-22 |
| 1275163644 | Montgomery Physicians Clinic | Family Medicine | 401 6th Ave, Montgomery, WV 25136-2116 | 2020-01-24 |
| 1023671310 | Kara Shae Criswell | Pediatrics | 401 6th Ave, Montgomery, WV 25136-2116 | 2019-04-22 |
| 1043672884 | Aaron Bailey | Physician Assistant | 401 6th Ave, Montgomery, WV 25136-2116 | 2016-03-22 |
| 1013372531 | Montgomery Gen Cahgrp | Family Medicine | 401 6th Ave, Montgomery, WV 25136-2116 | 2015-12-29 |
| 1992100010 | Montgomery Gen Cahgrp | Family Medicine | 401 6th Ave, Montgomery, WV 25136-2116 | 2014-10-31 |
| 1831503655 | Ghassan Y. Dagher | Optometrist | 401 6th Ave, Suite 110, Montgomery, WV 25136-2116 | 2014-06-19 |
| 1891108502 | Katie Carpenter | Physician Assistant | 401 6th Ave, Montgomery, WV 25136-2116 | 2014-06-10 |
| 1184041865 | Laura Sheets | Occupational Therapy Assistant | 401 6th Ave, Montgomery, WV 25136-2116 | 2014-03-19 |
| 1598100539 | Foot and Ankle Clinic of The Virginias Inc | Podiatrist | 401 6th Ave, Montgomery, WV 25136-2116 | 2013-05-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861618738 | Saghir Ur Rehman Mir | Orthopaedic Surgery | 401 6th Avenue, Suite 302, Montgomery, WV 25136 | 2007-04-18 |
| 1871684324 | Montgomery General Hospital, Inc. | Skilled Nursing Facility | 401 Sixth Avenue, Montgomery, WV 25136 | 2006-09-28 |
| 1124070149 | Adin Lim Timbayan | General Practice | 411 Washington St, Montgomery, WV 25136 | 2006-05-17 |
| 1902350275 | Willard Truman Long Jr. | Social Worker | 410 Ferry St, Montgomery, WV 25136 | 2016-08-04 |
| 1922160787 | Adin L Timbayan Md Inc | General Practice | 411 Washington St, Montgomery, WV 25136 | 2006-12-15 |
| 1245281195 | Victoria Santos Timbayan | General Practice | 411 Washington St, Montgomery, WV 25136 | 2006-05-15 |
| 1063591816 | Karon Rae Myers | Registered Nurse | 401 Sixth Avenue, Montgomery General Hospital, Montgomery, WV 25136-0270 | 2006-11-03 |
| 1467614933 | Arpan Kohli | Student in an Organized Health Care Education/Training Program | 420 3rd Ave, Montgomery, WV 25136-2101 | 2008-06-26 |
| 1437525714 | Bio-medical Applications of West Virginia, Inc. | Clinic/Center | 506 3rd Ave, Montgomery, WV 25136-2102 | 2015-08-20 |
| 1447311451 | Kennedy Dental Office | Dentist | 410 4th Ave, Montgomery, WV 25136-2105 | 2006-12-13 |
| Find all providers in zip 25136 | ||||
| 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 |
|---|---|---|---|---|
| 1952945602 | East Montgomery Pediatrics LLC | Pediatrics | 337 St Lukes Drive, Montgomery, AL 36117 | 2019-11-05 |
| 1760914691 | Bradley Gilbert Marple | Pediatrics | 401 6th Ave Ste 101, Montgomery, WV 25136-2116 | 2017-03-30 |
| 1235527417 | John Henry Tholking | Pediatrics | 10064 Old Farm Ct, Montgomery, OH 45242-5926 | 2014-12-22 |
| 1578999256 | Wright Pediatrics, Pa | Pediatrics | 18924 Freeport Dr, Suite B, Montgomery, TX 77356-4589 | 2013-09-25 |
| 1912219387 | Pediatrics At Twilight,llc | Pediatrics | 128 Mitylene Park Ln, Montgomery, AL 36117-3758 | 2010-07-13 |
| 1942536867 | Gillis L. Payne, Jr., M.d., P.C. | Pediatrics | 7006 Fulton Court, Montgomery, AL 36117 | 2009-10-28 |
| 1699930784 | Linda L Kho | Pediatrics | 3183 Venetian Way, Montgomery, IL 60538-3454 | 2008-07-28 |
| 1457409955 | Shearlyn Deanne Peoples | Pediatrics | 1338 Biscayne Dr, Montgomery, AL 36116-2816 | 2007-01-08 |
| 1215008065 | Eddie Hao Uy | Pediatrics | 42d Medical Group, 300 S.twining St. Bldg 760, Montgomery, AL 36112-6219 | 2006-11-13 |
| 1386732642 | Rama Lakshmi Mukkamala | Pediatrics | 8160 Seaton Pl, Montgomery, AL 36116-7204 | 2006-10-11 |
| Find all providers in MONTGOMERY | ||||
| City | MONTGOMERY |
| Zip Code | 25136 |
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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.