KENNETH R. RETTIG (NPI# 1861431587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861431587 |
| Entity Type | Individual |
| Full Name | KENNETH R. RETTIG |
| Credential | MD |
| Practice Address |
1601 Center Street Ste 1s Mobile AL 36604-3207 |
| Mailing Address |
Po Box 40480 Mobile AL 36640-0480 |
| Practice Telephone | 2514105437 |
| Practice Fax Number | 2514343852 |
| Mailing Telephone | 2514105437 |
| Mailing Fax Number | 2514343852 |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2017-03-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0205X |
Pediatrics Specialization: Pediatric Endocrinology |
9210 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 000015487 | 05 | |
| MS | 00015345 | 05 | |
| FL | 255656100 | 05 | |
| LA | 1722634 | 05 | |
| AL | UNITED HEALTH CARE | 33-10016 | 01 |
| AL | BLUE CROSS | 51015487 | 01 |
| Street Address |
1601 CENTER STREET STE 1S |
| City | MOBILE |
| State | AL |
| Zip Code | 36604-3207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386625507 | Dean K Naritoku | Psychiatry & Neurology | 1601 Center Street, Ste. 2s, Mobile, AL 36604-1512 | 2005-11-07 |
| 1407201668 | William Cutchen | Student in an Organized Health Care Education/Training Program | 1601 Center Street, #n-3160, Mobile, AL 36604 | 2016-04-25 |
| 1689074668 | Emily Collins Moore | Nurse Practitioner | 1601 Center Street, Ste. 1s, Mobile, AL 36604-3207 | 2014-08-27 |
| 1780020206 | Amelia Ruth Hewes | Obstetrics & Gynecology | 1601 Center Street, Ste 3s, Mobile, AL 36604-1512 | 2013-05-13 |
| 1871729129 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 1601 Center Street, Suite 3h, Mobile, AL 36604-0000 | 2009-06-01 |
| 1720247075 | Haidee T. Custodio | Pediatrics | 1601 Center Street, Ste 1s, Mobile, AL 36604-3207 | 2008-06-03 |
| 1700066677 | Daniel Dees | Psychiatry & Neurology | 1601 Center Street, Ste 2s, Mobile, AL 36604-1512 | 2007-11-08 |
| 1053501049 | Stephanie Jeanine Anderson | Pediatrics | 1601 Center Street, Suite 1s, Mobile, AL 36604-1512 | 2007-07-26 |
| 1134323538 | Regena Simpson | Nurse Practitioner | 1601 Center Street, Ste 3s, Mobile, AL 36604-1512 | 2007-06-12 |
| 1639386733 | Anne-marie Dore Kaulfers | Pediatrics | 1601 Center Street, Ste 1s, Mobile, AL 36604-3207 | 2007-05-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013551449 | John F Kilpatrick | Social Worker | 1156 Springhill Avenue, Mobile, AL 36604 | 2019-10-29 |
| 1477036986 | Rachel Schneider | Specialist/Technologist | 1601 Center St Ste B, Mobile, AL 36604 | 2018-09-11 |
| 1891218194 | Transitional Care LLC | Nurse Practitioner | 1725 Springhill Avenue, Mobile, AL 36604 | 2017-07-19 |
| 1427404722 | Precision Orthotics & Prosthetics,llc | Durable Medical Equipment & Medical Supplies | 1557 Springhill Avenue, Mobile, AL 36604 | 2016-05-05 |
| 1851737746 | Robert P. Kobelja | Psychiatry & Neurology | 1601 Center St Ste 2s, Mobile, AL 36604 | 2013-05-17 |
| 1619233970 | Lisa Brown Bailey | Nurse Practitioner | 1700 Center Street--, Division of Neonatology, Mobile, AL 36604 | 2012-04-11 |
| 1023341773 | Rebecca Blankenhorn | Audiologist | 1610 Center St., Suite A, Mobile, AL 36604 | 2009-09-14 |
| 1700062684 | William-glenn Langley Hollingsworth | Counselor | 1156 Springhill Ave, Mobile, AL 36604 | 2008-01-10 |
| 1972715415 | Allison May Chung | Pharmacist | 1504 Springhill Dr, Rm 5225, Mobile, AL 36604 | 2007-05-04 |
| 1265504716 | Geriatric Specialists LLC | Internal Medicine | 1059 Palmetto St, Mobile, AL 36604 | 2006-11-13 |
| Find all providers in zip 36604 | ||||
| Taxonomy Code | 2080P0205X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Endocrinology |
| A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands. |
| 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/certification - 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 |
|---|---|---|---|---|
| 1437108305 | Samar K. Bhowmick | Pediatrics | 1610 Center St, Suite 1s, Mobile, AL 36604-1512 | 2006-05-09 |
| 1619535044 | Usa Health Physician Billing Services LLC | Pediatrics | 1601 Center St, Mobile, AL 36604-1541 | 2019-05-31 |
| 1760843239 | University of South Alabama | Pediatrics | 1601 Center St Ste 1s, Mobile, AL 36604-1541 | 2016-03-11 |
| 1447668942 | Whei Ying Lim | Pediatrics | 1601 Center St, Mobile, AL 36604-1541 | 2014-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760595912 | Joycelyn A Atchison | Pediatrics | 1940 Elmer J Bissell Rd, Birmingham, AL 35243-2941 | 2006-08-15 |
| 1497097547 | Christy Anne Foster | Pediatrics | 1600 7th Ave S, Birmingham, AL 35233 | 2013-03-26 |
| 1770840126 | Shelly Bowles Mercer | Pediatrics | 619 19th St S, Birmingham, AL 35249 | 2012-04-23 |
| 1457645301 | Giovanna C Beauchamp | Pediatrics | 1600 7th Ave S, Birmingham, AL 35233 | 2011-06-07 |
| 1215157300 | Uahsf Pediatric Endocrinology | Pediatrics | 1600 7th Ave S, Birmingham, AL 35233-1711 | 2007-04-30 |
| 1134232226 | Ambika P Ashraf | Pediatrics | 1600 7th Ave S, Birmingham, AL 35233-1711 | 2006-08-16 |
| 1952414187 | Hussein D Abdul-latif | Pediatrics | 1600 7th Ave S, Birmingham, AL 35233-1711 | 2006-08-15 |
| 1306959523 | Gail J Mick | Pediatrics | 1600 7th Ave S, Birmingham, AL 35233-1711 | 2006-08-15 |
| 1780797811 | Kenneth L Mccormick | Pediatrics | 1600 7th Ave S, Birmingham, AL 35233-1711 | 2006-08-15 |
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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.