North Jefferson Pediatrics in Gardendale - Specialist
North Jefferson Pediatrics - NPI 1104012137
North Jefferson Pediatrics is a Specialist in Gardendale, Alabama. North Jefferson Pediatrics practices all healthcare services and medical treatments related to Specialist. The NPI Number for North Jefferson Pediatrics is 1104012137. The last update date is 2018-06-16.
North Jefferson Pediatrics's current location address is 934 Grubbs Ave, Gardendale, Alabama. You can contact this provider via phone number 2056081233. The mailing address for North Jefferson Pediatrics is 934 Grubbs Ave, Gardendale, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | North Jefferson Pediatrics |
|---|---|
| Address | 934 Grubbs Ave, Gardendale, Alabama |
| Phone Number | 2056081233 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DOCTOR |
|---|---|
| Authorized Official Name | Savany N Fadell |
| Telephone Number | 2056081233 |
NPI Number Detail
| NPI Number | 1104012137 |
|---|---|
| Provider Enumeration Date | 2007-09-24 |
| Last Updated Date | 2018-06-16 |
Provider Mailing Address Detail
| Address | 934 Grubbs Ave |
|---|---|
| City | Gardendale |
| State | Alabama (AL) |
| Post Code | 350712637 |
| Phone Number | 2056081233 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 17781 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| F93530 | AL | VIVA | |
| 529900190 | AL | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to North Jefferson Pediatrics by the Centers for Medicare & Medicaid Services?
The North Jefferson Pediatrics has been assigned the NPI (National Provider Identifier) 1104012137 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of North Jefferson Pediatrics?
The North Jefferson Pediatrics is physically situated at 934 Grubbs Ave, in the city of Gardendale, state of AL, with the postal code 350712637.
What is North Jefferson Pediatrics's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for North Jefferson Pediatrics is Specialist, and the taxonomy classification code that categorizes this area of expertise is 174400000X.
On what date did the North Jefferson Pediatrics receive its 1104012137 assignment from the Centers for Medicare & Medicaid Services?
The North Jefferson Pediatrics was assigned its 1104012137 by the Centers for Medicare & Medicaid Services on 2007-09-24.
When was the information pertaining to North Jefferson Pediatrics most recently updated or revised?
The details related to North Jefferson Pediatrics, including its address, specialty, and other relevant information, were last updated or revised on 2018-06-16.