Provider Type Icon

PEDIATRIC SPECIALISTS OF MONTGOMERY L.L.C. NPI 1891766762


NPI Information

NPI: 1891766762
Provider Name: PEDIATRIC SPECIALISTS OF MONTGOMERY, L.L.C.
Classification: Pediatrics - 2080P0202X
Entity Type: Organization

Specialization: Pediatric Cardiology

Address:
239 MITYLENE PARK DR
MONTGOMERY, AL
ZIP 36117
Phone: (334) 612-2111
Get Directions

PEDIATRIC SPECIALISTS OF MONTGOMERY, L.L.C. is a pediatric cardiology pediatrics in Montgomery, AL. The provider is a pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. PEDIATRIC SPECIALISTS OF MONTGOMERY, L.L.C. NPI is 1891766762. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

239 MITYLENE PARK DR
MONTGOMERY, AL
ZIP 36117-547
Phone: (334) 612-2111
Fax: (334) 612-2166

The provider's authorized official is Meredith Daffin .
The authorized official title is Administrator and has the following contact phone number (334) 612-2111.

The enumeration date for this NPI number is 1/30/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080P0202XPediatricsPediatric Cardiology16678ALABAMAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.