PROVIDENCE MEDICAL GROUP - PEDIATRICS – NPI #1730613431
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.

PROVIDENCE MEDICAL GROUP - PEDIATRICS is a provider located in MOBILE, AL. NPPES has assigned the NPI number 1730613431 to PROVIDENCE MEDICAL GROUP - PEDIATRICS on April 19, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “PROVIDENCE MEDICAL GROUP - PEDIATRICS” is a dba name, the actual legal business name for this organization is ALABAMA PROVIDENCE HEALTHCARE SERVICES. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 7 years ago on Feb 15, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PROVIDENCE MEDICAL GROUP - PEDIATRICS below.

NPI Profile for
ALABAMA PROVIDENCE HEALTHCARE SERVICES

NPI Number
1730613431
Enumeration Date

(more than 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ALABAMA PROVIDENCE HEALTHCARE SERVICES
Doing Business As (dba): PROVIDENCE MEDICAL GROUP - PEDIATRICS
Primary location
6908 PROVIDENCE PARK DR S
MOBILE, AL 36695-4600
Phone: (251) 660-3490 Fax: (251) 660-3491
Mailing address
PO BOX 850489
MOBILE, AL 36685-0489
Phone: (251) 342-3949 Fax: (251) 631-3361
Organization Subpart
No
Authorized Official
YESICA VIEYRA
CREDENTIALING SPECIALIST
Phone: (205) 939-7633
Updated
Identifiers

Identifiers for PROVIDENCE MEDICAL GROUP - PEDIATRICS

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDAL156183
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208000000X
- Pediatrics (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.