Individual provider Active NPI

Elizabeth Maureen Orr, M.D.

  • Pediatrics Physician
  • Fairhope, AL
National Provider Identifier
1003108150
Registry record updated Dec 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
33393 Issued in AL
Practice address
150 S Ingleside St Ste 7
Fairhope, AL 36532-1804
Phone
(251) 928-0624
Fax
(251) 928-0655
NPI assigned
May 9, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 33393 AL Primary

Addresses

Primary practice location

150 S Ingleside St Ste 7
Fairhope, AL 36532-1804

Mailing address

150 S Ingleside St Ste 7
Fairhope, AL 36532-1804
Phone (251) 928-0624

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210505002723 AL Practitioner - Pediatric Medicine 1951710870 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
33393ALMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Shore Children'S Clinic, P.C. Single Specialty CurrentSince Apr 7, 2021 Accepting new patients
Eastern Shore Children'S Clinic Single Specialty CurrentSince Apr 7, 2021 Accepting new patients

Locations

150 S Ingleside St
#7
Fairhope, AL 36532
Phone (251) 928-0624

9603 Stagecoach Commercial Park Cir
Spanish Fort, AL 36527
Phone (251) 928-0624

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1304899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512691200000",
    "number": "1003108150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 S INGLESIDE ST STE 7",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365321804",
            "telephone_number": "251-928-0624",
            "fax_number": "251-928-0655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 S INGLESIDE ST STE 7",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365321804",
            "telephone_number": "251-928-0624",
            "fax_number": "251-928-0655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORR",
        "first_name": "ELIZABETH",
        "middle_name": "MAUREEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-09",
        "last_updated": "2017-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "AL",
            "license": "33393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairhope, AL

Sources for this page

Verify at the official NPI Registry.