Health Support Services Inc

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

HEALTH SUPPORT SERVICES INC

Doing business as

Pediatrics By The Bay

Practice address

7101 Highway 90
Suite 204
Daphne, AL 36526

Phone

(251) 625-8260

Fax

(251) 625-8264

NPI assigned

Jul 14, 2006

Organization subpart

No

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

Authorized official

Name

Raymond D a Peterson, MD

Title

Owner Physician

Phone

(251) 625-8260

Specialties & licenses 1

Addresses

Other names 1

• Pediatrics By The Bay Doing business as

Locations

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196294400000",
    "number": "1033135231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7101 HIGHWAY 90",
            "address_2": "SUITE 204",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "36526",
            "telephone_number": "251-625-8260",
            "fax_number": "251-625-8264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7101 HIGHWAY 90",
            "address_2": "SUITE 204",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "36526",
            "telephone_number": "251-625-8260",
            "fax_number": "251-625-8264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH SUPPORT SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2007-11-29",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "D A",
        "authorized_official_title_or_position": "OWNER PHYSICIAN",
        "authorized_official_telephone_number": "251-625-8260",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatrics By The Bay",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amanda Hartgrove, LGSW
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• Latisha Lashay Henderson

• Pediatrics Physician in Daphne, AL
• Providers in Daphne, AL by specialty
• Pediatrics Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.