Marion Pediatric Clinic

Primary specialty

SpecialistTaxonomy code 174400000X

License

200001405473 Issued in NC

Legal business name

MARION PEDIATRIC CLINIC

Practice address

31 E Medical CT Ste 1
Marion, NC 28752-4969

Phone

(828) 652-6386

NPI assigned

May 7, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Shamshed Ali, M.D.

Title

Doctor of Pediatrics

Phone

(828) 652-6386

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285847459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 E MEDICAL CT STE 1",
            "city": "MARION",
            "state": "NC",
            "postal_code": "287524969",
            "telephone_number": "828-652-6386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 E MEDICAL CT STE 1",
            "city": "MARION",
            "state": "NC",
            "postal_code": "287524969",
            "telephone_number": "828-652-6386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARION PEDIATRIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "SHAMSHED",
        "authorized_official_title_or_position": "DOCTOR OF PEDIATRICS",
        "authorized_official_telephone_number": "828-652-6386",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NC",
            "license": "200001405473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8902077",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Faith Lyons, LCSWA
• Elizabeth Merrill Mackinnon, NP-C
• Chasity Majoni, LCSW
• Taylor Lynn Maltba
• Zed Alex Mansfield, P.A.-C
• Marion Pediatrics and Adolescents
• Marion Pharmacy Inc Long Term Care Only
• Marion Wellness and Disease Management PLLC
• Melissa Olinger Marlowe
• Mollie Marsh

• All providers in Marion, NC
• Specialist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.