NPIMap

Organization Active NPI

Just Kidz Medical LLC

  • Pediatric Adolescent Medicine Physician
  • Mobile, AL
National Provider Identifier
1285960674
Registry record updated Dec 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
16971 Issued in AL
Legal business name
JUST KIDZ MEDICAL LLC
Practice address
5466 Old Shell Rd
Ste. a
Mobile, AL 36608-3046
Phone
(251) 382-1878
Fax
(888) 229-2558
NPI assigned
Oct 20, 2009
Last updated
Dec 8, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2011

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

Authorized official

Name
Nasir Ahmed Awan
Title
Member
Phone
(251) 382-1878

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080A0000X 16971 AL Primary

Addresses

Primary practice location

5466 Old Shell Rd
Ste. a
Mobile, AL 36608-3046

Mailing address

PO Box 82229
Mobile, AL 36689-2229
Phone (251) 382-1878

National Provider Directory

National Provider Directory

Locations

5466 Old Shell Rd
#A
Mobile, AL 36608
Phone (251) 382-1878

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1255996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323302400000",
    "number": "1285960674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 82229",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366892229",
            "telephone_number": "251-382-1878",
            "fax_number": "888-229-2558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5466 OLD SHELL RD",
            "address_2": "STE. A",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366083046",
            "telephone_number": "251-382-1878",
            "fax_number": "888-229-2558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUST KIDZ MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-20",
        "last_updated": "2011-12-08",
        "status": "A",
        "authorized_official_last_name": "AWAN",
        "authorized_official_first_name": "NASIR",
        "authorized_official_middle_name": "AHMED",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "251-382-1878"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "AL",
            "license": "16971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2011; 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.