Active NPI
Francisco Huidor, MD
- Pediatrics Physician
- Jasper, AL
National Provider Identifier
1336104918
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(4) exclusion effective Oct 20, 2016.
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 25202
- Practice address
- 3400 Highway 78 E
Suite 318
Jasper, AL 35501-8907 - Phone
- (205) 221-4801
- Fax
- (205) 221-4802
- NPI assigned
- Apr 18, 2006
- Last updated
- Jul 29, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 25202 | AL | Primary |
Addresses
Primary practice location
3400 Highway 78 E
Suite 318
Jasper, AL 35501-8907
Mailing address
3400 Highway 78 E
Suite 318
Jasper, AL 35501-8907
Phone (205) 221-4801
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009975355 | Medicaid | AL | |
| 510-00219 | Other | AL | BLUE CROSS/BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25202 | AL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| James Greg Wilbanks | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217289600000",
"number": "1336104918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 HIGHWAY 78 E",
"address_2": "SUITE 318",
"city": "JASPER",
"state": "AL",
"postal_code": "355018907",
"telephone_number": "205-221-4801",
"fax_number": "205-221-4802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 HIGHWAY 78 E",
"address_2": "SUITE 318",
"city": "JASPER",
"state": "AL",
"postal_code": "355018907",
"telephone_number": "205-221-4801",
"fax_number": "205-221-4802"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUIDOR",
"first_name": "FRANCISCO",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-18",
"last_updated": "2008-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AL",
"license": "25202",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009975355",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "510-00219",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jasper, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.