NPIMap

Organization Active NPI

Coosa Valley Pediatrics

  • Pediatrics Physician
  • Sylacauga, AL
National Provider Identifier
1356531099
Registry record updated Jul 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
28055 Issued in AL
Legal business name
COOSA VALLEY PEDIATRICS
Practice address
209 W Spring St
Suite 304
Sylacauga, AL 35150-2973
Phone
(256) 208-0060
NPI assigned
Jul 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2007

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

Authorized official

Name
David W Hardy, M.D.
Title
President
Phone
(256) 208-0060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 28055 AL Primary

Addresses

Primary practice location

209 W Spring St
Suite 304
Sylacauga, AL 35150-2973

Mailing address

209 W Spring St
Suite 304
Sylacauga, AL 35150-2973
Phone (256) 208-0060

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185753600000",
    "number": "1356531099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 W SPRING ST",
            "address_2": "SUITE 304",
            "city": "SYLACAUGA",
            "state": "AL",
            "postal_code": "351502973",
            "telephone_number": "256-208-0060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 W SPRING ST",
            "address_2": "SUITE 304",
            "city": "SYLACAUGA",
            "state": "AL",
            "postal_code": "351502973",
            "telephone_number": "256-208-0060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOSA VALLEY PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-30",
        "last_updated": "2007-07-30",
        "status": "A",
        "authorized_official_last_name": "HARDY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-208-0060",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "AL",
            "license": "28055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylacauga, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.