Magnolia Springs Pediatrics PC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD7965 Issued in AL

Legal business name

MAGNOLIA SPRINGS PEDIATRICS PC

Practice address

14975 Hwy 98
Magnolia Springs, AL 36555-0307

Phone

(251) 965-3320

Fax

(251) 965-3315

NPI assigned

Dec 21, 2007

Last updated

Dec 21, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Diana R McKenzie

Title

Office Manager

Phone

(251) 965-5088

Specialties & licenses 2

Addresses

Other identifiers 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 3

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.

• Robert Louis Rux, M.D.

  • Pediatrics Physician
  • Magnolia Springs, AL
  • NPI 1093855371
  NPD (past)
• Albert Bedford Walker Jr., M.D

  • Specialist
  • Magnolia Springs, AL
  • NPI 1437111002
  NPD (past)
• April Whitworth Weaver, CRNP

  • Pediatric Nurse Practitioner
  • Magnolia Springs, AL
  • NPI 1407198542
  NPD (past)

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

{
    "created_epoch": "1198195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198195200000",
    "number": "1427232776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 307",
            "city": "MAGNOLIA SPRINGS",
            "state": "AL",
            "postal_code": "365550307",
            "telephone_number": "251-965-3320",
            "fax_number": "251-965-3315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14975 HWY 98",
            "city": "MAGNOLIA SPRINGS",
            "state": "AL",
            "postal_code": "365550307",
            "telephone_number": "251-965-3320",
            "fax_number": "251-965-3315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA SPRINGS PEDIATRICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-21",
        "last_updated": "2007-12-21",
        "status": "A",
        "authorized_official_last_name": "MCKENZIE",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "251-965-5088",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AL",
            "license": "MD27137",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AL",
            "license": "MD7965",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ROBERT L RUX",
            "identifier": "009942429",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000008277",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carol Anne Brown, LGSW
• Joy Lymon
• Magnolia Springs Dental, LLC
• Magnolia Springs Skin & Wellness Center PC LLC
• Matthew Roberto Pischek
• Robert Louis Rux, M.D.
• Albert Bedford Walker Jr., M.D
• April Whitworth Weaver, CRNP

• Pediatrics Physician in Magnolia Springs, AL
• Providers in Magnolia Springs, AL by specialty
• Pediatrics Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.