Abc Pediatric Clinic, LLC

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

MD.23029 Issued in AL

Legal business name

ABC PEDIATRIC CLINIC, LLC

Practice address

1900 Main Ave SW
Cullman, AL 35055-7200

Phone

(256) 734-3759

Fax

(256) 734-9764

NPI assigned

Oct 29, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Lisa Karen Joines, M.D.

Title

Owner/Physician

Phone

(256) 734-3759

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William S Myers, MD

  • Family Medicine Physician
  • Cullman, AL
  • NPI 1538232574
  NPD (past)
• Jessica Peinhardt Rice, CRNP

  • Family Nurse Practitioner
  • Cullman, AL
  • NPI 1235609124
  NPD (past)
• Marsena Mayfield Stewart, CRNP

  • Pediatric Nurse Practitioner
  • Cullman, AL
  • NPI 1932216462
  NPD (past)

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

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301356800000",
    "number": "1447439237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 MAIN AVE SW",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350557200",
            "telephone_number": "256-734-3759",
            "fax_number": "256-734-9764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 MAIN AVE SW",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350557200",
            "telephone_number": "256-734-3759",
            "fax_number": "256-734-9764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABC PEDIATRIC CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-29",
        "last_updated": "2011-03-29",
        "status": "A",
        "authorized_official_last_name": "JOINES",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "KAREN",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "256-734-3759",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "AL",
            "license": "MD.23029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529916230",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• 1St Step Behavioral Health LLC
• A Shining Light Pediatric Therapy Services, LLC
• Abc Orthotics & Prosthetics Cullman, LLC
• Abc Pediatric Clinic LLC
• Acculab Inc.
• Ranessa Lauren Acosta, CRNP
• Ali Anderson Adams, PMHNP-BC
• Danielle Adams
• Joel C Adams, D.M.D.

• Legal Medicine in Cullman, AL
• Providers in Cullman, AL by specialty
• Legal Medicine in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.