Eastside Ventures, Inc.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

EASTSIDE VENTURES, INC.

Doing business as

Oneonta Internal Medicine and Peds

Practice address

150 Gilbreath Dr
Suite 201
Oneonta, AL 35121-2827

Phone

(205) 625-5711

NPI assigned

Mar 15, 2007

Last updated

Feb 3, 2011By 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. Vicki H Parks, CPA

Title

Chief Accounting Officer

Phone

(205) 838-3718

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Oneonta Internal Medicine and Peds Doing business as

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Eastside Ventures Inc.

  dba Oneonta Family Healthcare

  • Family Medicine Physician
  • Oneonta, AL
  • NPI 1578697660
  NPPES parent name
• Eastside Ventures, Inc.

  dba Cleveland Family Healthcare

  • Family Medicine Physician
  • Cleveland, AL
  • NPI 1609900406
  NPPES parent name

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296691200000",
    "number": "1598899395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 GILBREATH DR",
            "address_2": "SUITE 201",
            "city": "ONEONTA",
            "state": "AL",
            "postal_code": "351212827",
            "telephone_number": "205-625-5711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 GILBREATH DR",
            "address_2": "SUITE 201",
            "city": "ONEONTA",
            "state": "AL",
            "postal_code": "351212827",
            "telephone_number": "205-625-5711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTSIDE VENTURES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2011-02-03",
        "status": "A",
        "authorized_official_last_name": "PARKS",
        "authorized_official_first_name": "VICKI",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CHIEF ACCOUNTING OFFICER",
        "authorized_official_telephone_number": "205-838-3718",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PT B",
            "identifier": "E893",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529703050",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oneonta Internal Medicine and Peds",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eastern Health System, Inc.
• Eastern Health Systems Inc (Medical Center Blount Emergency Department)
• Eastern Medical Eye Center, P.C
• Eastern Medical Specialists
• Eastside Ventures Inc. (Oneonta Family Healthcare)
• Walker Edmondson, ALC
• Katie Entrekin, M.S., OTR/L
• Evergreen Medical Cosmetic Laser Center
• Evi Physician Services I, LLC
• Express Care Clinic of Oneonta, P.C.

• Pediatrics Physician in Oneonta, AL
• Providers in Oneonta, AL by specialty
• Pediatrics Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.