Organization Active NPI

Pediatric Associates of Mobile, PA

  • Specialist
  • Mobile, AL
National Provider Identifier
1619095601
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
PEDIATRIC ASSOCIATES OF MOBILE, PA
Practice address
3719 Dauphin St
Suite 102
Mobile, AL 36608-1753
Phone
(251) 344-1502
Fax
(251) 342-1116
NPI assigned
Mar 27, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Diana Cale
Title
Manager
Phone
(251) 344-1502

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X AL Primary

Addresses

Primary practice location

3719 Dauphin St
Suite 102
Mobile, AL 36608-1753

Mailing address

3719 Dauphin St
Suite 102
Mobile, AL 36608-1753
Phone (251) 344-1502

National Provider Directory

National Provider Directory

Locations

3719 Dauphin St
Ste 102
Mobile, AL 36608
Phone (251) 344-1502

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1619095601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3719 DAUPHIN ST",
            "address_2": "SUITE 102",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366081753",
            "telephone_number": "251-344-1502",
            "fax_number": "251-342-1116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3719 DAUPHIN ST",
            "address_2": "SUITE 102",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366081753",
            "telephone_number": "251-344-1502",
            "fax_number": "251-342-1116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC ASSOCIATES OF MOBILE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CALE",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "251-344-1502"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.