NPIMap

Organization Active NPI

Pediatric Cardiology Asso. P.C.

  • Pediatric Cardiology Physician
  • Huntsville, AL
National Provider Identifier
1629264734
Registry record updated Sep 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
12400 Issued in AL
Legal business name
PEDIATRIC CARDIOLOGY ASSO. P.C.
Practice address
303 Williams Ave SW
Suite 1121
Huntsville, AL 35801-6012
Phone
(256) 536-1081
Fax
(256) 536-1082
NPI assigned
Sep 21, 2007
Last updated
Sep 21, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2007

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

Authorized official

Name
Dr. Paul IsraelNPI 1639106503
Title
Owner
Phone
(256) 536-1081

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology Physician 2080P0202X 12400 AL Primary

Addresses

Primary practice location

303 Williams Ave SW
Suite 1121
Huntsville, AL 35801-6012

Mailing address

303 Williams Ave SW
Suite 1121
Huntsville, AL 35801-6012
Phone (256) 536-1081

National Provider Directory

National Provider Directory

Locations

303 Williams Ave SW
Ste 1121
Huntsville, AL 35801
Phone (256) 536-1081

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1190332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190332800000",
    "number": "1629264734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 WILLIAMS AVE SW",
            "address_2": "SUITE 1121",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016012",
            "telephone_number": "256-536-1081",
            "fax_number": "256-536-1082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 WILLIAMS AVE SW",
            "address_2": "SUITE 1121",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016012",
            "telephone_number": "256-536-1081",
            "fax_number": "256-536-1082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC CARDIOLOGY ASSO. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-21",
        "last_updated": "2007-09-21",
        "status": "A",
        "authorized_official_last_name": "ISRAEL",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-536-1081",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "AL",
            "license": "12400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

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