NPIMap

Organization Active NPI

Infants and Childrens Clinic PC

  • Pediatrics Physician
  • Florence, AL
National Provider Identifier
1689685315
Registry record updated Jun 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
INFANTS AND CHILDRENS CLINIC PC
Practice address
421 West College St
Infants and Childrens Clinic PC
Florence, AL 35630
Phone
(256) 760-0670
Fax
(256) 764-1139
NPI assigned
Aug 10, 2006
Last updated
Jun 22, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2010

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

Authorized official

Name
David Richard Colvard, MDNPI 1790793719
Title
President
Phone
(256) 764-9522

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
Pediatrics Physician 208000000X NU Primary

Addresses

Primary practice location

421 West College St
Infants and Childrens Clinic PC
Florence, AL 35630

Mailing address

421 West College St
Infants and Childrens Clinic PC
Florence, AL 35630
Phone (256) 760-0670

Other identifiers 1

IdentifierTypeStateIssuer
528601700MedicaidAL

National Provider Directory

National Provider Directory

Locations

421 W College St
Florence, AL 35630
Phone (256) 760-0670

Practitioners & affiliated clinicians

Practitioners 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277164800000",
    "number": "1689685315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 WEST COLLEGE ST",
            "address_2": "INFANTS AND CHILDRENS CLINIC PC",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "35630",
            "telephone_number": "256-760-0670",
            "fax_number": "256-764-1139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 WEST COLLEGE ST",
            "address_2": "INFANTS AND CHILDRENS CLINIC PC",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "35630",
            "telephone_number": "256-760-0670",
            "fax_number": "256-764-1139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFANTS AND CHILDRENS CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2010-06-22",
        "status": "A",
        "authorized_official_last_name": "COLVARD",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-764-9522",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "528601700",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2010; 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.