Individual provider Active NPI

Elizabeth B Pitchford, MD

  • Pediatrics Physician
  • Toney, AL
National Provider Identifier
1689721557
Registry record updated Nov 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD.31611 Issued in AL
Practice address
11588 Pulaski Pike
Toney, AL 35773
Phone
(256) 693-1006
Fax
(256) 428-7561
NPI assigned
Jan 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD.31611 AL Primary
Pediatrics Physician 208000000X D0069476 MD

Addresses

Primary practice location

11588 Pulaski Pike
Toney, AL 35773

Mailing address

515 Sparkman Dr NW
Huntsville, AL 35816-3417
Phone (256) 428-7560

Other practice location 1

2755 Wilson Dr NW
Huntsville, AL 35816-3949
Phone (256) 428-7428

Other practice location 2

4801 Bob Wallace Avenue
Huntsville, AL 35805-3349
Phone (256) 428-7488

Other practice location 3

3112 Meridian St N
Huntsville, AL 35811-1539
Phone (256) 428-7110

Other practice location 4

11588 Pulaski Pike
Toney, AL 35773
Phone (256) 693-1006

Other identifiers 4

IdentifierTypeStateIssuer
162968MedicaidAL
163652MedicaidAL
162861MedicaidAL
163004MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD.31611ALMDPediatrics Physician
D0069476MDMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centennial Pediatrics PC Pediatrics PastSince Oct 1, 2012 Accepting new patients
Heals Inc Pediatrics PastSince Aug 25, 2019 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574380800000",
    "number": "1689721557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 SPARKMAN DR NW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358163417",
            "telephone_number": "256-428-7560",
            "fax_number": "256-428-7561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11588 PULASKI PIKE",
            "city": "TONEY",
            "state": "AL",
            "postal_code": "35773",
            "telephone_number": "256-693-1006",
            "fax_number": "256-428-7561"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2755 Wilson Dr NW",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "AL",
            "postal_code": "358163949",
            "country_code": "US",
            "telephone_number": "256-428-7428",
            "fax_number": "256-428-7561",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4801 Bob Wallace Avenue",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "AL",
            "postal_code": "358053349",
            "country_code": "US",
            "telephone_number": "256-428-7488",
            "fax_number": "256-428-7561",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3112 Meridian St N",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "AL",
            "postal_code": "358111539",
            "country_code": "US",
            "telephone_number": "256-428-7110",
            "fax_number": "256-428-7561",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11588 Pulaski Pike",
            "address_purpose": "LOCATION",
            "city": "Toney",
            "state": "AL",
            "postal_code": "35773",
            "country_code": "US",
            "telephone_number": "256-693-1006",
            "fax_number": "256-428-7561",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PITCHFORD",
        "first_name": "ELIZABETH",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2019-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AL",
            "license": "MD.31611",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0069476",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "162968",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "163652",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "162861",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "163004",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toney, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2019; 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.