Active NPI
Elizabeth B Pitchford, MD
- Pediatrics Physician
- Toney, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD.31611
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 162968 | Medicaid | AL | |
| 163652 | Medicaid | AL | |
| 162861 | Medicaid | AL | |
| 163004 | Medicaid | AL |
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
| License | State | Type | Specialty |
|---|---|---|---|
| MD.31611 | AL | MD | Pediatrics Physician |
| D0069476 | MD | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centennial Pediatrics PC | Pediatrics | Past | Accepting new patients |
| Heals Inc | Pediatrics | Past | 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.
-
- Pediatrics Physician
- Huntsville, AL
- NPI 1932255924
-
- Pediatrics Physician
- Nashville, TN
- NPI 1477588523
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.