Organization Active NPI

DRS. James & Kathryn Mize PC

  • Pediatric Adolescent Medicine Physician
  • Decatur, AL
National Provider Identifier
1710100052
Registry record updated Nov 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
Legal business name
DRS. JAMES & KATHRYN MIZE PC
Practice address
1225 13TH Ave SE
Decatur, AL 35601-4306
Phone
(256) 350-0675
Fax
(256) 350-1046
NPI assigned
Apr 11, 2007
Last updated
Nov 30, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2007

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

Authorized official

Name
Dr. Kathryn Mize, M.D.NPI 1871579391
Title
Physician
Phone
(256) 350-0375

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080A0000X Primary

Addresses

Primary practice location

1225 13TH Ave SE
Decatur, AL 35601-4306

Mailing address

1225 13TH Ave SE
Decatur, AL 35601-4306
Phone (256) 350-0675

National Provider Directory

National Provider Directory

Locations

1225 13th Ave SE
Decatur, AL 35601
Phone (256) 242-6443

Practitioners & affiliated clinicians

Practitioners 1

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": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196380800000",
    "number": "1710100052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 13TH AVE SE",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356014306",
            "telephone_number": "256-350-0675",
            "fax_number": "256-350-1046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 13TH AVE SE",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356014306",
            "telephone_number": "256-350-0675",
            "fax_number": "256-350-1046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS. JAMES & KATHRYN MIZE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2007-11-30",
        "status": "A",
        "authorized_official_last_name": "MIZE",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "256-350-0375",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.