Carrington Medical Spa LLC

Primary specialty

Pediatric Obesity Medicine PhysicianTaxonomy code 2080B0002X

Legal business name

CARRINGTON MEDICAL SPA LLC

Practice address

8178 Gadsden Hwy Ste 112
Trussville, AL 35173-5267

Phone

(205) 508-5723

Fax

(205) 508-5724

NPI assigned

Feb 22, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Liliya Slutsker, MD

Title

President

Phone

(205) 508-5723

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1550793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1740747153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8178 GADSDEN HWY STE 112",
            "city": "TRUSSVILLE",
            "state": "AL",
            "postal_code": "351735267",
            "telephone_number": "205-508-5723",
            "fax_number": "205-508-5724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8178 GADSDEN HWY STE 112",
            "city": "TRUSSVILLE",
            "state": "AL",
            "postal_code": "351735267",
            "telephone_number": "205-508-5723",
            "fax_number": "205-508-5724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARRINGTON MEDICAL SPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-22",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "SLUTSKER",
        "authorized_official_first_name": "LILIYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-508-5723",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080B0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Obesity Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PENDING",
            "identifier": "34099",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jordyn Burgess
• Kristie M Burke, RN
• Ronda Phillips Bush, NP
• Julie Cadena, MS, LPC
• Suzanne Allison Cantley, CRNP, CDE
• Adrienne Kelley Cato, LICSW
• Cavalier Healthcare of Trussville, LLC
• Center for Vein Restoration Al LLC
• Champion Counseling LLC
• Dailey Ann Champion, LPC

• Pediatrics Physician in Trussville, AL
• Providers in Trussville, AL by specialty
• Pediatrics Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.