St. Jude Clinic at Huntsville Hospital for Women and Children

Primary specialty

Pediatric Hematology & Oncology PhysicianTaxonomy code 2080P0207X

Legal business name

ST. JUDE CLINIC AT HUNTSVILLE HOSPITAL FOR WOMEN AND CHILDREN

Practice address

101 Sivley Rd SW
Huntsville, AL 35801-4421

Phone

(256) 265-5833

Fax

(256) 265-5834

NPI assigned

Jan 24, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Pam C Gill

Title

Practice Administrator

Phone

(256) 265-5833

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801941562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 SIVLEY RD SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014421",
            "telephone_number": "256-265-5833",
            "fax_number": "256-265-5834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 SIVLEY RD SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014421",
            "telephone_number": "256-265-5833",
            "fax_number": "256-265-5834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JUDE CLINIC AT HUNTSVILLE HOSPITAL FOR WOMEN AND CHILDREN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GILL",
        "authorized_official_first_name": "PAM",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "256-265-5833"
    },
    "taxonomies": [
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Squires, PHARM.D.
• Nyla S Squyres, MD
• Deepak Venkat Sree, MD
• Jayashree Srinivasan, DMD
• St Luke Integrative Medical Center Inc
• Tonya Staats, CRNP
• Christian Stachler, PA-C
• Stacie Scherer LLC (Serenity Counseling of Huntsville)
• Tori Tess Stafford
• Lynda C Staggs, RPH

• Pediatric Hematology & Oncology Physician in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Pediatric Hematology & Oncology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.