Active NPI
Donna Elaine Pitter, MD
- Pediatrics Physician
- Tuscaloosa, AL
National Provider Identifier
1851301501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 26453
- Practice address
- 2731 ML King Jr Blvd
Tuscaloosa, AL 35401-5235 - Phone
- (205) 349-3250
- Fax
- (205) 752-1517
- NPI assigned
- Aug 8, 2006
- Last updated
- Jul 13, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 26453 | WI | Primary |
Addresses
Primary practice location
2731 ML King Jr Blvd
Tuscaloosa, AL 35401-5235
Mailing address
2731 ML King Jr Blvd
Tuscaloosa, AL 35401-5235
Phone (205) 349-3250
Other practice location 1
901 Gause Blvd
First Floor
Slidell, LA 70458-2937
Phone (985) 280-8971
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30619700 | Medicaid | WI |
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 |
|---|---|---|---|
| 26453 | WI | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Slidell Memorial Hospital | Past | Accepting new patients | |
| Slidell Memorial Hospital | Past | Accepting new patients |
Interoperability endpoints
- dpitter182264@ahs.direct-ci.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinic/Center
- Slidell, LA
- NPI 1801020433
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626134400000",
"number": "1851301501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2731 ML KING JR BLVD",
"city": "TUSCALOOSA",
"state": "AL",
"postal_code": "354015235",
"telephone_number": "205-349-3250",
"fax_number": "205-752-1517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2731 ML KING JR BLVD",
"city": "TUSCALOOSA",
"state": "AL",
"postal_code": "354015235",
"telephone_number": "205-349-3250",
"fax_number": "205-752-1517"
}
],
"practiceLocations": [
{
"address_1": "901 Gause Blvd",
"address_2": "First Floor",
"address_purpose": "LOCATION",
"city": "Slidell",
"state": "LA",
"postal_code": "704582937",
"country_code": "US",
"telephone_number": "985-280-8971",
"fax_number": "985-280-2618",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PITTER",
"first_name": "DONNA",
"middle_name": "ELAINE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-08",
"last_updated": "2021-07-13",
"certification_date": "2021-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "WI",
"license": "26453",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30619700",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tuscaloosa, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.