Organization Active NPI

Valley Family Physician Care

  • General Practice Physician
  • Huntsville, AL
National Provider Identifier
1851444368
Registry record updated Apr 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
00010377 Issued in AL
Legal business name
VALLEY FAMILY PHYSICIAN CARE
Practice address
1868 Sparkman Dr. NW
Huntsville, AL 35816-1122
Phone
(256) 721-9916
Fax
(256) 721-9973
NPI assigned
Jan 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2011

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

Authorized official

Name
Ritv Kumar Pahwa, MD
Title
Billing
Phone
(256) 348-6087

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X 00010377 AL Primary

Addresses

Primary practice location

1868 Sparkman Dr. NW
Huntsville, AL 35816-1122

Mailing address

1868 Sparkman Dr. NW
Huntsville, AL 35816-1122
Phone (256) 721-9916

Other identifiers 2

IdentifierTypeStateIssuer
529913720MedicaidAL
009912735MedicaidAL

Other names 1

  • SPARKMAN MEDICAL Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sparkman Medical2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303689600000",
    "number": "1851444368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1868 SPARKMAN DR. NW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358161122",
            "telephone_number": "256-721-9916",
            "fax_number": "256-721-9973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1868 SPARKMAN DR. NW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358161122",
            "telephone_number": "256-721-9916",
            "fax_number": "256-721-9973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY FAMILY PHYSICIAN CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2011-04-25",
        "status": "A",
        "authorized_official_last_name": "PAHWA",
        "authorized_official_first_name": "RITV",
        "authorized_official_middle_name": "KUMAR",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "256-348-6087",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "AL",
            "license": "00010377",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529913720",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009912735",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SPARKMAN MEDICAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2011; 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.