Organization Active NPI

Twickenham Pediatrics

  • Pediatrics Physician
  • Huntsville, AL
National Provider Identifier
1861530776
Registry record updated Aug 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
TWICKENHAM PEDIATRICS
Practice address
115 Manning Dr SW
Suite A101
Huntsville, AL 35801-4315
Phone
(256) 533-1030
Fax
(256) 533-1043
NPI assigned
Feb 2, 2007
Last updated
Aug 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2023

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

Authorized official

Name
Dr. Muriel A Desimone, MDNPI 1760471973
Title
M.D.
Phone
(256) 533-1030

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
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

115 Manning Dr SW
Suite A101
Huntsville, AL 35801-4315

Mailing address

115 Manning Dr SW
Suite A101
Huntsville, AL 35801-4315
Phone (256) 533-1030

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D0302968Twickenham Pediatrics115 Manning Drive Suite a 101, Huntsville, AL 35801Certificate of waiverJul 31, 2026

National Provider Directory

National Provider Directory

Locations

115 Manning Dr SW
Ste A101
Huntsville, AL 35801
Phone (256) 533-1030

Practitioners & affiliated clinicians

Practitioners 2

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": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691366400000",
    "number": "1861530776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 MANNING DR SW",
            "address_2": "SUITE A101",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014315",
            "telephone_number": "256-533-1030",
            "fax_number": "256-533-1043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 MANNING DR SW",
            "address_2": "SUITE A101",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014315",
            "telephone_number": "256-533-1030",
            "fax_number": "256-533-1043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWICKENHAM PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A",
        "authorized_official_last_name": "DESIMONE",
        "authorized_official_first_name": "MURIEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "256-533-1030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.