Maternity Services of District 11, LLC

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

Legal business name

MATERNITY SERVICES OF DISTRICT 11, LLC

Practice address

1365 Gatewood Dr
Suite 525
Auburn, AL 36830-2834

Phone

(334) 528-6832

Fax

(334) 826-0238

NPI assigned

Nov 1, 2006

Last updated

Feb 1, 2008By 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

Mr. Sam A. Price Jr., CFO

Title

VP Finance

Phone

(334) 528-1313

Specialties & licenses 1

Addresses

Other names 1

• Small Wonders Program Other name

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201824000000",
    "number": "1861579336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 189",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368310189",
            "telephone_number": "334-528-6830",
            "fax_number": "334-826-0238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1365 GATEWOOD DR",
            "address_2": "SUITE 525",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368302834",
            "telephone_number": "334-528-6832",
            "fax_number": "334-826-0238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATERNITY SERVICES OF DISTRICT 11, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2008-02-01",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "SAM",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "334-528-1313",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "CFO"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Small Wonders Program",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Robert Ambrose Martin, MD
• Brandon Martinez
• Sadie Mason
• Adley Massenburg
• Adahli E Massey, MD
• Shelbee Mathews
• Brittany W Mathis, LAT, ATC
• Britany Fabian Matin, D.M.D., M.S.
• Keith Matthews, NP
• Patricia Lyn Matto, D.O.

• Exclusive Provider Organization in Auburn, AL
• Providers in Auburn, AL by specialty
• Exclusive Provider Organization in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2008; 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.