East Montgomery Pediatrics LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

EAST MONTGOMERY PEDIATRICS LLC

Practice address

337 St Lukes Drive
Montgomery, AL 36117

Phone

(334) 356-1411

Fax

(334) 356-1578

NPI assigned

Nov 5, 2019

Last updated

Nov 5, 2019By 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

Aina Roque

Title

Office Manager

Phone

(334) 356-1411

Specialties & licenses 1

Addresses

Locations

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.

• Lauren Elisabeth Collier

  • Medical Physician Assistant
  • Montgomery, AL
  • NPI 1902602105
  NPD
• Elmer Dejesus Roque, MD

  • Pediatrics Physician
  • Montgomery, AL
  • NPI 1134141096
  NPD (past)

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

{
    "created_epoch": "1572912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572912000000",
    "number": "1952945602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "337 ST LUKES DRIVE",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "36117",
            "telephone_number": "334-356-1411",
            "fax_number": "334-356-1578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "337 ST LUKES DRIVE",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "36117",
            "telephone_number": "334-356-1411",
            "fax_number": "334-356-1578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST MONTGOMERY PEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-05",
        "last_updated": "2019-11-05",
        "status": "A",
        "authorized_official_last_name": "ROQUE",
        "authorized_official_first_name": "AINA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "334-356-1411"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deidra Easley, PHARM.D.
• East Montgomery Cardiology PC
• East Montgomery Christian Family Medicine, LLC
• East Montgomery Community Dialysis LLC
• East Montgomery Optical Shoppe (Wetumpka Optical)
• East Montgomery Podiatry
• East Taylor Dental PC
• Easter Seals Central Alabama
• Andrew Easterling, CRNA
• Michael D Easterling, PA

• Pediatrics Physician in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Pediatrics Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2019; 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.