Morgan Rd Pediatrics, PC Dba Pediatrics 459

Primary specialty

SpecialistTaxonomy code 174400000X

License

22301 Issued in AL

Legal business name

MORGAN RD PEDIATRICS, PC DBA PEDIATRICS 459

Practice address

6283 Park South Dr
Bessemer, AL 35022-5681

Phone

(205) 425-5440

Fax

(205) 425-5513

NPI assigned

Mar 21, 2008

Last updated

Mar 21, 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. Pamela Dianne Denty

Title

Office Manager

Phone

(205) 425-5440

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• Melissa Elaine Gleason, CRNP

  • Family Nurse Practitioner
  • Bessemer, AL
  • NPI 1538341805
  NPD (past)

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

{
    "created_epoch": "1206057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206057600000",
    "number": "1982875530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6283 PARK SOUTH DR",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350225681",
            "telephone_number": "205-425-5440",
            "fax_number": "205-425-5513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6283 PARK SOUTH DR",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350225681",
            "telephone_number": "205-425-5440",
            "fax_number": "205-425-5513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORGAN RD PEDIATRICS, PC DBA PEDIATRICS 459",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-21",
        "last_updated": "2008-03-21",
        "status": "A",
        "authorized_official_last_name": "DENTY",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "DIANNE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "205-425-5440",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AL",
            "license": "22301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1750329785",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Moore, PHD, S-LPC, NCC
• Johnny V Moore, CRNA
• Michael Arthur Moore, M.D.
• Tiffanee Rachelle Moore, CRNP
• Sharon Moorer
• Morgan Road Physical Medicine, LLC
• Virginia Morgan, OD
• Latonya Shavonne Morris, CEO
• Kimberly Arlisa Morrissette
• Moving Forward Support Services LLC

• Specialist in Bessemer, AL
• Providers in Bessemer, AL by specialty
• Specialist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.