WILLOW TREE PEDIATRICS PC
NPI 1407361108
Pediatrics in Cullman, AL
NPI Status: Active since December 05, 2017
Contact Information
2108 AL HIGHWAY 157
CULLMAN, AL
ZIP 35058
Phone: (256) 735-4632
Fax: (256) 735-4639
- Organization
- Pediatrics
- CLIA Number: 01D2141616
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 12-17-2025
About WILLOW TREE PEDIATRICS PC
This page provides the complete NPI Profile along with additional information for Willow Tree Pediatrics Pc, a pediatrician established in Cullman, Alabama operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1407361108 assigned on December 2017. The practitioner's primary taxonomy code is 208000000X with license number 19923 (AL). The provider is registered as an organization and their NPI record was last updated 7 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Heidi Blair Md (Provider/owner)
- NPI
- 1407361108
- Provider Name
- WILLOW TREE PEDIATRICS PC
- Entity Type
- Organization
- Location Address
- 2108 AL HIGHWAY 157 CULLMAN, AL 35058
- Location Phone
- (256) 735-4632
- Location Fax
- (256) 735-4639
- Mailing Address
- 1641 EDGEWOOD ST NW CULLMAN, AL 35055
- Mailing Phone
- (256) 708-6143
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-05-2017
- Last Update Date
- 03-17-2018
- Code Navigator
A pediatrician like Willow Tree Pediatrics Pc is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Secondary Locations
- 409 2nd Ave NW
Cullman, AL 35055
(256) 735-4632
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics
- Taxonomy Code
- 208000000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 19923
- License State
- AL
- Taxonomy Description
- A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 138096 | MEDICAID (05) | AL |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 01D2141616
- Facility Type
- Physician Office
- Certificate Effective Date
- December 18, 2023
- Certificate Expiration Date
- December 17, 2025
- Laboratory Director
- HEIDI H. BLAIR
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Willow Tree Pediatrics Pc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 0 | 7 | 3 | 6 | 1 | 1 | 0 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 0 | 7 | 6 | 6 | 2 | 1 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 0 + 7 + 6 + 6 + 2 + 1 + 0 + 24 = 52 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 52 = 8 | 8 | ||||||||
The NPI number 1407361108 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1407361108, enumerated as an "organization" on December 05, 2017.
The provider is located at 2108 AL HIGHWAY 157 CULLMAN, AL 35058 and the phone number is (256) 735-4632.
Pediatrics with taxonomy code 208000000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
