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PROVIDENCE MEDICAL GROUP - PEDIATRICS
NPI 1730613431
Pediatrics in Mobile, AL

Active since April 19, 2017
6908 PROVIDENCE PARK DR S, MOBILE, AL 36695(251) 660-3490(251) 660-3491 Get Directions Write a Review

NPPES record last updated: February 15, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 15, 2019, Apr 19, 2017 (2 updates tracked since 2017).

About Providence Medical Group - Pediatrics NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROVIDENCE MEDICAL GROUP - PEDIATRICS (NPI 1730613431) is a healthcare organization registered as a pediatrics in Mobile, Alabama and active in the NPI registry since April 2017. The organization lists Yesica Vieyra, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1730613431
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameALABAMA PROVIDENCE HEALTHCARE SERVICES
Location Address6908 PROVIDENCE PARK DR SMobile, AL 36695-4600
Mailing AddressPo Box 850489Mobile, AL 36685-0489 · (251) 342-3949 · Fax (251) 631-3361
Phone(251) 660-3490
Fax(251) 660-3491
Organization SubpartNo
Authorized OfficialYesica VieyraCredentialing Specialist · (205) 939-7633
Enumeration DateApril 19, 2017
Last NPPES UpdateFebruary 15, 20192 updates tracked since enumeration
✔ NPI 1730613431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition

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.

6908 PROVIDENCE PARK DR S, Mobile, AL 36695
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Other Names 1

Doing Business AsProvidence Medical Group - Pediatrics

Other Identifiers 1

Medicaid156183AL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISS STEPHANIE M BENDER MD
Internal Medicine
6908 PROVIDENCE PARK DR S
MOBILE, AL 36695
Mobile County (251) 660-3490
MRS. VIMLA PRAVENI BHAGWANDIN M.D.
Pediatrics
6908 PROVIDENCE PARK DR S
MOBILE, AL 36695
Mobile County (251) 660-3490
DR. AMIT PANT MD
Pediatrics
6908 PROVIDENCE PARK DR S
MOBILE, AL 36695
Mobile County (251) 660-3490
HARI KRISHNAN SIVANANDAM M.D.
Pediatrics
6908 PROVIDENCE PARK DR S
MOBILE, AL 36695
Mobile County (251) 660-3490
NANCY ELAINE WEIBLE M.D.
Family Medicine
6908 PROVIDENCE PARK DR S
MOBILE, AL 36695
Mobile County (251) 660-3490
STEPHANIE DAWN ANDREWS CRNP
Nurse Practitioner (Family)
6908 PROVIDENCE PARK DR S
MOBILE, AL 36695
Mobile County (251) 660-3490
ALTAPOINTE HEALTH SYSTEMS, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
6908 PROVIDENCE PARK DR S
MOBILE, AL 36695
Mobile County (251) 660-3490
DR. JEFFREY MICHAEL TISCH DO
Psychiatry & Neurology (Child & Adolescent Psychiatry)
6908 PROVIDENCE PARK DR S
MOBILE, AL 36695
Mobile County (251) 660-3490

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alabama Providence Healthcare Services's NPI number?

The NPI number for Alabama Providence Healthcare Services is 1730613431. It was assigned to this organization in the NPPES registry on April 19, 2017. The provider is doing business as Providence Medical Group - Pediatrics.

Where is Alabama Providence Healthcare Services located?

Alabama Providence Healthcare Services is located at 6908 Providence Park Dr S, Mobile, AL 36695. The listed phone number is (251) 660-3490.

What is Alabama Providence Healthcare Services's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Alabama Providence Healthcare Services was last updated on February 15, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.