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PEDIATRIC SPECIALISTS OF MONTGOMERY, L.L.C.
NPI 1891766762
Pediatrics - Pediatric Cardiology in Montgomery, AL

Active since January 30, 2006
239 MITYLENE PARK DR, MONTGOMERY, AL 36117(334) 612-2111(334) 612-2166 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Pediatric Specialists Of Montgomery, L.l.c. NPPES

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

PEDIATRIC SPECIALISTS OF MONTGOMERY, L.L.C. (NPI 1891766762) is a healthcare organization registered as a pediatric cardiology in Montgomery, Alabama and active in the NPI registry since January 2006. The organization lists Meredith Daffin, Administrator, as its authorized official.

NPPES Registry Identity

NPI1891766762
Entity TypeOrganization
Primary Taxonomy2080P0202X
Legal Business NamePEDIATRIC SPECIALISTS OF MONTGOMERY, L.L.C.
Location Address239 MITYLENE PARK DRMontgomery, AL 36117-3547
Mailing Address239 Mitylene Park DrMontgomery, AL 36117-3547 · (334) 612-2111 · Fax (334) 612-2166
Phone(334) 612-2111
Fax(334) 612-2166
Organization SubpartNo
Authorized OfficialMeredith DaffinAdministrator · (334) 612-2111
Enumeration DateJanuary 30, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1891766762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
License✔ Licensed in AL · 16678
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
239 MITYLENE PARK DR, Montgomery, AL 36117
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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 7

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

RYAN MCWHORTER MD LLC
Family Medicine
239 MITYLENE PARK DR
MONTGOMERY, AL 36117
Montgomery County (334) 819-8190
GERARDO SIXTO GONZALEZ MD
Pediatrics (Pediatric Cardiology)
239 MITYLENE PARK DR
MONTGOMERY, AL 36117
Montgomery County (334) 612-2111
WILLIAM RYAN MCWHORTER MD
Family Medicine
239 MITYLENE PARK DR
MONTGOMERY, AL 36117
Montgomery County (334) 819-8190
BARTON B COOK MD
Pediatrics (Pediatric Cardiology)
239 MITYLENE PARK DR
MONTGOMERY, AL 36117
Montgomery County (334) 612-2111
JODIE FORBUS NP
Nurse Practitioner (Family)
239 MITYLENE PARK DR
MONTGOMERY, AL 36117
Montgomery County (334) 603-6626
DR. SUMEET MUNJAL MD
Internal Medicine (Nephrology)
239 MITYLENE PARK DR
MONTGOMERY, AL 36117
Montgomery County (334) 603-6626
SONYA B TATUM CRNP
Nurse Practitioner (Adult Health)
239 MITYLENE PARK DR
MONTGOMERY, AL 36117
Montgomery County (334) 819-8190

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 Pediatric Specialists Of Montgomery, L.L.C.'s NPI number?

The NPI number for Pediatric Specialists Of Montgomery, L.L.C. is 1891766762. It was assigned to this organization in the NPPES registry on January 30, 2006.

Where is Pediatric Specialists Of Montgomery, L.L.C. located?

Pediatric Specialists Of Montgomery, L.L.C. is located at 239 Mitylene Park Dr, Montgomery, AL 36117. The listed phone number is (334) 612-2111.

What is Pediatric Specialists Of Montgomery, L.L.C.'s specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

When was this NPI record last updated?

The NPPES record for Pediatric Specialists Of Montgomery, L.L.C. was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.