PEDIATRIC ASSOCIATES OF AUBURN; NPI #1316099203

Contact Information

PEDIATRIC ASSOCIATES OF AUBURN

2901 CORPORATE PARK DR
OPELIKA, AL 36801-7283

Phone: 334-203-1766
Fax: 334-203-1784
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Adolescent Medicine	2080A0000X	37	Physician/Pediatric Medicine

Indicates primary specialty

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NPI Profile & details for PEDIATRIC ASSOCIATES OF AUBURN

NPI # 1316099203

LBN Legal business name PEDIATRIC ASSOCIATES OF AUBURN

Authorized official DIANNE CARLTON - (OFFICE MANAGER)

Entity Organization

Organization subpart ¹ No

Enumeration date 01/18/2007

Last updated 07/12/2021 - About 5 years ago

Identifiers

AL	License #	5738
AL	Medicaid	000002165
AL	Medicaid	000044755
AL	Medicaid	528201420
AL	Other	51044755	BCBS ELLEN L. ROYAL, M.D.
AL	Other	51002165	BCBS RICHARD M. FREEMAN,

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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