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NPI · 1194907394 · NPPES-sourced

Lakeshore Pediatrics Of Russellville

ActivePediatrics
NPI Number
1194907394
Type 2 · Organisation
Taxonomy Code
208000000X
Contact
(256) 331-5055
License AL · 2006323
Last Updated
Enumerated
Primary practice addressAL · 35653-1911
603 Gandy St NeRussellville, AL 35653-1911
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About this NPIWhat this record shows.

NPI 1194907394 is registered to Lakeshore Pediatrics Of Russellville, a healthcare organisation classified as "Pediatrics" and located at 603 Gandy St Ne in Russellville, Alabama. The organisation's authorised official is Agustin Rivas. The organisation has been enumerated in the NPI registry since 2007.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Lakeshore Pediatrics Of Russellville accepts. To confirm in-network status with your specific health plan, contact Lakeshore Pediatrics Of Russellville directly at (256) 331-5055.

Frequently asked

Yes. NPI 1194907394 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Pediatrics is the medical specialty focused on the health of infants, children, and adolescents through age 21.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (256) 331-5055.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Lakeshore Pediatrics Of Russellville is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy208000000X
Last updated
Enumerated
StatusActive
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