Provider Demographics
NPI:1326052358
Name:CHILDS, HOYT A III (MD)
Entity Type:Individual
Prefix:DR
First Name:HOYT
Middle Name:A
Last Name:CHILDS
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 HOSPITAL DR SW
Mailing Address - Street 2:SUITE 100
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-6455
Mailing Address - Country:US
Mailing Address - Phone:256-880-4464
Mailing Address - Fax:256-880-4476
Practice Address - Street 1:1 HOSPITAL DR SW
Practice Address - Street 2:SUITE 100
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-6455
Practice Address - Country:US
Practice Address - Phone:256-880-4464
Practice Address - Fax:256-880-4476
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-27
Last Update Date:2023-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL00020042174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL009938746Medicaid
AL51094807OtherBLUE CROSS BLUE SHIELD AL
AL515-91064OtherBCBS OF ALABAMA
AL529500990Medicaid
AL920005830OtherRR MEDICARE NUMBER
AL051523809Medicaid
AL102431Medicaid
AL51523809OtherBLUE CROSS BLUE SHIELD AL
AL009926610Medicaid
AL051536270OtherBLUE CROSS BLUE SHIELD AL
ALH17903Medicare UPIN
AL051523809Medicare ID - Type Unspecified
AL529500990Medicaid
AL009938746Medicaid
AL51094807OtherBLUE CROSS BLUE SHIELD AL