Provider Demographics
NPI:1760570683
Name:SPRINGHILL PEDIATRICS, P.C.
Entity Type:Organization
Organization Name:SPRINGHILL PEDIATRICS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:S
Authorized Official - Last Name:FARQUHAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:251-342-9928
Mailing Address - Street 1:4300 OLD SHELL RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36608-2048
Mailing Address - Country:US
Mailing Address - Phone:251-342-9928
Mailing Address - Fax:251-342-9938
Practice Address - Street 1:4300 OLD SHELL RD
Practice Address - Street 2:SUITE A
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36608-2048
Practice Address - Country:US
Practice Address - Phone:251-342-9928
Practice Address - Fax:251-342-9938
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51514333OtherBLUE CROSS AL PROV #
AL52992960Medicaid
AL52992960Medicaid
AL51514333OtherBLUE CROSS AL PROV #