Lakeshore Pediatrics of Russellville
NPI 1194907394 · Pediatrics Physician · Russellville, AL
Lakeshore Pediatrics of Russellville is a Pediatrics Physician organization in Russellville, AL (NPI 1194907394).
Provider details
- NPI number
- 1194907394
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Agustin Rivas, Owner(256) 386-4151
- License
- 2006323 (AL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-11-29
- Last updated
- 2007-11-29
Frequently asked questions
- What is Lakeshore Pediatrics of Russellville's NPI number?
- Lakeshore Pediatrics of Russellville's National Provider Identifier (NPI) is 1194907394, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lakeshore Pediatrics of Russellville?
- Lakeshore Pediatrics of Russellville is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Lakeshore Pediatrics of Russellville located?
- Lakeshore Pediatrics of Russellville's practice location on file with NPPES is 603 Gandy St Ne, Russellville, AL 35653-1911.
- What is Lakeshore Pediatrics of Russellville's phone number?
- The practice phone number listed in the NPPES registry for Lakeshore Pediatrics of Russellville is (256) 331-5055.
- Who is the authorized official for Lakeshore Pediatrics of Russellville?
- The authorized official listed on Lakeshore Pediatrics of Russellville's NPPES record is Agustin Rivas, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lakeshore Pediatrics of Russellville's NPI active?
- Yes — Lakeshore Pediatrics of Russellville's NPI (1194907394) is active in the NPPES registry as of the last update on 2007-11-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.