Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1063595593 Individual Practitioner Male Practitioner

Dr. Marc Alan Hultquist , DO

Pediatrics • Madison, AL

Professional Overview & Biography Verified Profile Summary

Dr. Marc Hultquist, DO is a registered healthcare professional specializing in Pediatrics in Madison, AL. Practice services are available at 12205 COUNTY LINE RD STE C under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12205 County Line Rd Ste C

Madison, AL 357587720

Telephone 2562588319
Fax 2564894070
Associated Practice Facility / Clinic
🏢 Reagan's Clinic, Llc Facility NPI 1558123190

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Madison, AL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 33.0 Yrs
State Avg: 28.7 Yrs
Regional Practice Density
22 Specialists

Practicing in Madison, AL (853 Statewide)

Telehealth Adoption Rate
4.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-02-26
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License AL 3042

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License IA 3331

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics - Developmental - Behavioral Pediatrics

NUCC Taxonomy Code: 2080P0006X

State License AL 3042

A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.

Secondary Practice Locations

4301 Mow-Way Rd, Reynolds Army Hospital (Attn: Mcua-Qc, Ms. Prescott)

Fort Sill, OK 735036300

Phone: 5804582134

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1841050606

Certified Registered Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location February 26, 2024

Registered at 12205 COUNTY LINE RD STE C, MADISON, AL 357587720 (Tel: 2562588319)

📍
Updated Business Mailing Address February 02, 2024

Registered at 12205 COUNTY LINE RD STE C, MADISON, AL 357587720 (Tel: 5634240459)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 4301 MOW-WAY RD, REYNOLDS ARMY HOSPITAL (ATTN: MCUA-QC, MS. PRESCOTT), FORT SILL, OK 735036300 (Tel: 5804582134)

📍
Updated Business Mailing Address July 08, 2007

Registered at 4301 MOW-WAY RD, REYNOLDS ARMY HOSPITAL (ATTN: MCUA-QC, MS. PRESCOTT), FORT SILL, OK 735036300 (Tel: 5804582134)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MARC HULTQUIST, D.O.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pediatrics (License #3331 in IA)

🟢
Initial NPI Registration & Enumeration October 20, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1063595593
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 20, 2006
Last Update: February 26, 2024
Sole Proprietor: Yes

Mailing Address

12205 County Line Rd Ste C

Madison, AL 357587720

Phone: 2562588319

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.