| John S Wisda, MD | |
|
1 Hospital Dr Sw, Huntsville, AL 35801-6455 | |
| (256) 880-4177 | |
| (256) 880-4507 |
| Full Name | John S Wisda |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 1 Hospital Dr Sw, Huntsville, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912091216 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 00011713 (Alabama) | Primary |
| Entity Name | App Of Alabama Ed Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659646040 PECOS PAC ID: 3577725068 Enrollment ID: O20120430000174 |
| Entity Name | Crestwood Hb Medical Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548940497 PECOS PAC ID: 2163876491 Enrollment ID: O20230920003115 |
| Mailing Address | Practice Location Address |
|---|---|
| John S Wisda, MD 8678 Edgehill Dr Se, Huntsville, AL 35802-3786 Ph: (256) 880-4177 | John S Wisda, MD 1 Hospital Dr Sw, Huntsville, AL 35801-6455 Ph: (256) 880-4177 |
Daniel Thomas Neuberger, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Sivley Rd Sw, Huntsville, AL 35801 Phone: 256-265-9889 | |
Daniel M Andress, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 101 Sivley Rd Sw, Em Dept, Huntsville, AL 35801 Phone: 256-265-9905 Fax: 256-265-9910 | |
Russell A Simpson Jr., MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1 Hospital Dr Sw, Huntsville, AL 35801 Phone: 256-880-4177 Fax: 256-880-4507 | |
Christie L. Jones, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Sivley Rd, Huntsville, AL 35801 Phone: 256-265-1000 | |
Cody Russell, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 927 Franklin St Se, Huntsville, AL 35801 Phone: 256-539-2728 | |
Matthew David Nicholls, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Sivley Rd Sw, Huntsville, AL 35801 Phone: 256-265-1000 | |
Paula C Belew, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 101 Sivley Rd Sw, Huntsville, AL 35801 Phone: 256-265-9905 Fax: 256-265-9910 |