Kevin Scott Giadrosich, MD | |
2112 Rocky Ridge Rd Ste 200, Hoover, AL 35216-5531 | |
(205) 545-8550 | |
(205) 822-0136 |
Full Name | Kevin Scott Giadrosich |
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Gender | Male |
Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
Location | 2112 Rocky Ridge Rd Ste 200, Hoover, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700839255 | NPI | - | NPPES |
051554841 | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZC0500X | Pathology - Cytopathology | 25019 (Alabama) | Secondary |
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 25019 (Alabama) | Primary |
Entity Name | Norwood Clinic Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104879741 PECOS PAC ID: 8921996364 Enrollment ID: O20040308001107 |
Entity Name | Gastro Care Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114039872 PECOS PAC ID: 4981687712 Enrollment ID: O20040611000282 |
Entity Name | Birmingham Internal Medicine Associates, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598796542 PECOS PAC ID: 1658341193 Enrollment ID: O20040730000432 |
Mailing Address | Practice Location Address |
---|---|
Kevin Scott Giadrosich, MD Po Box 830230, Birmingham, AL 35283-0230 Ph: (205) 250-6000 | Kevin Scott Giadrosich, MD 2112 Rocky Ridge Rd Ste 200, Hoover, AL 35216-5531 Ph: (205) 545-8550 |
Brian Duane Ragland, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 2112 Rocky Ridge Rd, Ste. 200, Hoover, AL 35216 Phone: 205-545-8550 Fax: 205-822-0136 | |
Monnette Sharae Baker, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 2112 Rocky Ridge Rd, Ste. 200, Hoover, AL 35216 Phone: 205-545-8550 Fax: 205-822-0136 | |
Dr. Jose Oliveira Lima, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 3972 Village Center Dr, Hoover, AL 35226 Phone: 205-644-4229 | |
Marla C Troughton, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 2197 Parkway Lake Dr, Hoover, AL 35244 Phone: 205-403-9601 |