| Lakeland Physicians Llc | |
|
42030 Highway 195 Ste A Haleyville AL 35565-7054 | |
| (205) 485-7243 | |
| (205) 485-7244 |
| Full Name | Lakeland Physicians Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 42030 Highway 195, Haleyville, Alabama |
| Authorized Official Name and Position | Steve Clapp (PRESIDENT) |
| Authorized Official Contact | 2054857243 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeland Physicians Llc 42030 Highway 195 Ste A Haleyville AL 35565-7054 Ph: (205) 485-7243 | Lakeland Physicians Llc 42030 Highway 195 Ste A Haleyville AL 35565-7054 Ph: (205) 485-7243 |
| NPI Number | 1851780951 |
|---|---|
| Provider Enumeration Date | 01/13/2015 |
| Last Update Date | 02/18/2015 |
| Medicare PECOS PAC ID | 0446578298 |
|---|---|
| Medicare Enrollment ID | O20150408000559 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851780951 | NPI | - | NPPES |
| 168737 | Medicaid | AL |
| Provider Name | Mila Riehl |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003848706 PECOS PAC ID: 3678479086 Enrollment ID: I20031208000828 |
| Provider Name | Venkatapur Ramesh Reddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770678302 PECOS PAC ID: 3072415041 Enrollment ID: I20040121001116 |
| Provider Name | Minh H Huynh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689612772 PECOS PAC ID: 6800786963 Enrollment ID: I20040319001293 |
| Provider Name | Sandeep Govil |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083681589 PECOS PAC ID: 0042202541 Enrollment ID: I20040402000719 |
| Provider Name | Tracy Lynn Pool |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588690481 PECOS PAC ID: 5890788848 Enrollment ID: I20040406000210 |
| Provider Name | Ewane Ngone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770554446 PECOS PAC ID: 9830094853 Enrollment ID: I20040406000296 |
| Provider Name | Milton A George |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619917762 PECOS PAC ID: 2860303831 Enrollment ID: I20040422001692 |
| Provider Name | Thomas S Christian |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437191483 PECOS PAC ID: 9234126921 Enrollment ID: I20040426001600 |
| Provider Name | David U Anakwenze |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356306559 PECOS PAC ID: 1355311267 Enrollment ID: I20040728001141 |
| Provider Name | Karen L Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902911654 PECOS PAC ID: 4981676590 Enrollment ID: I20040812000526 |
| Provider Name | Carol Grace |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649234139 PECOS PAC ID: 8123092087 Enrollment ID: I20040825000807 |
| Provider Name | Wallace J Seay |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033274956 PECOS PAC ID: 9234108150 Enrollment ID: I20040928000769 |
| Provider Name | Mary P Sullivan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841201118 PECOS PAC ID: 6204871452 Enrollment ID: I20050628000339 |
| Provider Name | Roger D Stanmore |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295772986 PECOS PAC ID: 3173550266 Enrollment ID: I20050815000377 |
| Provider Name | Warren H Scott |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023073350 PECOS PAC ID: 9931120557 Enrollment ID: I20051212000250 |
| Provider Name | Jason P Lockette |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1437246600 PECOS PAC ID: 8820059892 Enrollment ID: I20061107000435 |
| Provider Name | James D Snipes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104817683 PECOS PAC ID: 9830096163 Enrollment ID: I20061205000630 |
| Provider Name | Muhammad Z Husain |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548220924 PECOS PAC ID: 2466559158 Enrollment ID: I20070514000563 |
| Provider Name | Allyson S Gilstrap |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679618490 PECOS PAC ID: 6608830526 Enrollment ID: I20070724000256 |
| Provider Name | Inkil Hwangpo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053538736 PECOS PAC ID: 7911091129 Enrollment ID: I20070919000433 |
| Provider Name | Diane Ryder Counce |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417989740 PECOS PAC ID: 9234210733 Enrollment ID: I20080122000461 |
| Provider Name | Sharon P Lawrence |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184674574 PECOS PAC ID: 5092730184 Enrollment ID: I20080226000725 |
| Provider Name | Kenneth W Collins |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487649497 PECOS PAC ID: 6406935311 Enrollment ID: I20080505000116 |
| Provider Name | Christopher E Edwards |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619187663 PECOS PAC ID: 9436229986 Enrollment ID: I20080610000523 |
| Provider Name | Vernon S Hurst |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275582041 PECOS PAC ID: 7911097282 Enrollment ID: I20080721000489 |
| Provider Name | Subba R Alapati |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487642039 PECOS PAC ID: 7012974686 Enrollment ID: I20090220000400 |
| Provider Name | Martin Michel Hajjar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689697625 PECOS PAC ID: 5698768901 Enrollment ID: I20100126000631 |
| Provider Name | Paul P Monahan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891759718 PECOS PAC ID: 9133101207 Enrollment ID: I20100809000658 |
| Provider Name | Ricky Lawton Phillips |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942262522 PECOS PAC ID: 5092611681 Enrollment ID: I20100915001017 |
| Provider Name | Manly J Sullivan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003804352 PECOS PAC ID: 8224226709 Enrollment ID: I20101228000532 |
| Provider Name | Ram Sapkota |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1205013638 PECOS PAC ID: 4789737941 Enrollment ID: I20111117000218 |
| Provider Name | Jack Rostas |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1902063282 PECOS PAC ID: 9931365863 Enrollment ID: I20120723000227 |
| Provider Name | Marcia C Mierez-bernard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013964261 PECOS PAC ID: 7911955943 Enrollment ID: I20121022000771 |
| Provider Name | William D Talley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053523456 PECOS PAC ID: 9739331737 Enrollment ID: I20121219000442 |
| Provider Name | Mark H Christensen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609161124 PECOS PAC ID: 0840433959 Enrollment ID: I20130821000245 |
| Provider Name | Adam S Harris |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1811136468 PECOS PAC ID: 6800031337 Enrollment ID: I20130919000151 |
| Provider Name | Joel L Bridgewater |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407944796 PECOS PAC ID: 6507092376 Enrollment ID: I20131127000225 |
| Provider Name | Neal J Steil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417160607 PECOS PAC ID: 3870766165 Enrollment ID: I20140211000481 |
| Provider Name | Chenyi J Chenyi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922387299 PECOS PAC ID: 2264651561 Enrollment ID: I20140918002190 |
| Provider Name | Muhammad Husainy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639332273 PECOS PAC ID: 4789734351 Enrollment ID: I20141031002163 |
| Provider Name | Tamer Elsayed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588944292 PECOS PAC ID: 6608098579 Enrollment ID: I20141107001640 |
| Provider Name | Timothy A Clark |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669765756 PECOS PAC ID: 7618119603 Enrollment ID: I20150520001295 |
| Provider Name | Derek S Cannon |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1902095466 PECOS PAC ID: 1850520958 Enrollment ID: I20151217001925 |
| Provider Name | Mark D Nowell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295765964 PECOS PAC ID: 6608818794 Enrollment ID: I20161024001701 |
| Provider Name | Jorge Blanco |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679981120 PECOS PAC ID: 3779863311 Enrollment ID: I20161220000546 |
| Provider Name | Patrick Malie |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912387473 PECOS PAC ID: 7315242682 Enrollment ID: I20171024003021 |
| Provider Name | Natalie Peters |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043630056 PECOS PAC ID: 5991071532 Enrollment ID: I20171025002847 |
| Provider Name | Satish Babu Gundapuneni |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982018826 PECOS PAC ID: 7113293473 Enrollment ID: I20171101000945 |
| Provider Name | Matthew Melson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114304730 PECOS PAC ID: 3476808858 Enrollment ID: I20180626003491 |
| Provider Name | Aslam Mohammed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205156940 PECOS PAC ID: 8325267677 Enrollment ID: I20180709003499 |
| Provider Name | John D Nall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285029371 PECOS PAC ID: 5294088803 Enrollment ID: I20181030000027 |
| Provider Name | Ibukunoluwa Oluwapelumi Kusimo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356792790 PECOS PAC ID: 7214278290 Enrollment ID: I20190402000625 |
| Provider Name | Martin F Schreeder |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477845881 PECOS PAC ID: 1254561004 Enrollment ID: I20190610001692 |
| Provider Name | Gilbert Melson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235512591 PECOS PAC ID: 2062794217 Enrollment ID: I20190820002669 |
| Provider Name | Waqas Shuaib |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356791115 PECOS PAC ID: 9234467622 Enrollment ID: I20190822003446 |
| Provider Name | Jessica O Rogers |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598170292 PECOS PAC ID: 6507118643 Enrollment ID: I20191203003238 |
| Provider Name | Russell Douglas Alexander |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174571285 PECOS PAC ID: 1759379498 Enrollment ID: I20210113001798 |
| Provider Name | Ronald Coury Tisdale |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790203461 PECOS PAC ID: 6901138445 Enrollment ID: I20210219000344 |
| Provider Name | Amy M Traylor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972000149 PECOS PAC ID: 5890050447 Enrollment ID: I20210706003625 |
Lakeland Community Hospital Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 42024 Hwy 195, Haleyville, AL 35565 Phone: 205-485-7108 Fax: 205-485-7127 | |
Heart Spring Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 42233 Highway 195, Haleyville, AL 35565 Phone: 205-495-2332 | |
Winston Marion County Arc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 145 County Highway 76, Haleyville, AL 35565 Phone: 205-486-2178 Fax: 205-486-6510 |