| Aspire Integrative Health Clinic | |
|
2202 Gateway Dr Ste D Opelika AL 36801-6870 | |
| (334) 203-1723 | |
| Not Available |
| Full Name | Aspire Integrative Health Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 2202 Gateway Dr Ste D, Opelika, Alabama |
| Authorized Official Name and Position | Viengxay Malavong (OWNER) |
| Authorized Official Contact | 3342031723 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aspire Integrative Health Clinic 2202 Gateway Dr Ste D Opelika AL 36801-6870 Ph: (334) 203-1723 | Aspire Integrative Health Clinic 2202 Gateway Dr Ste D Opelika AL 36801-6870 Ph: (334) 203-1723 |
| NPI Number | 1225491426 |
|---|---|
| Provider Enumeration Date | 04/04/2016 |
| Last Update Date | 04/04/2016 |
| Medicare PECOS PAC ID | 4688009202 |
|---|---|
| Medicare Enrollment ID | O20200108002121 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225491426 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | DO. 1492 (Alabama) | Primary |
| Provider Name | Viengxay Thomas Malavong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508120577 PECOS PAC ID: 5496074882 Enrollment ID: I20150721001883 |
| Provider Name | Lisa R Ailes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174913248 PECOS PAC ID: 6406173152 Enrollment ID: I20160121000854 |
| Provider Name | Nicolette C Peters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669925251 PECOS PAC ID: 0345538864 Enrollment ID: I20161014001609 |
| Provider Name | Talyia J. Cauley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316399256 PECOS PAC ID: 0941580203 Enrollment ID: I20161205000329 |
| Provider Name | Laura Beth F Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508383456 PECOS PAC ID: 0941568976 Enrollment ID: I20171221001531 |
| Provider Name | Christopher Mills |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871976134 PECOS PAC ID: 4385959337 Enrollment ID: I20180828000242 |
| Provider Name | Sarah Faison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366926800 PECOS PAC ID: 3173867496 Enrollment ID: I20181127002556 |
| Provider Name | William Forrest Bonner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154989457 PECOS PAC ID: 3072844265 Enrollment ID: I20191021000925 |
| Provider Name | Sherry L Feeney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154859346 PECOS PAC ID: 1456765148 Enrollment ID: I20210120001475 |
| Provider Name | Lauren Ashlee Hicks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578195871 PECOS PAC ID: 1254722481 Enrollment ID: I20211227000266 |
Southern Ketamine And Wellness, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2200 Gateway Dr Ste Aa, Opelika, AL 36801 Phone: 334-209-5340 | |
Hypertension & Nephrology Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 121 N 20th St Ste 20a, Opelika, AL 36801 Phone: 334-749-6523 Fax: 334-742-0242 | |
East Alabama Medical Development Associates, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2000 Pepperell Pkwy, Opelika, AL 36801 Phone: 334-705-1822 Fax: 334-705-1407 | |
Gamper Holdings, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7667 Al Highway 51 Ste B, Opelika, AL 36804 Phone: 334-707-7174 | |
Internal Medicine Associates P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 121 N 20th St, #6, Opelika, AL 36801 Phone: 334-749-3385 Fax: 334-745-7672 | |
Cary Creek Medical Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7667 Alabama Hwy 51 Suite B, Opelika, AL 36804 Phone: 334-737-5557 Fax: 334-767-5646 |