| Dch Provider Services, Llc | |
|
809 University Blvd E Tuscaloosa AL 35401 | |
| (205) 333-4528 | |
| Not Available |
| Full Name | Dch Provider Services, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 809 University Blvd E, Tuscaloosa, Alabama |
| Authorized Official Name and Position | Daniel Clay Conville (DIRECTOR, PHYSICIAN SERVICES) |
| Authorized Official Contact | 2053334528 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dch Provider Services, Llc 809 University Blvd E Tuscaloosa AL 35401 Ph: (205) 333-4528 | Dch Provider Services, Llc 809 University Blvd E Tuscaloosa AL 35401 Ph: (205) 333-4528 |
| NPI Number | 1982103974 |
|---|---|
| Provider Enumeration Date | 02/06/2018 |
| Last Update Date | 03/17/2018 |
| Medicare PECOS PAC ID | 6800150517 |
|---|---|
| Medicare Enrollment ID | O20180504001564 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982103974 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Gary Randell Newsom |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992723019 PECOS PAC ID: 1052216785 Enrollment ID: I20031205000079 |
| Provider Name | Charles Melbern Wilcox |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1740297027 PECOS PAC ID: 1052205481 Enrollment ID: I20040209000499 |
| Provider Name | Abhinandan Raj |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1477657070 PECOS PAC ID: 4688659659 Enrollment ID: I20040623000417 |
| Provider Name | Jerill K Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063483378 PECOS PAC ID: 6800847997 Enrollment ID: I20050207000268 |
| Provider Name | Sanjay K Singh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952403362 PECOS PAC ID: 2961416870 Enrollment ID: I20060131000322 |
| Provider Name | Dana S Norris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356433064 PECOS PAC ID: 5991716870 Enrollment ID: I20060505000842 |
| Provider Name | Cameron S Paisley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649328253 PECOS PAC ID: 0446342018 Enrollment ID: I20070828000122 |
| Provider Name | Rao R Meka |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1275608853 PECOS PAC ID: 1658472485 Enrollment ID: I20080416000279 |
| Provider Name | David Call |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245233667 PECOS PAC ID: 6103878806 Enrollment ID: I20080512000441 |
| Provider Name | Deryck A Joseph |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1679515159 PECOS PAC ID: 9830213651 Enrollment ID: I20100901000028 |
| Provider Name | Pedro N Capote |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740540871 PECOS PAC ID: 2365680667 Enrollment ID: I20130612000256 |
| Provider Name | Robert Brinson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1487741237 PECOS PAC ID: 0547498032 Enrollment ID: I20140107001258 |
| Provider Name | Stephanie D Wynn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205113552 PECOS PAC ID: 4082838537 Enrollment ID: I20140624001252 |
| Provider Name | Tandra R Gordon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740571215 PECOS PAC ID: 0143464404 Enrollment ID: I20141016001926 |
| Provider Name | Vijaya Dhanireddy Boyella |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1932263993 PECOS PAC ID: 4284737362 Enrollment ID: I20160510001539 |
| Provider Name | Richard Chernecky |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1437210341 PECOS PAC ID: 2961551353 Enrollment ID: I20180522001871 |
| Provider Name | Russell Carter |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1912976085 PECOS PAC ID: 6002957883 Enrollment ID: I20180522002513 |
| Provider Name | James Lamousin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043227606 PECOS PAC ID: 8022000215 Enrollment ID: I20180809000658 |
| Provider Name | Christine Bruno |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1982770707 PECOS PAC ID: 4688612120 Enrollment ID: I20180821003392 |
| Provider Name | Gregory Renck |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275645400 PECOS PAC ID: 2668557455 Enrollment ID: I20180919003048 |
| Provider Name | Dakota Acton-jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790167864 PECOS PAC ID: 1153638192 Enrollment ID: I20181017002326 |
| Provider Name | Elizabeth J Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952758666 PECOS PAC ID: 8224313820 Enrollment ID: I20190507000725 |
| Provider Name | William E Brohawn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164480109 PECOS PAC ID: 4587559752 Enrollment ID: I20190821004910 |
| Provider Name | Sheree E Walker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598928624 PECOS PAC ID: 3779898325 Enrollment ID: I20200108002500 |
| Provider Name | Asim Rana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124559059 PECOS PAC ID: 3779856133 Enrollment ID: I20200908002858 |
| Provider Name | Randi H Hatton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578153391 PECOS PAC ID: 3678980810 Enrollment ID: I20210406000266 |
West Alabama Physician Associates Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 701 University Blvd E Ste 211, Tuscaloosa, AL 35401 Phone: 205-333-4965 | |
Steve Lovelady Md Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1490 N Bank Pkwy Ste 290, Tuscaloosa, AL 35406 Phone: 205-523-7001 | |
Alabama Hospital Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 809 University Blvd E, Tuscaloosa, AL 35401 Phone: 205-344-9019 Fax: 205-344-9036 | |
Five Horizons Health Services Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2720 6th St, Tuscaloosa, AL 35401 Phone: 205-759-8470 Fax: 205-366-9001 | |
Whatley Health Services, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2731 Martin Luther King Blvd, Tuscaloosa, AL 35401 Phone: 205-349-3250 Fax: 205-752-1517 | |
Mentorup Life Lab & Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 535 Jack Warner Pkwy Ne Ste G2, Tuscaloosa, AL 35404 Phone: 205-771-2261 | |
Maude L. Whatley Health Centers Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2731 Mlk Jr Blvd, Tuscaloosa, AL 35401 Phone: 205-349-3250 Fax: 205-345-3993 |