| Fairhope Internal Medicine Pc | |
|
150 S Ingleside St Ste 6 Fairhope AL 36532-1804 | |
| (251) 990-1740 | |
| (251) 990-1831 |
| Full Name | Fairhope Internal Medicine Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 150 S Ingleside St Ste 6, Fairhope, Alabama |
| Authorized Official Name and Position | Laura Susan Ray (PHYSICIAN OWNER) |
| Authorized Official Contact | 2519901740 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fairhope Internal Medicine Pc 150 S Ingleside St Ste 6 Fairhope AL 36532-1804 Ph: (251) 990-1740 | Fairhope Internal Medicine Pc 150 S Ingleside St Ste 6 Fairhope AL 36532-1804 Ph: (251) 990-1740 |
| NPI Number | 1295760494 |
|---|---|
| Provider Enumeration Date | 07/12/2006 |
| Last Update Date | 06/09/2020 |
| Medicare PECOS PAC ID | 6305884651 |
|---|---|
| Medicare Enrollment ID | O20050419000175 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295760494 | NPI | - | NPPES |
| 529917330 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Kimberly D Nolte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184809691 PECOS PAC ID: 4688750714 Enrollment ID: I20080416000055 |
| Provider Name | Laura S Ray |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932167434 PECOS PAC ID: 9931147287 Enrollment ID: I20100630000440 |
| Provider Name | Frank Wang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821286451 PECOS PAC ID: 7214069574 Enrollment ID: I20100722000088 |
| Provider Name | Steven P Wittmer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104820869 PECOS PAC ID: 0547162364 Enrollment ID: I20101214001126 |
| Provider Name | William Herron |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962685958 PECOS PAC ID: 9537346630 Enrollment ID: I20110526000389 |
| Provider Name | Regina Felkner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710244983 PECOS PAC ID: 6406095348 Enrollment ID: I20160914001468 |
| Provider Name | Mollie W Dean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578057535 PECOS PAC ID: 5294077483 Enrollment ID: I20190509000991 |
| Provider Name | Zachary Kyle Clark |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063049054 PECOS PAC ID: 3870910342 Enrollment ID: I20220805003143 |
| Provider Name | Kayla Leist Labrato |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689441271 PECOS PAC ID: 9739523598 Enrollment ID: I20240220002498 |
Self Center Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 306 S Greeno Rd, Suite A, Fairhope, AL 36532 Phone: 251-928-8760 Fax: 251-928-7028 | |
Prestige Telemedicine Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 303 Cumberland Rd, Fairhope, AL 36532 Phone: 251-517-4411 | |
Infiniti Health Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 306 Saint Charles Ct, Fairhope, AL 36532 Phone: 888-212-4243 | |
Fulton G. De Four, Md, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 750 Morphy Ave, Fairhope, AL 36532 Phone: 251-752-8235 | |
Baldwin Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 21950 State Highway 181 Ste A, Fairhope, AL 36532 Phone: 251-621-6520 Fax: 251-621-6521 | |
Self And Self Company, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 306 Greeno Rd S, Suite A, Fairhope, AL 36532 Phone: 251-928-8760 Fax: 251-928-7028 | |
Shehryar Anjum, Md, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 750 Morphy Ave, Fairhope, AL 36532 Phone: 251-928-2375 |