| Gastrocare Pc | |
|
100 Rice Mine Rd N Ste E Tuscaloosa AL 35406-2375 | |
| (205) 345-0010 | |
| (205) 986-0081 |
| Full Name | Gastrocare Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 100 Rice Mine Rd N Ste E, Tuscaloosa, Alabama |
| Authorized Official Name and Position | Adisesha B Reddy (PROVIDER/OWNER) |
| Authorized Official Contact | 2053450010 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gastrocare Pc 100 Rice Mine Rd N Ste E Tuscaloosa AL 35406-2375 Ph: (205) 345-0010 | Gastrocare Pc 100 Rice Mine Rd N Ste E Tuscaloosa AL 35406-2375 Ph: (205) 345-0010 |
| NPI Number | 1114039872 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 4981687712 |
|---|---|
| Medicare Enrollment ID | O20040611000282 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114039872 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Charles Melbern Wilcox |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1740297027 PECOS PAC ID: 1052205481 Enrollment ID: I20040209000499 |
| Provider Name | Adisesha B Reddy |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1407968167 PECOS PAC ID: 1557344397 Enrollment ID: I20040611000437 |
| Provider Name | Stephenie C Dillard |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1184618126 PECOS PAC ID: 4981687787 Enrollment ID: I20040611000841 |
| Provider Name | Travis E Kidd |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1366436271 PECOS PAC ID: 1153303409 Enrollment ID: I20040611000859 |
| Provider Name | Kevin S Giadrosich |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1700839255 PECOS PAC ID: 4284612326 Enrollment ID: I20040713001368 |
| Provider Name | Allyson C Baker |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1144279654 PECOS PAC ID: 9133132012 Enrollment ID: I20060718000314 |
| Provider Name | Monnette S Baker |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1407800386 PECOS PAC ID: 7517000284 Enrollment ID: I20100203000203 |
| Provider Name | Warren Clingan |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1033303102 PECOS PAC ID: 6204907975 Enrollment ID: I20100208000379 |
| Provider Name | Suzanne H Martin |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1609969252 PECOS PAC ID: 3173647534 Enrollment ID: I20100908000229 |
| Provider Name | Daniel K Harrison |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1063622280 PECOS PAC ID: 1557555992 Enrollment ID: I20101029001311 |
| Provider Name | Leigh Schmersahl Rose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437433794 PECOS PAC ID: 8921275157 Enrollment ID: I20120111000536 |
| Provider Name | Subhash C Bajaj |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1699730218 PECOS PAC ID: 9830133990 Enrollment ID: I20120206000593 |
| Provider Name | Rekha Khurana |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1437396108 PECOS PAC ID: 5890951248 Enrollment ID: I20120730000487 |
| Provider Name | Kartika Bellam Reddy |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1548584311 PECOS PAC ID: 5698918803 Enrollment ID: I20130906000393 |
| Provider Name | Gopal K Kaza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306083936 PECOS PAC ID: 1052584885 Enrollment ID: I20150504000317 |
| Provider Name | Courtney Hanna |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1467770214 PECOS PAC ID: 4587800206 Enrollment ID: I20150629001173 |
| Provider Name | Lorie Givens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881073591 PECOS PAC ID: 1254649445 Enrollment ID: I20151008001231 |
| Provider Name | Delicia L Munfus-mccray |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1619107091 PECOS PAC ID: 9234380403 Enrollment ID: I20170825002370 |
| Provider Name | Jessica M Griffith |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1922364215 PECOS PAC ID: 6709022437 Enrollment ID: I20180531000465 |
| Provider Name | David Paul Dorn |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1477949998 PECOS PAC ID: 1951622786 Enrollment ID: I20200602002457 |
| Provider Name | Vikram Jala |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1104279595 PECOS PAC ID: 4385931062 Enrollment ID: I20201204000991 |
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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 | |
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