| Medical West Hospital Authority, An Affiliate Of Uab Health System | |
|
995 9th Ave Sw Bessemer AL 35022-4527 | |
| (205) 481-7121 | |
| (205) 481-7397 |
| Full Name | Medical West Hospital Authority, An Affiliate Of Uab Health System |
|---|---|
| Speciality | Clinic/Center |
| Location | 995 9th Ave Sw, Bessemer, Alabama |
| Authorized Official Name and Position | Keith Pennington (CEO) |
| Authorized Official Contact | 2054817102 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical West Hospital Authority, An Affiliate Of Uab Health System 995 9th Ave Sw Bessemer AL 35022-4527 Ph: (205) 481-7121 | Medical West Hospital Authority, An Affiliate Of Uab Health System 995 9th Ave Sw Bessemer AL 35022-4527 Ph: (205) 481-7121 |
| NPI Number | 1952483729 |
|---|---|
| Provider Enumeration Date | 10/20/2006 |
| Last Update Date | 10/18/2017 |
| Medicare PECOS PAC ID | 6406865427 |
|---|---|
| Medicare Enrollment ID | O20061204000666 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952483729 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 12816 (Alabama) | Primary |
| Provider Name | Harini Ganga Doppalapudi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316926389 PECOS PAC ID: 2668370347 Enrollment ID: I20031219000726 |
| Provider Name | Merrilee B. Coby |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003844671 PECOS PAC ID: 4385532746 Enrollment ID: I20040308000589 |
| Provider Name | Rodney Wayne Overstreet |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518902543 PECOS PAC ID: 5991696742 Enrollment ID: I20040322001884 |
| Provider Name | Pamela D Miller |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851304190 PECOS PAC ID: 5395732994 Enrollment ID: I20040427000497 |
| Provider Name | Andrea M Shirey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568564052 PECOS PAC ID: 7810987757 Enrollment ID: I20040513001049 |
| Provider Name | Richard S Stephen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891880530 PECOS PAC ID: 7012993132 Enrollment ID: I20040628001490 |
| Provider Name | Danika Y Hickman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720199110 PECOS PAC ID: 3678559739 Enrollment ID: I20040629000046 |
| Provider Name | Thomas R Dryden |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578559530 PECOS PAC ID: 8527031905 Enrollment ID: I20040813001077 |
| Provider Name | Cedric L Harris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770644031 PECOS PAC ID: 1557335908 Enrollment ID: I20040823000676 |
| Provider Name | Christopher G Palmer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1366434078 PECOS PAC ID: 0244299014 Enrollment ID: I20041007000229 |
| Provider Name | Lisa C. Reich |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1134130354 PECOS PAC ID: 6608839832 Enrollment ID: I20041109000691 |
| Provider Name | Jerry T Mclane |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780660340 PECOS PAC ID: 0547223661 Enrollment ID: I20041110000204 |
| Provider Name | Reid S Christopher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609978964 PECOS PAC ID: 8729041744 Enrollment ID: I20041110000292 |
| Provider Name | Charles A Gonzalez |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1972608396 PECOS PAC ID: 6800850082 Enrollment ID: I20041117000480 |
| Provider Name | Rowell S Ashford |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407894462 PECOS PAC ID: 9739138371 Enrollment ID: I20050120000676 |
| Provider Name | Zachary Ian Edwards |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1134178569 PECOS PAC ID: 0143273615 Enrollment ID: I20050224000240 |
| Provider Name | Trisha A Reinhold |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1306872734 PECOS PAC ID: 3476591819 Enrollment ID: I20050418000658 |
| Provider Name | Christopher H Savage |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1144230384 PECOS PAC ID: 0840238374 Enrollment ID: I20050425000416 |
| Provider Name | Gaylon R Rogers |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1437126497 PECOS PAC ID: 2961444385 Enrollment ID: I20050525001233 |
| Provider Name | Naila Siddiqui |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073603056 PECOS PAC ID: 1456395342 Enrollment ID: I20050613000094 |
| Provider Name | Clark A Gray |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427141027 PECOS PAC ID: 8527004134 Enrollment ID: I20050706000197 |
| Provider Name | Clarence W Barr |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477649903 PECOS PAC ID: 9335175124 Enrollment ID: I20050824000720 |
| Provider Name | Charles G Fagan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710073820 PECOS PAC ID: 2062448855 Enrollment ID: I20050826000364 |
| Provider Name | Harold F Thomas |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1194818641 PECOS PAC ID: 7517993306 Enrollment ID: I20050826000377 |
| Provider Name | Joseph H Fulmer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1548240450 PECOS PAC ID: 2062432610 Enrollment ID: I20051129000265 |
| Provider Name | Michael A Rosemore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104849843 PECOS PAC ID: 3870529662 Enrollment ID: I20060123000159 |
| Provider Name | Sadri Mustafa Avsar |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1447260914 PECOS PAC ID: 9638193212 Enrollment ID: I20060123000313 |
| Provider Name | Deborah S Hayes |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1205054699 PECOS PAC ID: 8729094784 Enrollment ID: I20060228000443 |
| Provider Name | Tanya R Franks |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700992302 PECOS PAC ID: 3072529031 Enrollment ID: I20060228000458 |
| Provider Name | David N Fort |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1710934716 PECOS PAC ID: 3870502388 Enrollment ID: I20060411000733 |
| Provider Name | Jody E Gilstrap |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902856628 PECOS PAC ID: 4486650553 Enrollment ID: I20061012000354 |
| Provider Name | Raymond W Workman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1649275512 PECOS PAC ID: 1153222906 Enrollment ID: I20061121000354 |
| Provider Name | Jason P Gamble |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396724613 PECOS PAC ID: 5092714568 Enrollment ID: I20061211000215 |
| Provider Name | Ira H Holt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881791358 PECOS PAC ID: 4789683038 Enrollment ID: I20061213000627 |
| Provider Name | Wiley K Livingston |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215917794 PECOS PAC ID: 6507865854 Enrollment ID: I20061213000629 |
| Provider Name | Frank D Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770553067 PECOS PAC ID: 8325047673 Enrollment ID: I20061213000631 |
| Provider Name | Michael A Moore |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205815214 PECOS PAC ID: 2567460983 Enrollment ID: I20061215000094 |
| Provider Name | Sally M Ebaugh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487756300 PECOS PAC ID: 3870592801 Enrollment ID: I20061220000251 |
| Provider Name | Keith J Brown |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043315047 PECOS PAC ID: 5092817882 Enrollment ID: I20070226000291 |
| Provider Name | John K Ewing |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558466581 PECOS PAC ID: 5294837092 Enrollment ID: I20070226000355 |
| Provider Name | Erin M Ozgun |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1285740456 PECOS PAC ID: 7911970462 Enrollment ID: I20070322000212 |
| Provider Name | Robert S Mccord |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1467434498 PECOS PAC ID: 6709980543 Enrollment ID: I20070403000544 |
| Provider Name | Thomas C Pendleton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265543482 PECOS PAC ID: 5294839023 Enrollment ID: I20070426000049 |
| Provider Name | Mary C Gipson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801904982 PECOS PAC ID: 8022114438 Enrollment ID: I20070501000618 |
| Provider Name | Kyle M Vanderford |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689715336 PECOS PAC ID: 2769588052 Enrollment ID: I20070502000700 |
| Provider Name | James H Marshall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013093566 PECOS PAC ID: 3375649346 Enrollment ID: I20070508000435 |
| Provider Name | Kristen Jacobs |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699828392 PECOS PAC ID: 1153428842 Enrollment ID: I20070514000508 |
| Provider Name | Brandy S Rivers |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427176031 PECOS PAC ID: 4385742071 Enrollment ID: I20070604000453 |
| Provider Name | Allyson S Gilstrap |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679618490 PECOS PAC ID: 6608830526 Enrollment ID: I20070724000256 |
| Provider Name | Jason L Rollins |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1487760534 PECOS PAC ID: 9739272691 Enrollment ID: I20070907000732 |
| Provider Name | Cesar E Munoz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255432027 PECOS PAC ID: 7719067271 Enrollment ID: I20080109000592 |
| Provider Name | Jason C Swanner |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1679593719 PECOS PAC ID: 4880779164 Enrollment ID: I20080311000450 |
| Provider Name | Breezy N Wilson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679785422 PECOS PAC ID: 7214013440 Enrollment ID: I20080327000539 |
| Provider Name | Donald Scott Hogue |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1073795118 PECOS PAC ID: 8224115860 Enrollment ID: I20080408000142 |
| Provider Name | Andrew A Small |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1336317437 PECOS PAC ID: 8729166400 Enrollment ID: I20080422000011 |
| Provider Name | Andrew H Shaw |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1629246186 PECOS PAC ID: 7810066651 Enrollment ID: I20080520000060 |
| Provider Name | Randy J Yarbrough |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134197361 PECOS PAC ID: 6002857174 Enrollment ID: I20080709000251 |
| Provider Name | Jeffery L Jones |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1295948982 PECOS PAC ID: 0143395566 Enrollment ID: I20080820000269 |
| Provider Name | Mary Elizabeth Boyer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528204864 PECOS PAC ID: 3577612795 Enrollment ID: I20090519000204 |
| Provider Name | Cynthia L Bass |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871738658 PECOS PAC ID: 3870643794 Enrollment ID: I20090615000184 |
| Provider Name | Ashish B Shah |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1972832467 PECOS PAC ID: 1153458187 Enrollment ID: I20100423000250 |
| Provider Name | Richard T Mcglaughlin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1124123666 PECOS PAC ID: 8123082302 Enrollment ID: I20100616000775 |
| Provider Name | Gary A Mollengarden |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1477658920 PECOS PAC ID: 1850355025 Enrollment ID: I20100616000800 |
| Provider Name | Joseph B Luttrell |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1902901424 PECOS PAC ID: 4587628763 Enrollment ID: I20100617000032 |
| Provider Name | Manuel F Carcelen |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1538124607 PECOS PAC ID: 2466584883 Enrollment ID: I20100721000508 |
| Provider Name | Roxana Carcelen |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1306801543 PECOS PAC ID: 4880671601 Enrollment ID: I20100805000801 |
| Provider Name | Rick Player |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861437121 PECOS PAC ID: 4486626389 Enrollment ID: I20101012000563 |
| Provider Name | Michele Renee Postma |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1700992989 PECOS PAC ID: 9931392404 Enrollment ID: I20101018000644 |
| Provider Name | Stuart J Padove |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1164538310 PECOS PAC ID: 7810967783 Enrollment ID: I20101119000362 |
| Provider Name | Cynthia H Brown |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841382322 PECOS PAC ID: 4082800016 Enrollment ID: I20101202000008 |
| Provider Name | Adam L Sosnowchik |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477859858 PECOS PAC ID: 2769664176 Enrollment ID: I20110307000548 |
| Provider Name | Mindy L Wilder |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1659678506 PECOS PAC ID: 0941483325 Enrollment ID: I20110322000880 |
| Provider Name | Oscar Booker |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1922252691 PECOS PAC ID: 3678600285 Enrollment ID: I20110718000653 |
| Provider Name | William Fonbah |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1912110040 PECOS PAC ID: 0345418380 Enrollment ID: I20110719000533 |
| Provider Name | Nicholas S Berry |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1508136870 PECOS PAC ID: 3173780871 Enrollment ID: I20120208000578 |
| Provider Name | Priscilla Fowler |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1851398093 PECOS PAC ID: 1951368802 Enrollment ID: I20120712000814 |
| Provider Name | Sandhya Garg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497764849 PECOS PAC ID: 7517995137 Enrollment ID: I20121025000385 |
| Provider Name | Alice Melnise Crunk |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1306112297 PECOS PAC ID: 0143481119 Enrollment ID: I20121031000401 |
| Provider Name | Johnathan D Mize |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679505465 PECOS PAC ID: 3274788120 Enrollment ID: I20130227000261 |
| Provider Name | Amanda D Denham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245433648 PECOS PAC ID: 5395980148 Enrollment ID: I20130326000554 |
| Provider Name | Brian W Wells |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457666406 PECOS PAC ID: 5597906172 Enrollment ID: I20130724000321 |
| Provider Name | Jessica E Gill |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265722540 PECOS PAC ID: 5395987952 Enrollment ID: I20130809000590 |
| Provider Name | Jason K Willoughby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124453204 PECOS PAC ID: 6103051792 Enrollment ID: I20131107001068 |
| Provider Name | David E Meadows |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1437573961 PECOS PAC ID: 4789816778 Enrollment ID: I20140404001393 |
| Provider Name | Bonnie Jo Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619901139 PECOS PAC ID: 9335150648 Enrollment ID: I20140924000916 |
| Provider Name | Alisha T Bennett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346536141 PECOS PAC ID: 4082846209 Enrollment ID: I20140925002591 |
| Provider Name | Mary Alice E Bailey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952694697 PECOS PAC ID: 9234378969 Enrollment ID: I20141104000762 |
| Provider Name | Adam N Brown |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467840835 PECOS PAC ID: 4183942782 Enrollment ID: I20150413001490 |
| Provider Name | Jennifer M Aliotta |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1275924987 PECOS PAC ID: 8123346616 Enrollment ID: I20150413002507 |
| Provider Name | John D Curtis |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1487622031 PECOS PAC ID: 0941284400 Enrollment ID: I20150626001361 |
| Provider Name | Joseph Michael Malek |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205129830 PECOS PAC ID: 2961648183 Enrollment ID: I20150701000341 |
| Provider Name | Taylor B Turner |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1700176567 PECOS PAC ID: 7618282518 Enrollment ID: I20150821013175 |
| Provider Name | David A Brentz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1033476288 PECOS PAC ID: 9436459252 Enrollment ID: I20151201001788 |
| Provider Name | Kate Mcconathy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821466517 PECOS PAC ID: 2264733401 Enrollment ID: I20151214001024 |
| Provider Name | Tara C Fulmer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1649415142 PECOS PAC ID: 7416258397 Enrollment ID: I20151217002731 |
| Provider Name | Tina Lubsen |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1659332559 PECOS PAC ID: 8426173865 Enrollment ID: I20160711000560 |
| Provider Name | Kristen N Michael |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982970232 PECOS PAC ID: 9234432188 Enrollment ID: I20160719002009 |
| Provider Name | Benjamin S Butler |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790229680 PECOS PAC ID: 7416234927 Enrollment ID: I20170511000576 |
| Provider Name | Bryan L Smelser |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215373386 PECOS PAC ID: 8729228457 Enrollment ID: I20170629001193 |
| Provider Name | Benjamin A Jones |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841533809 PECOS PAC ID: 6608016233 Enrollment ID: I20170705002444 |
| Provider Name | Rasa K Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982672952 PECOS PAC ID: 0840234480 Enrollment ID: I20171017000227 |
| Provider Name | Ashley Maria Boler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548641145 PECOS PAC ID: 9739445271 Enrollment ID: I20171115003497 |
| Provider Name | Jonathon Baccus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154700722 PECOS PAC ID: 2365797172 Enrollment ID: I20180619003683 |
| Provider Name | Gregory A Payne |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1205126596 PECOS PAC ID: 1951548551 Enrollment ID: I20180806002028 |
| Provider Name | Jeremy L Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003334665 PECOS PAC ID: 1153679246 Enrollment ID: I20180806003488 |
| Provider Name | Margaret Adamack Hunt |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497291611 PECOS PAC ID: 9032460993 Enrollment ID: I20180917001528 |
| Provider Name | Brandi N Hubbard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164930939 PECOS PAC ID: 3274884226 Enrollment ID: I20181001003153 |
| Provider Name | Lashaundra M Thedford-smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104069228 PECOS PAC ID: 3274760632 Enrollment ID: I20181023003417 |
| Provider Name | Harveen K. Sodhi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821454224 PECOS PAC ID: 8224381504 Enrollment ID: I20181102002163 |
| Provider Name | Aquita Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679068258 PECOS PAC ID: 4284974965 Enrollment ID: I20190315000523 |
| Provider Name | Carla Lyndsey Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982821625 PECOS PAC ID: 6305278458 Enrollment ID: I20191112001592 |
| Provider Name | Ashley D Brown |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1275098303 PECOS PAC ID: 2668808825 Enrollment ID: I20200206000930 |
| Provider Name | Kathleen Drew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033419817 PECOS PAC ID: 6608023403 Enrollment ID: I20200528003358 |
| Provider Name | Emily Donielle Worthy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306471586 PECOS PAC ID: 7911320320 Enrollment ID: I20200701002698 |
| Provider Name | Kelly Petrovics |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689287070 PECOS PAC ID: 8325466865 Enrollment ID: I20200915001458 |
| Provider Name | Jeremy Dornier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043751365 PECOS PAC ID: 6305115940 Enrollment ID: I20200918001650 |
| Provider Name | Ronda Lea Freeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073001301 PECOS PAC ID: 8123375276 Enrollment ID: I20210628001769 |
| Provider Name | Scott B Seibert |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1962713792 PECOS PAC ID: 7012159015 Enrollment ID: I20220106001686 |
| Provider Name | Loren C Tholcke |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1588191944 PECOS PAC ID: 8426439126 Enrollment ID: I20220712003727 |
| Provider Name | Jessica Ramos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871117341 PECOS PAC ID: 0840659751 Enrollment ID: I20230710001759 |
| Provider Name | Peter Ward Ketch |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528529948 PECOS PAC ID: 9133461213 Enrollment ID: I20230731000926 |
| Provider Name | Jessie Consuelo Matus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093202889 PECOS PAC ID: 6002169596 Enrollment ID: I20230803004591 |
| Provider Name | Courtney Issis-banuelos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295413391 PECOS PAC ID: 8820443930 Enrollment ID: I20231010001852 |
| Provider Name | Patrick David Rowan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1669901997 PECOS PAC ID: 8224307764 Enrollment ID: I20231023001945 |
Christopher J. Portante, D.o. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 722 Memorial Dr, Bessemer, AL 35022 Phone: 205-428-1110 Fax: 205-428-9981 | |
Integrated Medical Group, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 975 9th Ave Sw Ste 200, Bessemer, AL 35022 Phone: 205-519-4201 | |
American Family Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5911 Harris Ln, Bessemer, AL 35022 Phone: 205-461-0038 Fax: 205-461-0042 | |
West Jefferson Internal Medicine Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1088 9th Ave Sw, Suite 104, Bessemer, AL 35022 Phone: 205-426-0546 Fax: 205-426-0326 | |
Morgan Road Physical Medicine, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3054 Morgan Rd, Bessemer, AL 35022 Phone: 205-424-8400 | |
Flex Np Health & Wellness Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6405 Ridge View Cir, Bessemer, AL 35022 Phone: 601-209-2094 | |
Jerry Mclane Internal Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1088 9th Ave Sw, Suite 106, Bessemer, AL 35022 Phone: 205-424-5664 Fax: 205-424-1564 |