| Midway Medical Clinic Llc | |
|
27550 State Highway 75 Ste 105 Oneonta AL 35121-3204 | |
| (256) 451-1250 | |
| Not Available |
| Full Name | Midway Medical Clinic Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 27550 State Highway 75 Ste 105, Oneonta, Alabama |
| Authorized Official Name and Position | Muhammad Ejaz Ata (OWNER) |
| Authorized Official Contact | 2565997566 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Midway Medical Clinic Llc Po Box 568 Oneonta AL 35121-0007 Ph: (256) 451-1250 | Midway Medical Clinic Llc 27550 State Highway 75 Ste 105 Oneonta AL 35121-3204 Ph: (256) 451-1250 |
| NPI Number | 1386984649 |
|---|---|
| Provider Enumeration Date | 02/25/2013 |
| Last Update Date | 07/18/2019 |
| Medicare PECOS PAC ID | 4688819592 |
|---|---|
| Medicare Enrollment ID | O20130326000041 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386984649 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (Alabama) | Primary |
| Provider Name | Eileen M Gallagher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093702326 PECOS PAC ID: 8123058666 Enrollment ID: I20050815001027 |
| Provider Name | Cesar E Munoz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255432027 PECOS PAC ID: 7719067271 Enrollment ID: I20080109000592 |
| Provider Name | Muhammad Ata |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023112307 PECOS PAC ID: 5294631750 Enrollment ID: I20090429000389 |
| Provider Name | John E Willis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275831703 PECOS PAC ID: 2961686654 Enrollment ID: I20110404000709 |
| Provider Name | Berenice C Serpas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154676302 PECOS PAC ID: 9830330885 Enrollment ID: I20130802000387 |
| Provider Name | Ashley Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851792816 PECOS PAC ID: 9537484985 Enrollment ID: I20150206001479 |
| Provider Name | Torri Selvage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760856926 PECOS PAC ID: 8628379468 Enrollment ID: I20151221000137 |
| Provider Name | Sean K Riggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689123051 PECOS PAC ID: 1951680578 Enrollment ID: I20161122000661 |
| Provider Name | Josiah Keaton Aldrup |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184165748 PECOS PAC ID: 4587939350 Enrollment ID: I20171004000904 |
| Provider Name | Abbie Friday Sharpe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689262057 PECOS PAC ID: 9638588650 Enrollment ID: I20210504001204 |
St. Vincent's Blount Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 150 Gilbreath Dr, Oneonta, AL 35121 Phone: 205-274-3001 Fax: 205-274-3002 | |
Ascension St. Vincent's Primary Care Oneonta Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 150 Gilbreath Dr, Suite 201, Oneonta, AL 35121 Phone: 205-274-3010 | |
Primary Care Services-blount, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 101 Lemley Dr Ste A, Oneonta, AL 35121 Phone: 205-625-3561 Fax: 205-274-9638 | |
St. Vincent's Blount Hospitalist Services, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 150 Gilbreath Dr, Attn: Administration / Hospitalist Services, Oneonta, AL 35121 Phone: 205-274-3010 Fax: 205-274-3002 | |
Eastern Medical Specialists Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 150 Gilbreath Dr, Oneonta, AL 35121 Phone: 205-274-3344 | |
St Vincents Blount Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 150 Gilbreath Dr, Suite 200, Oneonta, AL 35121 Phone: 205-838-5286 |