| Norwood Clinic Inc | |
|
2022 Brookwood Medical Center Drive Suite 510 Birmingham AL 35209-6898 | |
| (205) 250-6000 | |
| (205) 250-6848 |
| Full Name | Norwood Clinic Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2022 Brookwood Medical Center Drive, Birmingham, Alabama |
| Authorized Official Name and Position | Jennifer Perry (CAO) |
| Authorized Official Contact | 2052506896 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Norwood Clinic Inc Po Box 830230 Attn Credentialing Birmingham AL 35283-0230 Ph: (205) 250-6000 | Norwood Clinic Inc 2022 Brookwood Medical Center Drive Suite 510 Birmingham AL 35209-6898 Ph: (205) 250-6000 |
| NPI Number | 1104879741 |
|---|---|
| Provider Enumeration Date | 05/17/2006 |
| Last Update Date | 03/25/2015 |
| Medicare PECOS PAC ID | 8921996364 |
|---|---|
| Medicare Enrollment ID | O20040308001107 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104879741 | NPI | - | NPPES |
| 000800749 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Kelli Folgman Grinder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528011079 PECOS PAC ID: 5193612794 Enrollment ID: I20040228000451 |
| Provider Name | Caroline A Reich |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992700199 PECOS PAC ID: 4688579386 Enrollment ID: I20040521000493 |
| Provider Name | Arthur Dwight Sandy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083677173 PECOS PAC ID: 8123019494 Enrollment ID: I20040524001266 |
| Provider Name | Brian D Ragland |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1386699387 PECOS PAC ID: 7214912344 Enrollment ID: I20040622001081 |
| Provider Name | Trevor Alden Lundstrom |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619930047 PECOS PAC ID: 3476538562 Enrollment ID: I20040622001501 |
| Provider Name | Gregory Dwain Jackson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104889070 PECOS PAC ID: 3779569892 Enrollment ID: I20040628001463 |
| Provider Name | Allen Benensohn Oser |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023071479 PECOS PAC ID: 0749266872 Enrollment ID: I20040628001574 |
| Provider Name | Harry Benjamin Rosenthal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477517944 PECOS PAC ID: 8426034521 Enrollment ID: I20040629000299 |
| Provider Name | Jill Arnita Rutherford |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497718860 PECOS PAC ID: 4385620483 Enrollment ID: I20040629000329 |
| Provider Name | Stuart Louis Siegal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508829623 PECOS PAC ID: 3577549583 Enrollment ID: I20040629000482 |
| Provider Name | Edward A Sullivan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275596926 PECOS PAC ID: 3072599067 Enrollment ID: I20040629001044 |
| Provider Name | Robert Henry Thomas |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588628275 PECOS PAC ID: 9537150891 Enrollment ID: I20040629001092 |
| Provider Name | Kevin S Giadrosich |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1700839255 PECOS PAC ID: 4284612326 Enrollment ID: I20040713001368 |
| Provider Name | John Paul Waldo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861499832 PECOS PAC ID: 1355319872 Enrollment ID: I20040922000970 |
| Provider Name | David D. Thornton |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821052424 PECOS PAC ID: 4486608403 Enrollment ID: I20050311000354 |
| Provider Name | Michael Brant Ruff |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932162971 PECOS PAC ID: 2860446895 Enrollment ID: I20050311000437 |
| Provider Name | Shane Adam Wear |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457497851 PECOS PAC ID: 1052412475 Enrollment ID: I20070728000135 |
| Provider Name | Paul S Stephen |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1619916475 PECOS PAC ID: 9638257587 Enrollment ID: I20080418000026 |
| Provider Name | Gilbert F Douglas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881865103 PECOS PAC ID: 4183702632 Enrollment ID: I20080423000596 |
| Provider Name | Clinton R Waggoner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235344011 PECOS PAC ID: 4688745763 Enrollment ID: I20080617000525 |
| Provider Name | Eunice L Player |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558460873 PECOS PAC ID: 3072685650 Enrollment ID: I20080627000015 |
| Provider Name | Robert Robinson |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1851331698 PECOS PAC ID: 5496822561 Enrollment ID: I20080916000446 |
| Provider Name | Raleigh B Kent |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1477506871 PECOS PAC ID: 7012050800 Enrollment ID: I20100202000402 |
| Provider Name | Richard Lyerly |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1154377968 PECOS PAC ID: 4183532153 Enrollment ID: I20100202000462 |
| Provider Name | Larry D Alford |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386699627 PECOS PAC ID: 6103969860 Enrollment ID: I20100203000146 |
| Provider Name | John T Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376581157 PECOS PAC ID: 9537202205 Enrollment ID: I20100203000185 |
| Provider Name | Walter G Haynes |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1043263536 PECOS PAC ID: 1951444629 Enrollment ID: I20100203000226 |
| Provider Name | Walter M Dunn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841245800 PECOS PAC ID: 1759424468 Enrollment ID: I20100203000487 |
| Provider Name | John S Owen |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1992744718 PECOS PAC ID: 0244366151 Enrollment ID: I20100330001222 |
| Provider Name | Arthur F Patton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003855149 PECOS PAC ID: 0042346843 Enrollment ID: I20100331000733 |
| Provider Name | Wilkes Petrey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861673881 PECOS PAC ID: 9234281932 Enrollment ID: I20100708000552 |
| Provider Name | Jonathan Wesley Walter |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952515942 PECOS PAC ID: 3072645878 Enrollment ID: I20100714000449 |
| Provider Name | Blake Eliott Pearson |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1912115718 PECOS PAC ID: 0446384150 Enrollment ID: I20100817001078 |
| Provider Name | Wendy Wilks Conner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295909950 PECOS PAC ID: 2062605173 Enrollment ID: I20101021000872 |
| Provider Name | Jason H Stuckey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710195516 PECOS PAC ID: 7719154897 Enrollment ID: I20120112000170 |
| Provider Name | Barrett P Cary |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497958581 PECOS PAC ID: 3375707995 Enrollment ID: I20120612000306 |
| Provider Name | Katie F Dixon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689936346 PECOS PAC ID: 3476719030 Enrollment ID: I20120725000918 |
| Provider Name | Ellen Barton Blackmon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972723179 PECOS PAC ID: 2769633825 Enrollment ID: I20121119000506 |
| Provider Name | Analyn K Blair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336493691 PECOS PAC ID: 1355593955 Enrollment ID: I20121205000495 |
| Provider Name | Robert Hines |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396900197 PECOS PAC ID: 7719125624 Enrollment ID: I20130605000540 |
| Provider Name | Karl T Schroeder |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1003097114 PECOS PAC ID: 9133367279 Enrollment ID: I20130627000457 |
| Provider Name | Mathieu Nader |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306003579 PECOS PAC ID: 2062652233 Enrollment ID: I20131216000241 |
| Provider Name | Margaret B Doss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386693786 PECOS PAC ID: 4385877992 Enrollment ID: I20140506002344 |
| Provider Name | Jenna L Bosch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700208071 PECOS PAC ID: 9234362856 Enrollment ID: I20140507000129 |
| Provider Name | Amber N Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841650561 PECOS PAC ID: 5890094585 Enrollment ID: I20160502001307 |
| Provider Name | Jacob Batson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952693996 PECOS PAC ID: 1658515275 Enrollment ID: I20160519000644 |
| Provider Name | Troy Henderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609324003 PECOS PAC ID: 5496039877 Enrollment ID: I20170302001783 |
| Provider Name | Hillary Neal Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639696859 PECOS PAC ID: 6901151604 Enrollment ID: I20180621000473 |
| Provider Name | Elizabeth Allen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689019523 PECOS PAC ID: 6608000815 Enrollment ID: I20180627002063 |
| Provider Name | Jeffrey Stevens |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164868212 PECOS PAC ID: 6608157664 Enrollment ID: I20180724001673 |
| Provider Name | Alan Jamison Hanley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750442166 PECOS PAC ID: 8628972197 Enrollment ID: I20190417001295 |
| Provider Name | Haley Routh Clark |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598109597 PECOS PAC ID: 0446505457 Enrollment ID: I20190520002275 |
| Provider Name | Timothy Thomas Ramsey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265540561 PECOS PAC ID: 6800898388 Enrollment ID: I20191116000151 |
| Provider Name | Emily Burns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154962264 PECOS PAC ID: 9133556483 Enrollment ID: I20200226000242 |
| Provider Name | Brittany Hermecz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376922963 PECOS PAC ID: 5294022018 Enrollment ID: I20200604000656 |
| Provider Name | Chad Cox |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518385384 PECOS PAC ID: 5597096776 Enrollment ID: I20200618003156 |
| Provider Name | Elizabeth Carstensen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609238310 PECOS PAC ID: 0648564328 Enrollment ID: I20201002002459 |
| Provider Name | Bethany Beauchamp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184158073 PECOS PAC ID: 9739599895 Enrollment ID: I20201102001562 |
| Provider Name | Mallory Rich Shatlock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548728249 PECOS PAC ID: 6507276284 Enrollment ID: I20201109001751 |
| Provider Name | Natasha Leann Workman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104385194 PECOS PAC ID: 0042625428 Enrollment ID: I20210217000663 |
| Provider Name | Nicholas Silvester |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790049377 PECOS PAC ID: 1355750928 Enrollment ID: I20210511002915 |
| Provider Name | Sara S Myers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902399892 PECOS PAC ID: 5597017764 Enrollment ID: I20210707002553 |
| Provider Name | Elizabeth Kuhn |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1285044347 PECOS PAC ID: 0042538001 Enrollment ID: I20210813000172 |
| Provider Name | Dixie Richter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265109953 PECOS PAC ID: 1759779648 Enrollment ID: I20211026001796 |
| Provider Name | Rachel N Hilliard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346886728 PECOS PAC ID: 9537557913 Enrollment ID: I20211104001572 |
| Provider Name | Morgen Tidwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093391724 PECOS PAC ID: 8426440512 Enrollment ID: I20220124000473 |
| Provider Name | James Coleman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881891786 PECOS PAC ID: 2365523529 Enrollment ID: I20220204001125 |
| Provider Name | Justin T Watts |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801329149 PECOS PAC ID: 2466726385 Enrollment ID: I20220711001025 |
| Provider Name | Ryan James Glidewell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528588621 PECOS PAC ID: 7113291634 Enrollment ID: I20220824000430 |
| Provider Name | Robert Vanderberg |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902338403 PECOS PAC ID: 1951782366 Enrollment ID: I20220901002159 |
| Provider Name | Andrew Salamone |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568994457 PECOS PAC ID: 6800145590 Enrollment ID: I20220923001767 |
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