| Your Doctor's Office, Pc | |
|
8630 Vaughn Rd Montgomery AL 36117-8852 | |
| (334) 676-4076 | |
| (334) 676-4064 |
| Full Name | Your Doctor's Office, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 8630 Vaughn Rd, Montgomery, Alabama |
| Authorized Official Name and Position | Shaikh Wahiduzzaman (MANAGER/OWNER) |
| Authorized Official Contact | 3346764076 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Your Doctor's Office, Pc 8630 Vaughn Rd Montgomery AL 36117-8852 Ph: (334) 676-4076 | Your Doctor's Office, Pc 8630 Vaughn Rd Montgomery AL 36117-8852 Ph: (334) 676-4076 |
| NPI Number | 1003267899 |
|---|---|
| Provider Enumeration Date | 06/23/2016 |
| Last Update Date | 10/31/2016 |
| Medicare PECOS PAC ID | 3678851409 |
|---|---|
| Medicare Enrollment ID | O20161031000806 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003267899 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 24787 (Alabama) | Primary |
| Provider Name | Shaikh Wahiduzzaman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831119163 PECOS PAC ID: 9739134503 Enrollment ID: I20050315000110 |
| Provider Name | Irene A Bailey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023116894 PECOS PAC ID: 2567508070 Enrollment ID: I20091013000685 |
| Provider Name | Mary Traudt-bowdoin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184915563 PECOS PAC ID: 7810174554 Enrollment ID: I20110607000499 |
| Provider Name | Leigh Anne Luna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144677824 PECOS PAC ID: 8527315258 Enrollment ID: I20180725003728 |
| Provider Name | Mary Cousins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326600362 PECOS PAC ID: 0244664373 Enrollment ID: I20191226001483 |
| Provider Name | Jerrie D Baldwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962954768 PECOS PAC ID: 9638562606 Enrollment ID: I20220215002693 |
| Provider Name | Mary E Murfee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629582135 PECOS PAC ID: 2961757653 Enrollment ID: I20230329002116 |
Baptist Health Physician Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 470 Taylor Rd Ste 310, Montgomery, AL 36117 Phone: 334-244-4322 Fax: 334-244-4321 | |
Jackson Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1801 Pine Street, Suite 103, Montgomery, AL 36106 Phone: 334-293-8888 Fax: 334-293-8154 | |
Baptist Health Physician Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 Brown Springs Rd, Montgomery, AL 36117 Phone: 334-273-4159 Fax: 334-273-4556 | |
Aikam Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2895 Zelda Rd, Montgomery, AL 36106 Phone: 334-245-5969 | |
Stewart H. Tankersley, M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1801 Pine St, Suite 203, Montgomery, AL 36106 Phone: 334-240-2334 | |
Vaughn Urgent Care Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9540 Wynlakes Pl, Montgomery, AL 36117 Phone: 334-395-9933 Fax: 334-395-9907 |