SOUTHEAST PODIATRY PC (NPI# 1003253188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003253188 |
| Entity Type | Organization |
| Organization Name | SOUTHEAST PODIATRY PC |
| Practice Address |
1318 S Main St Atmore AL 36502-2834 |
| Mailing Address |
23937 Us Highway 98 Suite 1 Fairhope AL 36532-3353 |
| Practice Telephone | 8005989527 |
| Mailing Telephone | 2519286768 |
| Enumeration Date | 2013-05-29 |
| Last Update Date | 2013-11-01 |
| Authorized Official Name | BRENT M HARWOOD (OWNER) |
| Authorized Official Telephone | 2519286768 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023455102 | Southeast Podiatry PC | Podiatrist | 610 Douglas Ave, Brewton, AL 36426-1812 | 2013-05-29 |
| 1467536763 | Southeast Podiatry PC | Podiatrist | 23937 Us Hwy 98 Ste 1, Fairhope, AL 36532 | 2006-10-24 |
| Street Address |
1318 S MAIN ST |
| City | ATMORE |
| State | AL |
| Zip Code | 36502-2834 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740895200 | Escambia County Alabama Community Hospitals, Inc | Family Medicine | 609 E. Laurel Street, Atmore, AL 36502 | 2020-09-11 |
| 1932331485 | Buckley and Buckley Family Dentistry | Dentist | 604 E Nashville Ave, Atmore, AL 36502 | 2009-08-18 |
| 1932343803 | Melanie Showalter Killam | Physical Therapist | 715 East Laurel Street, Atmore Nursing Center, Atmore, AL 36502 | 2009-04-23 |
| 1326285040 | Gene Allen West | Dentist | 109 7th Avenue, Atmore, AL 36502 | 2009-01-16 |
| 1134231392 | Paul J Dirkes | Dentist | 5811 Jack Springs Road, Atmore, AL 36502 | 2006-08-31 |
| 1538111893 | Atmore Community Home Care, LLC | Home Health | 121-c Lindberg Avenue, Atmore, AL 36502 | 2006-05-16 |
| 1790740793 | Renal Treatment Centers Southeast Lp | Clinic/Center | 807 E Craig St, Atmore, AL 36502 | 2006-04-20 |
| 1386250710 | Lydia M Bonner | Nurse Practitioner | 609 E. Laurel Street, Atmore, AL 36502 | 2020-09-21 |
| 1508885732 | Health Plus Chiropractic Center LLC | Chiropractor | 200 N Main St, Atmore, AL 36502 | 2006-07-19 |
| 1669640041 | Baldwin County Girls Residential Wilderness Program | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 23750 Ewing Farm Road, Atmore, AL 36502-0000 | 2008-02-19 |
| Find all providers in zip 36502 | ||||
| Taxonomy Code | 213EP1101X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Primary Podiatric Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336699560 | Dr. Barry J. Gould, Podiatry Consultants, LLC- | Podiatrist | 641 Kings Mountain Rd, Tuscaloosa, AL 35406-2824 | 2016-10-12 |
| 1023455102 | Southeast Podiatry PC | Podiatrist | 610 Douglas Ave, Brewton, AL 36426-1812 | 2013-05-29 |
| 1467647446 | Advanced Foot Care PC | Podiatrist | 348 Saint Lukes Dr, Montgomery, AL 36117-7108 | 2007-09-12 |
| 1275686305 | Hadryan H Vaughn | Podiatrist | 4709 Woodmere Blvd, Montgomery, AL 36106-3078 | 2007-01-20 |
| 1497819536 | Douglas D Stewart | Podiatrist | 1649 Highway 22 West, Suite One, Alexander City, AL 35010-4412 | 2006-12-21 |
| 1063576494 | Anz Gould Investments, Inc. | Podiatrist | 2818 Lurleen B Wallace Blvd, Northport, AL 35476-3249 | 2006-12-20 |
| 1962572198 | Debra D. Morgan | Podiatrist | 1714 W 3rd St, Montgomery, AL 36106-1506 | 2006-11-08 |
| 1467536763 | Southeast Podiatry PC | Podiatrist | 23937 Us Hwy 98 Ste 1, Fairhope, AL 36532 | 2006-10-24 |
| 1841203957 | Brett S Stark | Podiatrist | 890 N Dean Rd Ste 400, Auburn, AL 36830-9440 | 2006-08-14 |
| 1518993310 | Lashonda Moore | Podiatrist | 220 Fort Dale Rd, Greenville, AL 36037-1502 | 2006-06-23 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.