SETON MEDICAL MANAGEMENT INC. (NPI# 1013346113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013346113 |
| Entity Type | Organization |
| Organization Name | SETON MEDICAL MANAGEMENT INC. |
| Other Organization Name | SMARTHEALTH CLINIC |
| Practice Address |
6701 Airport Blvd Suite C132 Mobile AL 36608-6705 |
| Mailing Address |
Po Box 850489 Mobile AL 36685-0489 |
| Practice Telephone | 2516313501 |
| Practice Fax Number | 2516313504 |
| Mailing Telephone | 2513423949 |
| Mailing Fax Number | 2516313361 |
| Enumeration Date | 2013-11-08 |
| Last Update Date | 2013-11-08 |
| Authorized Official Name | DR. JAMES L. WALKER (PRESIDENT) |
| Authorized Official Telephone | 2516338880 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | SETON MEDICAL MANAGEMENT INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| SmartHealth Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265861009 | Seton Medical Management Inc. | Preventive Medicine | 18 Rambo Dr, Saraland, AL 36571-2147 | 2013-11-02 |
| 1679958136 | Seton Medical Management Inc. | Surgery | 6701 Airport Blvd, Suite B222, Mobile, AL 36608-6705 | 2015-07-27 |
| 1518344498 | Seton Medical Management Inc. | Surgery | 6701 Airport Blvd, Suite B329, Mobile, AL 36608-6705 | 2015-04-30 |
| 1871994475 | Seton Medical Management Inc. | Surgery | 6701 Airport Blvd, Suite B222, Mobile, AL 36608-6705 | 2014-09-15 |
| 1689075954 | Seton Medical Management Inc. | Radiology | 6701 Airport Blvd, Suite A-t06, Mobile, AL 36608-6705 | 2014-09-05 |
| 1295135911 | Seton Medical Management Inc. | Surgery | 6701 Airport Blvd, Suite B217, Mobile, AL 36608-6705 | 2014-08-29 |
| 1497184592 | Seton Medical Management Inc. | Preventive Medicine | 5100 Rangeline Road N, Mobile, AL 36619-9504 | 2013-11-08 |
| 1205265303 | Seton Medical Management Inc. | Clinic/Center | 6701 Airport Blvd, Suite A-t01, Mobile, AL 36608-6705 | 2013-11-08 |
| 1841629946 | Seton Medical Management Inc. | Surgery | 6701 Airport Blvd, Suite D143, Mobile, AL 36608-6705 | 2013-11-08 |
| 1811073554 | Seton Medical Management Inc. | Pharmacist | 6701 Airport Blvd, Suite B124, Mobile, AL 36608-6705 | 2006-10-27 |
| Street Address |
6701 AIRPORT BLVD SUITE C132 |
| City | MOBILE |
| State | AL |
| Zip Code | 36608-6705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053313312 | Richard O Nenstiel | Physician Assistant | 6701 Airport Blvd, Suite D146, Mobile, AL 36608 | 2005-06-01 |
| 1508392432 | University of South Alabama Health Care Authority | Internal Medicine | 6701 Airport Blvd, A101, Mobile, AL 36608-6705 | 2017-05-11 |
| 1093241671 | Alabama Providence Healthcare Services | Otolaryngology | 6701 Airport Blvd, Suite B123, Mobile, AL 36608-6705 | 2017-05-03 |
| 1588109599 | Citrin Cardiology PC | Internal Medicine | 6701 Airport Blvd, Suite C138, Mobile, AL 36608-3784 | 2016-12-29 |
| 1629511753 | Alabama Providence Healthcare Services | Specialist | 6701 Airport Blvd, Ste B215, Mobile, AL 36608-6705 | 2016-11-21 |
| 1891245692 | Alabama Providence Healthcare Services | Specialist | 6701 Airport Blvd, Suite D143, Mobile, AL 36608-6705 | 2016-10-05 |
| 1386191740 | Leah Ambrose | Physician Assistant | 6701 Airport Blvd, Suite C138, Mobile, AL 36608-6705 | 2016-09-02 |
| 1386093953 | Terra Lynn Parnell | Nurse Practitioner | 6701 Airport Blvd, Suite D-330, Mobile, AL 36608 | 2016-06-06 |
| 1649634395 | Alabama Providence Healthcare Services | Specialist | 6701 Airport Blvd, Suite A-t06, Mobile, AL 36608-6705 | 2016-04-08 |
| 1558725200 | Alabama Providence Healthcare Services | Specialist | 6701 Airport Blvd, Suite B329, Mobile, AL 36608-6705 | 2016-04-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475524 | Grantham Dental, Inc. | Dentist | 3620 Springhill Memorial Drive South, Mobile, AL 36608 | 2020-10-21 |
| 1114540879 | Dearrius Hines | Home Health Aide | 1370 Lucerne Dr, Mobile, AL 36608 | 2020-05-28 |
| 1558980409 | Rachel Stevens | Registered Nurse | 8507 Tanner Williams Rd, Mobile, AL 36608 | 2020-04-10 |
| 1073170700 | Usa Health Physician Billing Services LLC | Otolaryngology | 5721 Usa Drive North, Hahn 1119, Mobile, AL 36608 | 2019-05-29 |
| 1952885600 | Franklin Primary Health Center Inc. | Dentist | 990 Cody Rd North, Mobile, AL 36608 | 2018-09-19 |
| 1114410040 | Zackary Elkins | Optometrist | 105 W I65 Service Rd N, Mobile, AL 36608 | 2018-06-14 |
| 1023562865 | Covenant Hospice, Inc. | Internal Medicine | 6801 Airport Blvd., Main Tower, 11th Floor North, Mobile, AL 36608 | 2016-08-10 |
| 1730575416 | Rayven Likely | Student in an Organized Health Care Education/Training Program | 1014 Centerwood Dr, Mobile, AL 36608 | 2015-04-09 |
| 1598040461 | Robert S Harlin | Specialist | 75 Clarise Circle, Mobile, AL 36608 | 2011-10-11 |
| 1972884948 | Heidi Michelle Mcdermott | Physical Therapist | 5721 Usa Drive N, Hahn 2050, Mobile, AL 36608 | 2011-09-06 |
| Find all providers in zip 36608 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467070300 | Sarah Katherine Clarke | Nurse Practitioner | 861 Pinemont Dr, Mobile, AL 36609-3037 | 2020-07-07 |
| 1104448919 | Thaila Keodouangdy | Nurse Practitioner | 9350 Ofallon Dr, Mobile, AL 36695-9813 | 2020-05-14 |
| 1427616861 | Shannon Lebakken | Nurse Practitioner | 5235 Rangeline Service Rd S Ste A, Mobile, AL 36619-9541 | 2019-05-31 |
| 1811453178 | Kimberly Michelle Webb | Nurse Practitioner | 6701 Airport Blvd Ste A107, Mobile, AL 36608-6774 | 2019-02-12 |
| 1891218194 | Transitional Care LLC | Nurse Practitioner | 1725 Springhill Avenue, Mobile, AL 36604 | 2017-07-19 |
| 1750714572 | Stephanie Wilkes-heritage | Nurse Practitioner | 10631 Hunters Ridge Dr, Mobile, AL 36695-9247 | 2013-08-15 |
| 1801149166 | Joseph Hunt Booth Jr. | Nurse Practitioner | 53 Houston St, Mobile, AL 36606-1430 | 2012-10-23 |
| 1548556947 | Natasha H Andrews | Nurse Practitioner | 116 Carondolet Court West, Mobile, AL 36608 | 2011-06-23 |
| 1164729406 | Ameshia D Bush Taylor | Nurse Practitioner | 1311 Lola St, Mobile, AL 36603-5478 | 2011-02-23 |
| 1447553649 | Alethea Nicole Hill | Nurse Practitioner | 2261 Costarides Street, Mobile, AL 36617 | 2010-12-09 |
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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.