DR. KERTRISA R MCWHITE (NPI# 1023053485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023053485 |
Entity Type | Individual |
Full Name | DR. KERTRISA R MCWHITE |
Credential | MD |
Practice Address |
4749 Berry Blvd Montgomery AL 36106-3079 |
Mailing Address |
301 Brown Springs Rd Montgomery AL 36117-7005 |
Practice Telephone | 3347478850 |
Practice Fax Number | 3347478860 |
Mailing Telephone | 3342734159 |
Mailing Fax Number | 3342734556 |
Enumeration Date | 2006-06-19 |
Last Update Date | 2018-10-30 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086X0206X |
Surgery Specialization: Surgical Oncology |
MD.36374 | AL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AL | BCBS OF AL | 511-9323 | 01 |
AL | VIVA HEALTH | Z51050 | 01 |
AL | MEDICARE | 102I919086 | 01 |
AL | 204295 | 05 | |
AL | CIGNA | 8708239 | 01 |
Street Address |
4749 BERRY BLVD |
City | MONTGOMERY |
State | AL |
Zip Code | 36106-3079 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841272606 | Livingston Lee Eaddy Jr. | Specialist | 4749 Berry Blvd, Montgomery, AL 36106-3079 | 2005-11-17 |
1487047775 | Donette Rae Survance | Nurse Practitioner | 4749 Berry Blvd, Montgomery, AL 36106-3079 | 2015-03-10 |
1427149731 | Alabama Surgical Consultants | Surgery | 4749 Berry Blvd, Montgomery, AL 36106-3079 | 2006-09-28 |
1033130760 | John W Tinglin | Specialist | 4749 Berry Blvd, Montgomery, AL 36106-3079 | 2006-07-21 |
1376597518 | Leia Marlene Thornton | Physician Assistant | 4749 Berry Blvd, Montgomery, AL 36106 | 2006-05-20 |
1356323125 | Howard Carey Snider Jr. | Surgery | 4749 Berry Blvd, Montgomery, AL 36106-3079 | 2005-11-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235747205 | Rural Urgent Care LLC | Clinic/Center | 3039 Vaughn Road, Montgomery, AL 36106 | 2020-07-16 |
1548733306 | Bennett Family Dentistry, LLC | Dentist | 4270 Carmichael Road, Montgomery, AL 36106 | 2019-01-04 |
1588133854 | Lori Leanne Fail | Physical Therapist | 1615 Windsor Hill Court, Montgomery, AL 36106 | 2018-11-16 |
1073020749 | Charlene Richmond Harrell | Chiropractor | 2900 Zelda Rd., Suite A, Montgomery, AL 36106 | 2018-01-03 |
1780123109 | Montgomery Accident and Injury Center, Inc | Nurse Practitioner | 2900 Zelda Rd, Ste B, Montgomery, AL 36106 | 2017-02-17 |
1467843573 | Ernest Porterfield | Non-emergency Medical Transport (VAN) | 4183 Carmichael Road, Suite A, Montgomery, AL 36106 | 2015-02-11 |
1114334281 | Daniel Gerald O'bryant | Specialist/Technologist | 1160 Navarro Avenue, Montgomery, AL 36106 | 2014-07-21 |
1801213764 | Amanda Hodge | Specialist/Technologist | 4605 Cherry Tree Terrace, Montgomery, AL 36106 | 2014-03-27 |
1871861542 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1758 Park Pl Ste 102, Montgomery, AL 36106 | 2011-12-08 |
1578862546 | Helping Hands Preventitive Health Center | Community/Behavioral Health | 2015 Mulberry St, Montgomery, AL 36106 | 2011-03-16 |
Find all providers in zip 36106 |
Taxonomy Code | 2086X0206X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Surgical Oncology |
A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research. |
Notes: Source: Society of Surgical Oncology, 2007 [1/1/2008: definition added, source added, 7/1/2009: definiition reformatted] Additional Resources: http://www.surgonc.org/ ; American Board of Medical Specialties, 2007, www.abms.org ; American Board of Surgery, 2007, http://www.absurgery.org/ Surgical oncology is a recognized fellowship subspecialty program of surgery. Separate board certification is not currently offered. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073765269 | Annabelle Leah Fonseca | Surgery | 1601 Center St Ste 2n, Mobile, AL 36604-1541 | 2008-10-21 |
1073171237 | Usa Health Physician Billing Services LLC | Surgery | 1601 Center St, Mobile, AL 36604-1541 | 2019-06-03 |
1245650159 | Hannah Euphrates Woriax | Surgery | 619 19th St S, Birmingham, AL 35249-1838 | 2014-04-17 |
1689013005 | Jessica Marie Fazendin | Surgery | 619 19th St S, Birmingham, AL 35249 | 2013-06-19 |
1972846632 | Anna Mullenix Knight | Surgery | 800 Saint Vincents Dr Ste 640, Birmingham, AL 35205-1631 | 2013-04-01 |
1063714012 | Imc-cancer Surgery of Mobile, LLC | Surgery | 3 Mobile Infirmary Cir, Suite 305, Mobile, AL 36607-3520 | 2010-11-24 |
1053639351 | Rachael Bramlett Lancaster | Surgery | 619 19th St S, Birmingham, AL 35249-1900 | 2010-05-11 |
1356668842 | Kristy Kummerow Broman | Surgery | 1720 University Blvd, Birmingham, AL 35233-1816 | 2010-04-23 |
1306050109 | Joe Spencer Liles | Surgery | 1601 Center St, Ste 2n, Mobile, AL 36604-1512 | 2007-05-10 |
1376690339 | Cancer Surgery of Mobile, P.C. | Surgery | 3 Mobile Infirmary Cir, Ste 305, Mobile, AL 36607-3520 | 2007-01-04 |
Find all providers with the same taxonomy |
City | MONTGOMERY |
Zip Code | 36106 |
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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.