EUFAULA FAMILY MEDICINE (NPI# 1023216801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023216801 |
| Entity Type | Organization |
| Organization Name | EUFAULA FAMILY MEDICINE |
| Practice Address |
617 E Broad St B Eufaula AL 36027 |
| Practice Telephone | 3346870112 |
| Practice Fax Number | 3346870113 |
| Mailing Telephone | 3346870112 |
| Mailing Fax Number | 3346870113 |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | RICHARD SHACK (OWNER) |
| Authorized Official Telephone | 3346870112 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 22858 | AL | Allopathic & Osteopathic Physicians |
| Street Address |
617 E BROAD ST B |
| City | EUFAULA |
| State | AL |
| Zip Code | 36027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407369325 | The Health Care Authority of The City of Eufaula | Family Medicine | 617 E Broad St, Eufaula, AL 36027-1710 | 2017-11-14 |
| 1558874495 | The Health Care Authority of The City of Eufaula | Nurse Practitioner | 617 E Broad St, Eufaula, AL 36027-1710 | 2017-11-14 |
| 1295040582 | Jeff W Bush, M.d,, Family Practice LLC. | Family Medicine | 617 E Broad St, Ste A, Eufaula, AL 36027-1710 | 2010-08-11 |
| 1972750339 | Linda Joyce Floyd | Nurse Practitioner | 617 E Broad St, Suite B, Eufaula, AL 36027-1710 | 2008-08-27 |
| 1780721472 | Hometown Doctors PC | Family Medicine | 617 E Broad St, Suite B, Eufaula, AL 36027-1710 | 2007-01-31 |
| 1962412809 | Rajesh V. Patel | Family Medicine | 617 E Broad St, Eufaula, AL 36027-1710 | 2006-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093201022 | Kayla Hudspeth | Student in an Organized Health Care Education/Training Program | 1809 Highway 131, Eufaula, AL 36027 | 2018-07-02 |
| 1528188406 | John Thomas Hagood | Dentist | 237 West Barbour Street, Eufaula, AL 36027 | 2007-04-02 |
| 1194896811 | Allen D Finlayson | Pharmacist | 1037 S. Eufaula Ave., Eufaula, AL 36027 | 2006-11-13 |
| 1306856588 | William E Richardson Jr. | Dentist | 150 N Orange Ave, Eufaula, AL 36027 | 2006-08-09 |
| 1013938307 | Winn Dixie Stores Inc | Durable Medical Equipment & Medical Supplies | 1055 S Eufaula Ave, Eufaula, AL 36027 | 2006-07-21 |
| 1114951563 | Jeff W Bush | Family Medicine | 617 East Broad Street, Ste A, Eufaula, AL 36027 | 2006-07-10 |
| 1689215386 | Rico Bobbins | Contractor | 109 New Fort Browder Rd, Eufaula, AL 36027-1027 | 2019-10-03 |
| 1699971275 | Eufaula City | Local Education Agency (LEA) | 420 Sanford Ave, Eufaula, AL 36027-1450 | 2007-06-21 |
| 1235748898 | Danielle Tyson | Registered Nurse | 228 Highland Ave, Eufaula, AL 36027-1528 | 2020-07-29 |
| 1255759445 | Melissa Marie Chovan | Counselor | 231 East Barbour St., Eufaula, AL 36027-1601 | 2014-04-03 |
| Find all providers in zip 36027 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013399625 | Southeast Alabama Regional Healthcare Authority | Family Medicine | 617b E Broad St, Eufaula, AL 36027-1710 | 2015-06-19 |
| 1457532897 | Wood Family Medical Clinic P C | Family Medicine | 136 W Foley St, Eufaula, OK 74432-2806 | 2007-11-14 |
| 1548477912 | East Broad Street Medical Clinic | Family Medicine | 525 E Broad St, Eufaula, AL 36027-1736 | 2007-05-16 |
| 1790857373 | Moses Marcus Jones | Family Medicine | 525 East Broad Street, Eufaula, AL 36027-1736 | 2006-11-15 |
| 1467549634 | Family & Community Medicine Associates LLC | Family Medicine | 405 East Barbour Street, Suite 3, Eufaula, AL 36027-1701 | 2006-10-06 |
| 1609894419 | Billy C Beets Jr. | Family Medicine | 800 W Forrest Ave, Eufaula, OK 74432-3249 | 2006-07-18 |
| 1114951563 | Jeff W Bush | Family Medicine | 617 East Broad Street, Ste A, Eufaula, AL 36027 | 2006-07-10 |
| 1366470122 | Clifford C Quintana | Family Medicine | 405 East Barbour St., Suite 3, Eufaula, AL 36027-1701 | 2006-06-29 |
| 1912986878 | Wesley Darrell Marner | Family Medicine | 130 N Randolph Ave, B, Eufaula, AL 36027-1631 | 2006-01-10 |
| 1184607517 | Laura Marie Black-wicks | Family Medicine | 111 W Forrest Ave Ste B, Eufaula, OK 74432-3205 | 2005-11-21 |
| Find all providers in EUFAULA | ||||
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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.