EAST ALABAMA HEART AND VASCULAR, LLC (NPI# 1073120119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073120119 |
| Entity Type | Organization |
| Organization Name | EAST ALABAMA HEART AND VASCULAR, LLC |
| Practice Address |
2601 Village Professional Drive Opelika AL 36801-4784 |
| Practice Telephone | 3345285400 |
| Mailing Telephone | 3345285400 |
| Enumeration Date | 2020-09-23 |
| Last Update Date | 2020-09-23 |
| Authorized Official Name | SAMUEL A PRICE JR. (CFO) |
| Authorized Official Telephone | 3345281310 |
| Is Organization Subpart | Y |
| Parent Organization Name | THE EAST ALABAMA HEALTHCARE AUTHORITY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Heart and Lung Surgeons of East Alabama | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2000 Pepperell Pkwy, Opelika, AL 368015452 | 3345285400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104193069 | East Alabama Heart and Vascular, LLC | Specialist | 2601 Village Professional Drive, Opelika, AL 36801-4784 | 2011-11-21 |
| Street Address |
2601 VILLAGE PROFESSIONAL DRIVE |
| City | OPELIKA |
| State | AL |
| Zip Code | 36801-4784 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104193069 | East Alabama Heart and Vascular, LLC | Specialist | 2601 Village Professional Drive, Opelika, AL 36801-4784 | 2011-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407400963 | Paul Simon | Physical Therapist | 3051 Frederick Rd Suite 4, Opelika, AL 36801 | 2019-08-01 |
| 1932662434 | East Alabama Apothecary LLC | Pharmacy | 2501 Village Professional Drive, Suite 2031, Opelika, AL 36801 | 2019-04-11 |
| 1316399108 | Jessica Audrey Haynie | Nurse Practitioner | 2609 Village Prof. Dr., Suite 3, Opelika, AL 36801 | 2016-07-06 |
| 1639574916 | Melissa Shah Kerber | Dentist | 2015 Interstate Drive, Opelika, AL 36801 | 2014-10-28 |
| 1588096200 | Carla Lynn Hudson | Nurse Practitioner | 2420 Village Professional Drive, Opelika, AL 36801 | 2013-08-05 |
| 1528404878 | Baowu Wang | Psychiatry & Neurology | 2506 Lambert Drive, Opelika, AL 36801 | 2013-05-14 |
| 1144566266 | Caremed Inc. | Durable Medical Equipment & Medical Supplies | 702 N Railroad Ave., Opelika, AL 36801 | 2012-12-18 |
| 1659635472 | Meshia Kerry-ann Wallace | Internal Medicine | 2412 Village Professional Dr S, Opelika, AL 36801 | 2012-06-26 |
| 1558651570 | Amanda Mamie Reimer | Psychiatry & Neurology | 2570 Village Professional Park, Opelika, AL 36801 | 2011-04-11 |
| 1356640569 | Mary Neal Gipson | Marriage & Family Therapist | 218 S. 8th St., Opeika, AL 36801 | 2011-03-28 |
| Find all providers in zip 36801 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407283625 | Alabama Heart and Lung Surgery Center, LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2000 Pepperell Pkwy, Building 190, Opelika, AL 36801-5452 | 2013-10-02 |
| 1295700581 | Steve Gary Hubbard | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2000 Pepperell Pkwy, Opelika, AL 36801 | 2006-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568072189 | Wood Cardiothoracic and Vascular Institute, LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Wood Cardiothoracic and Vascular Institute, LLC, 303 Bay Street, Ste. 201, Gadsden, AL 35901-5203 | 2020-08-07 |
| 1811306681 | Shannon Turney | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1515 Toney Dr Se, Huntsville, AL 35802-1249 | 2014-08-06 |
| 1356685416 | Advanced Wound Care and Limb Preservation, LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3715 Dauphin St Ste 503b, Mobile, AL 36608-1773 | 2012-11-15 |
| 1851686091 | Trent Howard | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2871 Acton Road Ste 100, Vestavia, AL 35243 | 2011-06-16 |
| 1134393507 | Peter Shu Kuen Yu | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 703 Adams St Se, Huntsville, AL 35801-3706 | 2008-04-16 |
| 1487693982 | Carlton Duane Randleman Jr. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2704 20th St S, Ste 100, Birmingham, AL 35209-1924 | 2006-06-06 |
| 1396791604 | Stanley K Lochridge | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2871 Acton Road, Suite 100, Birmingham, AL 35243-2560 | 2006-05-26 |
| 1699737155 | John Stephen Thurber | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2871 Acton Rd Ste 100, Vestavia, AL 35243-2560 | 2006-04-03 |
| 1235122177 | Evan Scott Cohen | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 201 Sivley Rd Sw, Suite 300, Huntsville, AL 35801-5134 | 2005-08-25 |
| 1639177470 | Peter N/a Pluscht IIi | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1855 Springhill Ave, Mobile, AL 36607-2301 | 2005-07-13 |
| 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.