DR. DAVID KERN STALLWORTH (NPI# 1083662688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083662688 |
| Entity Type | Individual |
| Full Name | DR. DAVID KERN STALLWORTH |
| Credential | M.D. |
| Practice Address |
2016 S Alabama Ave Monroeville AL 36460-3044 |
| Mailing Address |
200 Corporate Blvd Suite 201 Lafayette LA 70508-3870 |
| Practice Telephone | 2051803606 |
| Mailing Telephone | 8008939698 |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2007-11-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 00014114 | AL | Allopathic & Osteopathic Physicians |
| Y | 208600000X | Surgery | 14114 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MCH SURG RAILROAD PROVIDE | 020054555 | 01 | |
| AL | 051556564 | 05 | |
| MCH SURG MCARE PROV. NO. | 051513418 | 01 | |
| AL | MCH SURG BCBS PROV. NO. | 051513418 | 01 |
| AL | MCH SURG MEDICAID PROV | 009910385 | 01 |
| Street Address |
2016 S ALABAMA AVE |
| City | MONROEVILLE |
| State | AL |
| Zip Code | 36460-3044 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750343273 | Michael Patrick Curriston | Emergency Medicine | 2016 S Alabama Ave, Monroe County Hospital - Emergency Department, Monroeville, AL 36460-3044 | 2006-04-03 |
| 1861986788 | Noelle M Falkenberry | Nurse Practitioner | 2016 S Alabama Ave, Monroeville, AL 36460-3044 | 2018-06-15 |
| 1699202341 | Monroe County Health Care Authority | Hospice Care, Community Based | 2016 S Alabama Ave, Monroeville, AL 36460-3044 | 2017-05-12 |
| 1811334022 | Matthew D Moorer | Physical Therapist | 2016 S Alabama Ave, Attn: Physical Therapy Dept, Monroeville, AL 36460-3044 | 2013-05-29 |
| 1649617895 | Encore Rehabilitation, Inc. | Clinic/Center | 2016 S Alabama Ave, Monroeville, AL 36460-3044 | 2013-05-29 |
| 1215208517 | Jennifer Garris | Nurse Anesthetist, Certified Registered | 2016 S Alabama Ave, Monroeville, AL 36460-3044 | 2012-01-18 |
| 1801128202 | Southwest Alabama Anesthesia Group, LLC. | Nurse Anesthetist, Certified Registered | 2016 S Alabama Ave, Monroeville, AL 36460-3044 | 2010-02-10 |
| 1144492133 | Monroe County Health Care Authority | Internal Medicine | 2016 S Alabama Ave, Monroeville, AL 36460 | 2008-03-31 |
| 1508069501 | Marsha M Fendley | Dietitian, Registered | 2016 S Alabama Ave, Monroeville, AL 36460-3044 | 2007-06-07 |
| 1003037383 | Krista Rene Moorer | Physical Therapist | 2016 S Alabama Ave, Monroeville, AL 36460-3044 | 2007-05-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639710288 | Nickie Monique Hudson | Counselor | 241 South Alabama Ave, Monroeville, AL 36460 | 2019-10-04 |
| 1275056525 | Rural Urgent Care LLC | Clinic/Center | 1195 S Alabama Ave, Monroeville, AL 36460 | 2017-07-19 |
| 1053790907 | Stregwill Homes of Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3170 Hwy 21 Bypass, Monroeville, AL 36460 | 2015-05-26 |
| 1053592295 | Monroe County Health Care Authority | Family Medicine | 1075 Drewry Road, Monroeville, AL 36460 | 2007-11-15 |
| 1285846717 | Advantage Home Medical Equipment | Durable Medical Equipment & Medical Supplies | 1979 Hwy 21 Bypass, Monroeville, AL 36460 | 2007-05-04 |
| 1306995618 | Philen and Powell Inc | Pharmacy | 55 Mayfield St, Monroeville, AL 36460 | 2007-01-09 |
| 1841375110 | Monroeville Radiation Oncology | Radiology | 200 Rumbley Road, Monroeville, AL 36460 | 2006-10-26 |
| 1215042403 | Bruno's Supermarket, LLC. | Durable Medical Equipment & Medical Supplies | 512 Pike Street, Monroeville, AL 36460 | 2006-08-20 |
| 1881628162 | Southwest Alabama Behavioral Health Care Systems | Clinic/Center | 328 West Claiborne Street, Monroeville, AL 36460 | 2006-07-10 |
| 1740283548 | Albert R Boroughs Iv | Family Medicine | 75 Highway 136 W, Monroeville, AL 36460 | 2005-05-24 |
| Find all providers in zip 36460 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619229887 | Physician Landing Zone, P.C. | Surgery | 2750 Haymaker Road, Building 2 Suite 303, Monroeville, PA 15224 | 2012-10-11 |
| 1396066569 | Rami F Abraham | Surgery | 2566 Haymaker Rd Ste 103, Monroeville, PA 15146-3553 | 2010-06-22 |
| 1639384100 | Salem George Saloom | Surgery | 159 Whetstone St, Monroeville, AL 36460-2625 | 2007-05-10 |
| 1306815352 | David Youthy Liang | Surgery | 4318 Northern Pike, Suite 204a, Monroeville, PA 15146 | 2006-03-14 |
| 1396734745 | Richard Edward Payha | Surgery | 2580 Haymaker Rd Ste 304, Monroeville, PA 15146-3500 | 2005-10-18 |
| 1467842807 | Kiumars Ranjbar Tabar | Surgery | 2566 Haymaker Rd Ste 311, Monroeville, PA 15146-3555 | 2015-01-23 |
| 1245509926 | Rachel Paige Tindall | Surgery | 2566 Haymaker Rd Ste 311, Monroeville, PA 15146-3555 | 2011-12-24 |
| 1831411511 | Lorenzo Machado | Surgery | 2566 Haymaker Rd Ste 311, Monroeville, PA 15146-3555 | 2010-02-22 |
| 1013171800 | Keilla Amorim Schmidt | Surgery | 2570 Haymaker Rd, Monroeville, PA 15146-3513 | 2008-07-11 |
| 1881854750 | Alessia Tandin | Surgery | 2566 Haymaker Rd Ste 304, Monroeville, PA 15146-3555 | 2008-06-13 |
| Find all providers in MONROEVILLE | ||||
| City | MONROEVILLE |
| Zip Code | 36460 |
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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.