SHELBY-CHILTON HEMATOLOGY AND ONCOLOGY LLC (NPI# 1093018681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093018681 |
| Entity Type | Organization |
| Organization Name | SHELBY-CHILTON HEMATOLOGY AND ONCOLOGY LLC |
| Practice Address |
644 2nd St Ne Ste 202 Alabaster AL 35007-8823 |
| Mailing Address |
Po Box 113 Pelham AL 35124-0113 |
| Practice Telephone | 2055633583 |
| Practice Fax Number | 2053583322 |
| Mailing Telephone | 2053583321 |
| Mailing Fax Number | 2053583322 |
| Enumeration Date | 2010-12-21 |
| Last Update Date | 2014-05-06 |
| Authorized Official Name | DR. BALAGANESH GOPURALA (OWNER) |
| Authorized Official Telephone | 2053583321 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
24965 | AL | Allopathic & Osteopathic Physicians |
| Street Address |
644 2ND ST NE STE 202 |
| City | ALABASTER |
| State | AL |
| Zip Code | 35007-8823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043713167 | Jenifer Justice | Nurse Practitioner | 145 Sundance, Alabaster, AL 35007 | 2018-03-15 |
| 1568974327 | Cahaba Valley Anesthesia Services Inc | Nurse Anesthetist, Certified Registered | 632 2nd Street North, Alabaster, AL 35007 | 2017-11-01 |
| 1104345222 | William Alexander Woodard | Nurse Practitioner | 300 1st Street North Ste. C, Alabaster, AL 35007 | 2017-09-11 |
| 1891219432 | Alabama Dental Professionals, PC | Dentist | 9100 Highway 119, Alabaster, AL 35007 | 2017-07-26 |
| 1316389950 | Wellscripts,inc | Pharmacy | 205 Clover Dale Cir, Alabaster, AL 35007 | 2013-07-24 |
| 1366704991 | Lindsey Estelle Matthews | Pathology | 1004 1st St N Ste 200, Alabaster, AL 35007 | 2012-06-11 |
| 1760707061 | Robert Mcgowin Blake | Massage Therapist | 643 First Street North, Alabaster, AL 35007 | 2010-03-30 |
| 1033371323 | Nopporn Unnoppet | Internal Medicine | 1010 1st Street North, Ste 210, Alabaster, AL 35007 | 2008-06-27 |
| 1881870673 | Renee W Smith | Counselor | 76-b Fulton Spring Dr, Alabaster, AL 35007 | 2008-01-11 |
| 1235334459 | Naomi Hill Washington | Family Medicine | 1000 1st Ave N, Alabaster, AL 35007 | 2007-06-18 |
| Find all providers in zip 35007 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578701777 | Central Alabama Hematology & Oncology, P.C. | Internal Medicine | 1024 1st St N, Alabaster, AL 35007-8703 | 2009-01-26 |
| 1134384787 | James Warren Evans | Internal Medicine | 1024 1st St N, Alabaster, AL 35007-8703 | 2008-07-23 |
| 1427105675 | Susan M Ferguson | Internal Medicine | 1024 1st St N, Alabaster, AL 35007-8703 | 2007-01-03 |
| 1659428811 | Central Alabama Oncology, L.L.C. | Internal Medicine | 1024 1st St N, Alabaster, AL 35007-8703 | 2007-01-03 |
| 1235208778 | Southeast Cancer Network, Inc | Internal Medicine | 1024 1st St N, Alabaster, AL 35007-8703 | 2006-11-07 |
| 1831136936 | Elizabeth A Lowenthal | Internal Medicine | 1024 1st St N, Alabaster, AL 35007-8703 | 2006-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801211958 | Antonio Di Stasi | Internal Medicine | 1802 6th Ave S # Np255, Birmingham, AL 35233-1932 | 2014-02-26 |
| 1417398033 | Rehan Ajmal Sarmad | Internal Medicine | 625 19th Street South Birmingham, Birmingham, AL 35249 | 2013-07-11 |
| 1336409838 | Marshall Medical Center South Medical Oncology Services | Internal Medicine | 2505 U. S. Highway 431, Boaz, AL 35957-9999 | 2012-05-18 |
| 1548550833 | John Richard Nicholson IIi | Internal Medicine | 201 Sivley Rd Sw Ste 200, Huntsville, AL 35801-5177 | 2011-04-08 |
| 1003122573 | Amitkumar Mehta | Internal Medicine | 1720 2nd Ave S # Np2540t, Birmingham, AL 35294-3528 | 2010-08-23 |
| 1447579644 | Alabama Cancer Care, LLC | Internal Medicine | 171 Town Center Dr Ste 6, Anniston, AL 36205 | 2010-05-27 |
| 1033443775 | Hematology & Oncology Associates of Alabama | Internal Medicine | 339 Walker Chapel Plaza, Suite 109, Fultondale, AL 35068 | 2009-09-29 |
| 1831350198 | David James Mooney | Internal Medicine | 513 Brookwood Blvd Ste 275, Birmingham, AL 35209-6806 | 2008-06-19 |
| 1578755815 | Oncology Specialties, PC | Internal Medicine | 310 8th Ave Se, Decatur, AL 35601 | 2007-08-10 |
| 1598965972 | Gabrielle B Rocque | Internal Medicine | Uab Comprehensive Cancer Ctr, 1824 6th Avenue South - Wti 240g, Birmingham, AL 35294-3300 | 2007-07-23 |
| 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.