DR. ROOSEVELT MCCORVEY (NPI# 1093825127) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093825127 |
| Entity Type | Individual |
| Full Name | DR. ROOSEVELT MCCORVEY |
| Credential | M.D. |
| Practice Address |
2455 Bell Rd Montgomery AL 36117-4336 |
| Mailing Address |
301 Brown Springs Rd Montgomery AL 36117-7005 |
| Practice Telephone | 3347478980 |
| Practice Fax Number | 3347478970 |
| Mailing Telephone | 3342734159 |
| Mailing Fax Number | 3342734290 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | MD.7451 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | MEDICARE | 102I68010 | 01 |
| AL | BCBS | 511-94291 | 01 |
| AL | CIGNA | 6614160 | 01 |
| AL | 200583 | 05 | |
| AL | 202249 | 05 | |
| AL | BCBS | 511-94292 | 01 |
| AL | RAILROAD MEDICARE | P01873133 | 01 |
| AL | 200816 | 05 | |
| AL | BCBS | 511-94294 | 01 |
| AL | 009933571 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2055 E South Blvd, Montgomery, AL 361162001 | 3347478920 | 3347478930 |
| 4371 Narrow Lane Rd, Montgomery, AL 361162971 | 3346133680 | 3346133685 |
| 8134 Seaton Pl, Montgomery, AL 361167204 | 3343564873 | 3343564879 |
| Street Address |
2455 BELL RD |
| City | MONTGOMERY |
| State | AL |
| Zip Code | 36117-4336 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003994948 | Victor E Pena | Obstetrics & Gynecology | 2455 Bell Rd, Montgomery, AL 36117-4336 | 2006-11-01 |
| 1922186873 | Cheryl A Zimmerman | Obstetrics & Gynecology | 2455 Bell Rd, Montgomery, AL 36117-4336 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568061307 | Bhg Lxxiii, LLC | Clinic/Center | 1714 Platt Place, Montgomery, AL 36117 | 2020-10-22 |
| 1952945602 | East Montgomery Pediatrics LLC | Pediatrics | 337 St Lukes Drive, Montgomery, AL 36117 | 2019-11-05 |
| 1417421496 | Tiffany Webb | Specialist | 411 Twain Curve, E, Montgomey, AL 36117 | 2019-01-14 |
| 1013485374 | Montgomery Orthodontic Specialists | Dentist | 5833 Carmichael Road, Montgomery, AL 36117 | 2018-11-05 |
| 1770050791 | Blair Henderson Parks | Speech-Language Pathologist | 7088 University Court, Montgomery, AL 36117 | 2018-10-29 |
| 1629557822 | Evelyn F Crayton | Dietitian, Registered | 124 Elm Dr, Montgomery, AL 36117 | 2018-08-08 |
| 1194203414 | Coopers Mental Healh Consultations | Psychologist | 8743 Ridgestone Ct, Montgomery, AL 36117 | 2018-07-30 |
| 1063912301 | Gardenia Cove Mental Health PC | Psychiatry & Neurology | 6771 Taylor Circle, Montgomery, AL 36117 | 2018-02-13 |
| 1760900294 | Montgomery Auburn Homecare LLC | In Home Supportive Care | 2569 Bell Rd, Montgomery, AL 36117 | 2017-09-05 |
| 1336667120 | Alyssa Bryanna Swisher | Chiropractor | 2026 Berryhill Road, Montgomery, AL 36117 | 2017-09-01 |
| Find all providers in zip 36117 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780003822 | Crystal Reese | Obstetrics & Gynecology | 1758 Park Pl Ste 301, Montgomery, AL 36106-1137 | 2014-04-15 |
| 1295061059 | Montgomery Women's Primary Care Center, LLC | Obstetrics & Gynecology | 8134 Seaton Pl, Montgomery, AL 36116-7204 | 2009-10-28 |
| 1003141649 | Women Taking Care of Women Plus, LLC | Obstetrics & Gynecology | 1357 Carmichael Way, Montgomery, AL 36106-3629 | 2009-10-15 |
| 1396921193 | Thomas M Miller | Obstetrics & Gynecology | 201 Monroe St Ste 983, Montgomery, AL 36104-3735 | 2008-01-11 |
| 1194865048 | Middletown Community Health Center Inc | Obstetrics & Gynecology | 20 Walnut Street Suite C, Montgomery, NY 12549 | 2007-02-08 |
| 1225196140 | Women's Health and Wellness Center, LLC | Obstetrics & Gynecology | 1401 E South Blvd, Montgomery, AL 36116-2319 | 2006-12-04 |
| 1982618633 | Christopher Roger Duggar | Obstetrics & Gynecology | 2024 Chestnut St, Montgomery, AL 36106-1111 | 2006-07-28 |
| 1366464216 | Julian Edward Mcintyre | Obstetrics & Gynecology | 2055 E South Blvd Ste 806, Montgomery, AL 36116-2007 | 2006-07-23 |
| 1134173164 | Dent Williams | Obstetrics & Gynecology | 7040a Sydney Curv, Montgomery, AL 36117-3508 | 2006-05-22 |
| 1508827882 | William E Thomas | Obstetrics & Gynecology | 495 Taylor Rd, Montgomery, AL 36117-3513 | 2006-03-28 |
| Find all providers in MONTGOMERY | ||||
| City | MONTGOMERY |
| Zip Code | 36117 |
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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.