ENDOCRINE ASSOCIATES OF WEST ALABAMA, LLC (NPI# 1104290089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104290089 |
| Entity Type | Organization |
| Organization Name | ENDOCRINE ASSOCIATES OF WEST ALABAMA, LLC |
| Practice Address |
4401 Watermelon Rd Northport AL 35473-5197 |
| Practice Telephone | 2057500256 |
| Practice Fax Number | 2057500082 |
| Mailing Telephone | 2057500256 |
| Mailing Fax Number | 2057500082 |
| Enumeration Date | 2015-11-16 |
| Last Update Date | 2015-11-16 |
| Authorized Official Name | TOHEED KAMAL (OWNER) |
| Authorized Official Telephone | 2057500256 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 16177 | AL | Other Service Providers |
| Street Address |
4401 WATERMELON RD |
| City | NORTHPORT |
| State | AL |
| Zip Code | 35473-5197 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174517536 | Toheed J. Kamal | Internal Medicine | 4401 Watermelon Rd, Northport, AL 35473-5197 | 2005-08-31 |
| 1427610427 | Haley Mccracken | Nurse Practitioner | 4401 Watermelon Rd, Northport, AL 35473-5197 | 2019-07-01 |
| 1356718191 | Sherri Sudduth Sanders | Nurse Practitioner | 4401 Watermelon Rd, Northport, AL 35473-5197 | 2015-08-27 |
| 1689986408 | Sharon Kay Dickerson | Nurse Practitioner | 4401 Watermelon Rd, Northport, AL 35473 | 2010-07-09 |
| 1669573721 | Cardiology Associates of West Alabama | Internal Medicine | 4401 Watermelon Rd, Northport, AL 35473-5197 | 2006-09-25 |
| 1619961000 | Sakina A Kamal | Internal Medicine | 4401 Watermelon Rd, Northport, AL 35473-5197 | 2005-08-31 |
| 1194719567 | Warren H Holley | Internal Medicine | 4401 Watermelon Rd, Northport, AL 35473-5197 | 2005-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861002396 | Lacedric Crawford | Chore Provider | 13055 Garden Creek Lane, Northport, AL 35473 | 2020-08-10 |
| 1316585219 | Cerra Jordan Jackson | Family Medicine | 5710 Watermelon Road, Suite 600, Northport, AL 35473 | 2019-12-11 |
| 1033609748 | Kara Lynne Pate | Nurse Practitioner | 5710 Watermelon Rd Ste 600, Northport, AL 35473 | 2018-05-17 |
| 1134619059 | Vanessa Graves | Social Worker | 521 Energy Center Blvd Ste 1506, Northport, AL 35473 | 2018-05-16 |
| 1164930939 | Brandi Nail Hubbard | Family Medicine | 5004 Al-69, Northport, AL 35473 | 2018-01-16 |
| 1831554104 | Danielle Paulos | Pharmacist | 5137 Northcliff Dr, Northport, AL 35473 | 2015-12-30 |
| 1629497508 | Lauren Hanley | Nurse Practitioner | 4280 Watermelon Rd Ste 110, Northport, AL 35473 | 2014-04-08 |
| 1528372802 | Communication Advantage | Speech-Language Pathologist | 507 Energy Center Blvd Suite 301, West Al Speech Pathology, Northport, AL 35473 | 2010-07-29 |
| 1144467309 | Caroline J Day | Family Medicine | 5710 Watermelon Road, Suite 600, Northport, AL 35473 | 2009-01-09 |
| 1538311196 | Northridge Dialysis Center, LLC | Clinic/Center | 4400 Watermelon Road, Northport, AL 35473 | 2008-10-15 |
| Find all providers in zip 35473 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467000505 | Erika Marie Bicic | Specialist | 6 Pebble Hill Ct, Northport, NY 11768-1350 | 2019-09-02 |
| 1407200751 | Samantha Hauser | Specialist | 6 Troy Ct, Northport, NY 11768-2158 | 2016-04-22 |
| 1629437140 | Claudia Laura Martelloni-brennan | Specialist | 23 Wilafra Pl, Northport, NY 11768-2160 | 2016-02-11 |
| 1841660586 | Katharine Lynn Savan | Specialist | 25 Twin Cedar Ln, Northport, NY 11768-2231 | 2015-10-06 |
| 1720479454 | Jessica L Varvatsas | Specialist | 1 Bonnie Dr, Northport, NY 11768-1448 | 2015-02-17 |
| 1366868838 | Maribeth Clark Gruhn | Specialist | 27 Mariners Ln, Northport, NY 11768-1626 | 2014-03-08 |
| 1871835215 | Kathleen Araco | Specialist | 2 Naro Ln, Northport, NY 11768-2717 | 2013-03-25 |
| 1356683171 | Nadine M Martine | Specialist | 22 June Ave, Northport, NY 11768-3012 | 2013-03-19 |
| 1841532686 | David Hayse. Boyd | Specialist | 15041 Highway 69 N, Northport, AL 35475-3148 | 2013-03-19 |
| 1447513437 | Siobhan C Flanagan | Specialist | 2 Layne Way, Northport, NY 11768-2157 | 2012-06-25 |
| Find all providers in NORTHPORT | ||||
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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.