NATHANAEL CHRISTOPHER STUCK (NPI# 1104345263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104345263 |
| Entity Type | Individual |
| Full Name | NATHANAEL CHRISTOPHER STUCK |
| Practice Address |
1601 Center St Ste 2s Mobile AL 36604-1541 |
| Mailing Address |
26920 Pollard Rd Apt 834 Daphne AL 36526-5151 |
| Practice Telephone | 2516658290 |
| Enumeration Date | 2017-09-10 |
| Last Update Date | 2017-09-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1601 CENTER ST STE 2S |
| City | MOBILE |
| State | AL |
| Zip Code | 36604-1541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851737746 | Robert P. Kobelja | Psychiatry & Neurology | 1601 Center St Ste 2s, Mobile, AL 36604 | 2013-05-17 |
| 1063979953 | Tracy Bartel | Nurse Practitioner | 1601 Center St Ste 2s, Mobile, AL 36604-1541 | 2019-02-27 |
| 1700341195 | Melanie Joy Giambrone | Nurse Practitioner | 1601 Center St Ste 2s, Mobile, AL 36604-1541 | 2019-02-10 |
| 1497239511 | Kathryn Marie Kings | Physician Assistant | 1601 Center St Ste 2s, Mobile, AL 36604-1541 | 2018-09-25 |
| 1780043364 | University of South Alabama | Psychiatry & Neurology | 1601 Center St Ste 2s, Mobile, AL 36604-1541 | 2016-02-11 |
| 1316306947 | University of South Alabama | Neurological Surgery | 1601 Center St Ste 2s, Mobile, AL 36604-1541 | 2016-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013551449 | John F Kilpatrick | Social Worker | 1156 Springhill Avenue, Mobile, AL 36604 | 2019-10-29 |
| 1477036986 | Rachel Schneider | Specialist/Technologist | 1601 Center St Ste B, Mobile, AL 36604 | 2018-09-11 |
| 1891218194 | Transitional Care LLC | Nurse Practitioner | 1725 Springhill Avenue, Mobile, AL 36604 | 2017-07-19 |
| 1427404722 | Precision Orthotics & Prosthetics,llc | Durable Medical Equipment & Medical Supplies | 1557 Springhill Avenue, Mobile, AL 36604 | 2016-05-05 |
| 1619233970 | Lisa Brown Bailey | Nurse Practitioner | 1700 Center Street--, Division of Neonatology, Mobile, AL 36604 | 2012-04-11 |
| 1023341773 | Rebecca Blankenhorn | Audiologist | 1610 Center St., Suite A, Mobile, AL 36604 | 2009-09-14 |
| 1700062684 | William-glenn Langley Hollingsworth | Counselor | 1156 Springhill Ave, Mobile, AL 36604 | 2008-01-10 |
| 1972715415 | Allison May Chung | Pharmacist | 1504 Springhill Dr, Rm 5225, Mobile, AL 36604 | 2007-05-04 |
| 1265504716 | Geriatric Specialists LLC | Internal Medicine | 1059 Palmetto St, Mobile, AL 36604 | 2006-11-13 |
| 1174639926 | Joseph Warren Galloway | Surgery | 1700 Springhill Ave Ste 400, Mobile, AL 36604 | 2006-08-22 |
| Find all providers in zip 36604 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437308665 | Melanie D. Busby | Physician Assistant | 3610 Springhill Memorial Dr. N., Mobile, AL 36608-1162 | 2008-09-11 |
| 1558396093 | Karen Renae Jordan | Physician Assistant | 1855 Spring Hill Ave, Mobile, AL 36607-2301 | 2006-07-12 |
| 1346756160 | Nicholas K Bolling | Physician Assistant | 6144 Airport Blvd, Mobile, AL 36608-3143 | 2017-12-15 |
| 1942749965 | Judith Blake | Physician Assistant | 3610 Springhill Memorial Dr N, Mobile, AL 36608-1162 | 2017-02-23 |
| 1740654631 | Brent Wildberger | Physician Assistant | 1855 Spring Hill Ave, Mobile, AL 36607-2301 | 2015-11-16 |
| 1508269283 | Cassie Jones | Physician Assistant | 1855 Spring Hill Ave, Mobile, AL 36607-2301 | 2014-10-08 |
| 1972931533 | Shawn Clark, M.d., P.C. | Physician Assistant | 6701 Airport Blvd, #c138, Mobile, AL 36608-6705 | 2013-10-17 |
| 1841524212 | Claire Hinton Naylor | Physician Assistant | 6144 Airport Blvd, Mobile, AL 36608 | 2009-10-01 |
| 1396994521 | Susan Angerholzer Overton | Physician Assistant | 1901 Springhill Ave, Mobile, AL 36607-2303 | 2008-09-11 |
| 1649328097 | Christine Paragone | Physician Assistant | 1901 Springhill Ave, Mobile, AL 36607-2303 | 2007-01-08 |
| Find all providers in MOBILE | ||||
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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.