CAPSTONE MEDICAL RESOURCES, LLC (NPI# 1104364074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104364074 |
Entity Type | Organization |
Organization Name | CAPSTONE MEDICAL RESOURCES, LLC |
Practice Address |
3500 Blue Lake Dr Ste 340 Vestavia AL 35243-1907 |
Mailing Address |
300 Cornwall Maylene AL 35114-5455 |
Practice Telephone | 2055031643 |
Mailing Telephone | 2055031642 |
Enumeration Date | 2017-02-10 |
Last Update Date | 2017-02-10 |
Authorized Official Name | DR. SHARON D WALTZ (CEO) |
Authorized Official Telephone | 2055031643 |
Authorized Official Credential | PSY.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
AL | Behavioral Health & Social Service Providers |
Street Address |
3500 BLUE LAKE DR STE 340 |
City | VESTAVIA |
State | AL |
Zip Code | 35243-1907 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588205223 | See Inc | Optometrist | 200 Summit Blvd, Suite 168, Birmingham, AL 35243 | 2019-10-03 |
1619526829 | Kourtni Brooke Young | Nurse Anesthetist, Certified Registered | Grandview Medical Center, 3690 Grandview Parkway, Birmingham, AL 35243 | 2019-09-10 |
1548747942 | Kaitlyn Bennett | Occupational Therapist | 3140 Cahaba Heights Road, Suite 102, Vestavia, AL 35243 | 2018-07-27 |
1013407675 | Alabama Radiation Therapy Services | Radiology | 3670 Grandview Pkwy #100, Birmingham, AL 35243 | 2018-05-18 |
1184169559 | Olivia Diann Gaston | Behavioral Analyst | 3296 Cahaba Heights Rd., Milestones Behavior Group., Vestavia, AL 35243 | 2016-12-21 |
1679027841 | Aspire Physical Recovery Center At Cahaba River, LLC | Skilled Nursing Facility | 3070 Healthy Way, Vestavia, AL 35243 | 2016-08-05 |
1306203682 | Abbey Elizabeth Duke | Physician Assistant | 3690 Grandview Parkway, Birmingham, AL 35243 | 2016-01-18 |
1689078628 | Mary Camp | Occupational Therapist | 3140 Cahaba Heights Road Suite 102, Vestavia Hills, AL 35243 | 2014-10-20 |
1255757209 | Laura Romundstad | Nurse Practitioner | 3670 Grandview Parkway, Suite 100, Birmingham, AL 35243 | 2014-03-14 |
1841631199 | Seth Alexander Martin | Developmental Therapist | 3981 Kyle Lane, Milestones Behavior Consulting, Vestavia, AL 35243 | 2013-07-16 |
Find all providers in zip 35243 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457992588 | Teashia Adkins Goodwin | Psychologist | 500 Southland Dr Ste 155-f, Vestavia, AL 35226-3711 | 2019-09-30 |
1487139119 | Natalie Harrison | Psychologist | 400 Vestavia Pkwy Ste 101, Vestavia, AL 35216-3750 | 2018-09-28 |
1699946053 | Brookwood Psychology LLC | Psychologist | 3037 Massey Rd, Vestavia, AL 35216-3603 | 2008-03-13 |
1962526301 | Wellspring Christian Clinic, Inc. | Psychologist | 3104 Blue Lake Dr, Suite 100, Vestavia, AL 35243-2345 | 2007-03-19 |
1063525517 | Heather Austin | Psychologist | 400 Vestavia Pkwy Ste 130, Vestavia, AL 35216-3750 | 2006-08-17 |
1306409636 | Hannah Price | Psychologist | 400 Vestavia Pkwy Ste 101, Vestavia, AL 35216-3750 | 2019-04-22 |
1396141222 | Henry R. Griffith Phd | Psychologist | 400 Vestavia Pkwy, Suite 130, Vestavia, AL 35216-3763 | 2014-11-04 |
1356689277 | Over The Mountain Psychological Services | Psychologist | 100 Centerview Dr, Suite 110, Vestavia, AL 35216-3747 | 2013-01-28 |
1528374329 | Jeremy Johnson | Psychologist | 3104 Blue Lake Dr, Vestavia, AL 35243-2345 | 2010-08-31 |
1730338583 | Elizabeth B. Lee | Psychologist | 400 Vestavia Pkwy, Suite 130, Vestavia, AL 35216-3763 | 2008-09-17 |
Find all providers in VESTAVIA |
Please comment or provide details below to improve the information on CAPSTONE MEDICAL RESOURCES, LLC.
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.