WEST ALABAMA PHYSICIAN ASSOCIATES LLC


Address: 701 University Blvd E, Suite 604, Tuscaloosa, AL 35401-2086
Phone: 2057596925

WEST ALABAMA PHYSICIAN ASSOCIATES LLC (NPI# 1114330008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114330008
Entity Type Organization
Organization Name WEST ALABAMA PHYSICIAN ASSOCIATES LLC
Other Organization Name WEST ALABAMA TRAUMA SERVICES
Practice Address 701 University Blvd E
Suite 604
Tuscaloosa
AL 35401-2086
Mailing Address 1110 Dr Edward Hillard Dr Ste A
Tuscaloosa
AL 35401-7446
Practice Telephone 2057596925
Practice Fax Number 2057596926
Mailing Telephone 2053334655
Mailing Fax Number 2053334660
Enumeration Date 2014-06-09
Last Update Date 2020-09-02
Authorized Official Name MR. DANIEL CONVILLE (MEMBER REPRESENTATIVE)
Authorized Official Telephone 2057596165
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2086S0127X Surgery
Specialization: Trauma Surgery
Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
West Alabama Trauma Services Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1891296547 West Alabama Physician Associates LLC Surgery 701 University Blvd E Ste 807, Tuscaloosa, AL 35401-7479 2018-02-27
1881039048 West Alabama Physician Associates LLC Family Medicine 1120 Ruby Tyler Pkwy, Tuscaloosa, AL 35404-2959 2013-05-01
1003463563 West Alabama Physician Associates LLC Family Medicine 701 University Blvd E Ste 211, Tuscaloosa, AL 35401-7431 2019-08-20
1417362807 West Alabama Physician Associates LLC Surgery 1716 Temple Ave N, Suite 1 & 2, Fayette, AL 35555-1309 2014-06-25
1184036865 West Alabama Physician Associates LLC Internal Medicine 701 University Blvd E, Suite 809, Tuscaloosa, AL 35401-2086 2014-05-29
1073873618 West Alabama Physician Associates LLC Family Medicine 701 University Blvd East, Suite 507, Tuscaloosa, AL 35401-7432 2012-05-16
1316101769 West Alabama Physician Associates LLC Durable Medical Equipment & Medical Supplies 701 University Blvd E, Suite 908, Tuscaloosa, AL 35401-7423 2008-07-15

Office Location

Street Address 701 UNIVERSITY BLVD E
SUITE 604
City TUSCALOOSA
State AL
Zip Code 35401-2086

Providers in the same location

NPI Name Taxonomy Address Enumeration
1720088834 Donald Charles Gross Surgery 701 University Blvd E, Suite 606, Tuscaloosa, AL 35401-2086 2005-07-29
1871019943 Haley Townsend Nurse Practitioner 701 University Blvd E, Tuscaloosa, AL 35401-2086 2017-08-20
1437505138 Jaime Petrosky Physician Assistant 701 University Blvd E, Suite 606, Tuscaloosa, AL 35401-2086 2016-05-11
1063868966 Aletta Susan Brewer Nurse Practitioner 701 University Blvd E, Suite 211, Tuscaloosa, AL 35401-2086 2016-05-10
1184036865 West Alabama Physician Associates LLC Internal Medicine 701 University Blvd E, Suite 809, Tuscaloosa, AL 35401-2086 2014-05-29
1124372867 Tuscaloosa Breast Center PC Specialist 701 University Blvd E, Suite 606, Tuscaloosa, AL 35401-2086 2012-11-02
1770831968 Erin Flowers Smith Pharmacist 701 University Blvd E, Tuscaloosa, AL 35401-2086 2012-08-21
1437417086 Capstone Surgical Associates, LLC Surgery 701 University Blvd E, Suite 602, Tuscaloosa, AL 35401-7406 2012-05-01
1689903833 Elizabeth Childress Western Family Medicine 701 University Blvd E, Suite 507, Tuscaloosa, AL 35401-7432 2009-12-17
1952557498 Jeremy Anderson Kelley Nurse Practitioner 701 University Blvd E, Suite 400, Tuscaloosa, AL 35401-2086 2008-08-15
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1942768031 Serenity and Hope LLC Clinic/Center 2703 7th Street, Tuscaloosa, AL 35401 2019-03-07
1356834428 Heather Glenn Macleod Social Worker 303 Hargrove Rd E Ste A, Tuscaloosa, AL 35401 2018-06-12
1154832921 Imc of Alabama Physical Therapist 5101 21st Street, Tuscaloosa, AL 35401 2017-10-19
1316466238 Parents Resource Institute for Drug Education (pride) of Tuscaloosa Community/Behavioral Health 620 14th Street, Suite E, Tuscaloosa, AL 35401 2017-09-12
1871967075 Jeri Zemke Specialist/Technologist 504 University Blvd, Tuscaloosa, AL 35401 2015-11-25
1356719033 Jimmy Dean Winters Nurse Practitioner Five Horizons Health Services, 2720 6th Street, Tuscaloosa, AL 35401 2015-09-11
1831505429 Jennifer Baggett Speech-Language Pathologist 603 Hackberry Lane, Tuscaloosa, AL 35401 2014-07-03
1184045684 Samantha Pasteur Massage Therapist 2601 12 St, Tuscaloosa, AL 35401 2013-12-31
1386089282 John Logan Bailey Pharmacist 809 University Boulevard, Dch Regional Medical Center, Tuscaloosa, AL 35401 2013-05-06
1104170539 Kristin C Townsend Technician, Other 500 -b Paul Bryant Drive East, Tuscaloosa, AL 35401 2012-11-07
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Taxonomy Information

Taxonomy Code 2086S0127X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Trauma Surgery

Taxonomy Definition

Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency.
Notes: Source: American Board of Surgery, 2007 [1/1/2008: definition added, source added] Additional Resources: http://www.absurgery.org/.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073553897 James M Corder IIi Surgery 1820 Rice Mine Rd N, Suite 200, Tuscaloosa, AL 35406-3281 2006-06-08

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1801234018 Jonathan Andrew Black Surgery 701 19th St S 112 Lyons Harrison Research Building, Birmingham, AL 35294-7050 2013-06-10
1558520106 Rondi Beth Gelbard Surgery 701 S 19th Street, Birmingham, AL 35294 2008-06-07
1265508626 Healthcare Authority of The City of Huntsville Surgery 201 Sivley Rd Sw Ste 400, Huntsville, AL 35801-5177 2006-11-28
1164935672 Jan Olaf Jansen Surgery 1813 6th Ave S, Birmingham, AL 35233-1920 2017-11-07
1417275132 Rachel Dowlen Rodriguez Surgery 619 S 19th St, Birmingham, AL 35249-0001 2010-05-05
1912153172 Shannon L Carroll Surgery 701 19th St S, Birmingham, AL 35294-0001 2008-08-07
1376703959 James Hwang Surgery 1813 6th Ave S, Birmingham, AL 35233-1920 2008-06-17
1730236555 Farin Wayne Smith Surgery 201 Sivley Rd Sw, Suite 400, Huntsville, AL 35801-5134 2007-01-04
1659454254 John Mark Vermillion Surgery 2055 East South Blvd, Suite 601, Montgomery, AL 36116-0000 2006-10-24
1487675740 Sidney B Brevard Surgery 2451 Fillingim St, Mobile, AL 36617-2238 2006-07-22
Find all providers with the same taxonomy

Competitor

Search similar providers

City TUSCALOOSA
Zip Code 35401

Improve Information

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Dataset Information

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.

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