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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0127X |
Surgery Specialization: Trauma Surgery |
Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
West Alabama Trauma Services | Doing Business As Name - Organization |
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 |
Street Address |
701 UNIVERSITY BLVD E SUITE 604 |
City | TUSCALOOSA |
State | AL |
Zip Code | 35401-2086 |
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 |
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 |
Find all providers in zip 35401 |
Taxonomy Code | 2086S0127X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Trauma Surgery |
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/. |
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 |
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 |
City | TUSCALOOSA |
Zip Code | 35401 |
Please comment or provide details below to improve the information on WEST ALABAMA PHYSICIAN ASSOCIATES 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.