TUSCALOOSA BREAST CENTER PC (NPI# 1124372867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124372867 |
| Entity Type | Organization |
| Organization Name | TUSCALOOSA BREAST CENTER PC |
| Practice Address |
701 University Blvd E Suite 606 Tuscaloosa AL 35401-2086 |
| Practice Telephone | 2057522501 |
| Practice Fax Number | 2057592868 |
| Mailing Telephone | 2057522501 |
| Mailing Fax Number | 2057592868 |
| Enumeration Date | 2012-11-02 |
| Last Update Date | 2012-11-02 |
| Authorized Official Name | DR. LEE THOMAS (PRESIDENT) |
| Authorized Official Telephone | 2057522501 |
| Authorized Official Credential | M.D.. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 12102 | AL | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 0000036823 | 05 |
| Street Address |
701 UNIVERSITY BLVD E SUITE 606 |
| 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 |
| 1114330008 | West Alabama Physician Associates LLC | Surgery | 701 University Blvd E, Suite 604, Tuscaloosa, AL 35401-2086 | 2014-06-09 |
| 1184036865 | West Alabama Physician Associates LLC | Internal Medicine | 701 University Blvd E, Suite 809, Tuscaloosa, AL 35401-2086 | 2014-05-29 |
| 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 | 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 |
|---|---|---|---|---|
| 1598248205 | Almatriga Vladzetta Essex | Specialist | 1110 15th St Ste G, Tuscaloosa, AL 35401-3393 | 2018-09-09 |
| 1942679089 | Laujwinae Gardner | Specialist | 7204 Hud Ln, Tuscaloosa, AL 35405-6229 | 2015-09-18 |
| 1861772626 | Sam Chen | Specialist | Univ of Al Rec, 401 5th Ave E, Tuscaloosa, AL 35487-0001 | 2011-08-25 |
| 1770870149 | Mednet West, Inc. | Specialist | 3816 Palisades Drive, Suite B, Tuscaloosa, AL 35405-3451 | 2011-07-06 |
| 1124168927 | Southeastern Plastic Surgery Assoc., PC | Specialist | 100 Towncenter, Suite 111, Tuscaloosa, AL 35406-1832 | 2007-02-08 |
| 1700986650 | Skilled Neurology Inc | Specialist | 33 Ridgeland, Tuscaloosa, AL 35406-1607 | 2006-09-22 |
| 1760455950 | Edward D Hillard | Specialist | 900 Anna Ave, Tuscaloosa, AL 35401-2014 | 2006-02-09 |
| 1316910854 | John William Morr | Specialist | The University of Alabama, Box 870393, Tuscaloosa, AL 35487-0001 | 2006-02-07 |
| 1962474775 | Sherry Lou Kimbro | Specialist | 1201 Coliseum Drive, Coliseum Athletic Training Room, Tuscaloosa, AL 35487-0001 | 2006-02-06 |
| 1780241323 | Studiov Hlc | Specialist | 1110 15th St Ste G, Tuscaloosa, AL 35401-3393 | 2019-05-20 |
| Find all providers in TUSCALOOSA | ||||
| City | TUSCALOOSA |
| Zip Code | 35401 |
Please comment or provide details below to improve the information on TUSCALOOSA BREAST CENTER PC.
| 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.