MARY LEONA WALCH PIPPIN


Address: 101 Professional Ln, Enterprise, AL 36330-2085
Phone: 3343473404

MARY LEONA WALCH PIPPIN (NPI# 1134487580) 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) 1134487580
Entity Type Individual
Full Name MARY LEONA WALCH PIPPIN
Other Name MARY L WALCH
Credential M.D.
Practice Address 101 Professional Ln
Enterprise
AL 36330-2085
Mailing Address Po Box 1928
Dothan
AL 36302-1928
Practice Telephone 3343473404
Mailing Telephone 3347938087
Enumeration Date 2012-04-23
Last Update Date 2016-08-29
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 34257 AL Allopathic & Osteopathic Physicians

Other Providers MARY PIPPIN

NPI Name Taxonomy Address Enumeration
1578968947 Mary Pippin Registered Nurse 2213 Island Ford Rd, Ninety Six, SC 29666-9137 2014-10-28

Office Location

Street Address 101 PROFESSIONAL LN
City ENTERPRISE
State AL
Zip Code 36330-2085

Providers in the same location

NPI Name Taxonomy Address Enumeration
1528049863 Maria Aurora Canlas Sucgang Pediatrics 101 Professional Ln, Enterprise, AL 36330-2085 2005-11-11
1609385293 Whitni Michael Richard Family Medicine 101 Professional Ln, Enterprise, AL 36330-2085 2017-09-26
1285028928 Jessica Jill Dunn Nurse Practitioner 101 Professional Ln, Enterprise, AL 36330-2085 2015-03-19
1922430602 Carey Lauren Holloway Douglas Nurse Practitioner 101 Professional Ln, Enterprise, AL 36330-2085 2013-08-05
1134469620 Amber Amuso Williams Nurse Practitioner 101 Professional Ln, Enterprise, AL 36330-2085 2013-02-21
1043500465 Julie Frances Hughes Nurse Practitioner 101 Professional Ln, Enterprise, AL 36330-2085 2011-04-19
1336448836 Dermatology Associates of Bay County, P.a. Dermatology 101 Professional Ln, Enterprise, AL 36330-2085 2011-03-23
1538465323 Dermatology Associates of Dothan, LLC Specialist 101 Professional Ln, Enterprise, AL 36330-2085 2011-01-27
1871893883 Lucianne H Wiggins Nurse Practitioner 101 Professional Ln, Enterprise, AL 36330-2085 2010-10-25
1801020029 Jamie Bludsworth Jones Internal Medicine 101 Professional Ln, Enterprise, AL 36330-2085 2009-05-04
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417566860 Julia Brooke Lowe Pharmacist 847 Boll Weivell Circle #112, Enterprise, AL 36330 2020-07-30
1134759640 Benjamin Chase Marler Student in an Organized Health Care Education/Training Program 205 Somerset Pl, Enterprise, AL 36330 2020-01-23
1033694492 Angel Melton Counselor 105 Searcy St, Enterprise, AL 36330 2018-10-01
1285180729 Enterprise Urgent Care Clinic/Center 6582 Boll Weevil Circle, Enterprise, AL 36330 2016-08-25
1902204258 Nikki Chen Nurse Practitioner 805 East Lee Street, Ste C, Enterprise, AL 36330 2014-12-17
1568795417 Crystal Juanita Christian Counselor 1275 James Drive, Suite A Enterprise Behavioral Services, Enterprise, AL 36330 2009-09-10
1316173206 Robert Noback Preventive Medicine 301 Dustoff Ave, Ft. Rucker, AL 36330 2009-06-05
1184892978 Phillip Allen Fuller Pulmonary Function Technologist 130e.pondella Dr., Enterprise, AL 36330 2008-02-14
1720266778 Richard Bauer Emergency Medical Technician, Intermediate Bld 301 Andrews Ave., Lyster Army Health Clinic, Ft Rucker, AL 36330 2008-02-01
1871646547 Thomas Orson Patterson Dentist 306 South Edwards Street, Enterprise, AL 36330 2007-01-18
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1750671665 Anderson Physician Alliance, Inc. Family Medicine 83 Old Mill Creek Road, Enterprise, MS 39330-9649 2011-04-12
1528266392 Lawrence Leonard Woods Family Medicine 107 Sw 1st St, Suite 104, Enterprise, OR 97828-1201 2007-07-03
1134130131 David Nathaniel Arthur Ryan Family Medicine 1008 Boll Weevil Cir, Suite B, Enterprise, AL 36330-1312 2006-08-11
1083632244 Mark Brian Ellis Family Medicine 1018 Rucker Blvd, Ste A, Enterprise, AL 36330-3675 2006-07-17
1134162092 Lawrence Leonard Woods Family Medicine 107 Sw 1st St Ste 104, Enterprise, OR 97828-1285 2006-06-14
1124067632 Walter J Lawrence Family Medicine 551 Glover Ave, Enterprise, AL 36330-2041 2006-06-06
1609821263 Emily A Sheahan Family Medicine 616 W North St, Enterprise, OR 97828-1427 2006-05-23
1851349179 Montgomery C Peden Family Medicine 101 Professional Lane, Enterprise, AL 36330 2006-05-05
1972575777 Shean Eric Phelps Family Medicine 2 Cottage Ave, Enterprise, AL 36330-8552 2006-02-06
1710967500 Howard Russell Cook Family Medicine 805 E Lee St, Ste C, Enterprise, AL 36330-2477 2006-01-18
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Competitor

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City ENTERPRISE
Zip Code 36330

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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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