SHOALS GASTROENTEROLOGY LLC (NPI# 1154758050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154758050 |
| Entity Type | Organization |
| Organization Name | SHOALS GASTROENTEROLOGY LLC |
| Practice Address |
2115 Cloyd Blvd Suite 8-b Florence AL 35630-7512 |
| Mailing Address |
Po Box 298 Florence AL 35631-0298 |
| Practice Telephone | 2563816304 |
| Practice Fax Number | 2563816307 |
| Mailing Telephone | 2567677494 |
| Mailing Fax Number | 2567650377 |
| Enumeration Date | 2013-10-09 |
| Last Update Date | 2013-10-09 |
| Authorized Official Name | DR. ABHINANDANA ANANTHARAJU (SOLE MEMBER/PHYSICIAN) |
| Authorized Official Telephone | 2563816304 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780011668 | Shoals Gastroenterology LLC | Internal Medicine | 1120 S Jackson Hwy, Suite 201, Sheffield, AL 35660-5777 | 2013-10-08 |
| Street Address |
2115 CLOYD BLVD SUITE 8-B |
| City | FLORENCE |
| State | AL |
| Zip Code | 35630-7512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831194471 | Peter J Jensen | Family Medicine | 2115 Cloyd Blvd, Suite 9, Florence, AL 35630-7512 | 2005-06-20 |
| 1427498971 | Lister Healthcare Corporation | Family Medicine | 2115 Cloyd Blvd, Suite 8-b, Florence, AL 35630-7512 | 2013-06-28 |
| 1104070390 | Joseph Seth Walker | Surgery | 2115 Cloyd Blvd, Suite 8, Florence, AL 35630-7512 | 2008-11-14 |
| 1972702561 | Stephen Anthony Phillips | Surgery | 2115 Cloyd Blvd, Suite 8, Florence, AL 35630-7512 | 2007-07-13 |
| 1922134865 | The Health Care Authority of Lauderdale County and The City of Florenc | Family Medicine | 2115 Cloyd Blvd, Suite 9, Florence, AL 35630-7512 | 2007-02-26 |
| 1891866760 | Mitchell Internal Medicine Clinic | Internal Medicine | 2115 Cloyd Blvd, Suite 1, Florence, AL 35630-7512 | 2006-11-13 |
| 1750465498 | The Shoals Clinic PC | Specialist | 2115 Cloyd Blvd, Suite 1, Florence, AL 35630-7512 | 2006-10-25 |
| 1881776078 | Ira Lyman Mitchell Jr. | Internal Medicine | 2115 Cloyd Blvd, Suite 1, Florence, AL 35630-7512 | 2006-10-19 |
| 1720178502 | Pamela J Hill | Nurse Practitioner | 2115 Cloyd Blvd, Suite 1, Florence, AL 35630-7512 | 2006-10-13 |
| 1629177027 | Peter J Jensen Md PC | Family Medicine | 2115 Cloyd Blvd, Suite 9, Florence, AL 35630-7512 | 2006-09-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346880531 | Rachel E Belue | Counselor | 409 N. Court Street, Florence, AL 35630 | 2020-01-15 |
| 1154857746 | Danish Henry | Internal Medicine | North Alabama Medical Center, 1701 Veterans Dr, Florence, AL 35630 | 2017-05-03 |
| 1396118261 | Three Oaks Pharmacy LLC | Pharmacy | 861 Cox Creek Parkway, Florence, AL 35630 | 2015-11-02 |
| 1235501891 | Wellness Walk-in Clinic, LLC | Nurse Practitioner | 2612 Hough Road, Florence, AL 35630 | 2015-10-22 |
| 1972995207 | Elyse Angel | Pharmacist | 109 East Dr Hicks Blvd, Florence, AL 35630 | 2015-02-24 |
| 1750772380 | Whitlee Laina Kelley | Case Manager/Care Coordinator | 112 Titan Drive, Florence, AL 35630 | 2015-02-18 |
| 1942612155 | Hillary Jean Delarosa | Internal Medicine | 162 Titan Drive, Florence, AL 35630 | 2014-05-22 |
| 1952723678 | Sharron M Boatwright | Nurse Practitioner | 1949 Florence Boulevard, Occupational Health Center LLC, Florence, AL 35630 | 2014-01-15 |
| 1194160523 | Caryn Barnett | Physical Therapist | 412 S. Court Street, Suite 403, Florence, AL 35630 | 2013-04-29 |
| 1396074662 | Heather White Bryant | Counselor | 118 East Mobile St, Suite 106, Florence, AL 35630 | 2009-12-16 |
| Find all providers in zip 35630 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275582405 | James Moss Mann | Internal Medicine | 805 Pamplico Hwy Ste 220, Florence, SC 29505-6047 | 2006-05-06 |
| 1730137266 | Pee Dee Gastroenterology Associates, P.a. | Internal Medicine | 619 S Dargan St, Florence, SC 29506-2555 | 2006-05-05 |
| 1407804909 | Timothy J. Spurling | Internal Medicine | 401 E Cheves St Ste 301, Florence, SC 29506 | 2006-05-05 |
| 1073561304 | Manver Razick | Internal Medicine | 805 Pamplico Hwy Ste A220, Florence, SC 29505-6065 | 2006-05-05 |
| 1356304687 | Gerard Donald Haggstrom | Internal Medicine | 416 N. Seminary Street, Ste 3100, Florence, AL 35630 | 2006-04-08 |
| 1740257641 | John Leland Wolford Jr. | Internal Medicine | 401 E Cheves St, Suite 301, Florence, SC 29506-2615 | 2006-03-01 |
| 1417941030 | Jeffery S Cooley | Internal Medicine | 10 Main St, Florence, MA 01062-3160 | 2005-09-09 |
| 1114398377 | Mcleod Physician Associates II | Internal Medicine | 506 E Cheves St, Suite 202, Florence, SC 29506-2616 | 2015-10-14 |
| 1023411410 | Carolinas Medical Alliance Inc | Internal Medicine | 805 Pamplico Hwy Ste A220, Florence, SC 29505-6056 | 2014-09-30 |
| 1255731204 | Mcleod Physician Associates II | Internal Medicine | 401 E Cheves St Ste 301, Florence, SC 29506-2615 | 2014-08-27 |
| Find all providers in FLORENCE | ||||
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| 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.