JEFFREY D FAGGARD (NPI# 1164542346) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164542346 |
| Entity Type | Individual |
| Full Name | JEFFREY D FAGGARD |
| Credential | M.D |
| Practice Address |
1700 Spring Hill Ave Suite 100 Mobile AL 36604-1407 |
| Practice Telephone | 2514351200 |
| Practice Fax Number | 2514356357 |
| Mailing Telephone | 2514351200 |
| Mailing Fax Number | 2514356357 |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2011-09-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
25661 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BCBS | 511-16667 | 01 |
| AL | BCBS | 511-16669 | 01 |
| AL | MD LICENSE | 25661 | 01 |
| AL | BCBS | 511-16668 | 01 |
| Street Address |
1700 SPRING HILL AVE SUITE 100 |
| City | MOBILE |
| State | AL |
| Zip Code | 36604-1407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265430243 | Roger Martin Alvarado | Internal Medicine | 1700 Spring Hill Ave, Suite 100, Mobile, AL 36604-1407 | 2005-07-13 |
| 1871132282 | Nelda Thomas | Registered Nurse | 1700 Spring Hill Ave, Mobile, AL 36604-1407 | 2020-01-02 |
| 1336605179 | Lauren Pollard Wilson | Registered Nurse | 1700 Spring Hill Ave, Mobile, AL 36604-1407 | 2019-02-18 |
| 1447724935 | Jennifer Hansmann Umbarger | Nurse Practitioner | 1700 Spring Hill Ave, Mobile, AL 36604-1407 | 2019-01-17 |
| 1326515529 | Kelsey Leigh Wright | Physician Assistant | 1700 Spring Hill Ave, Mobile, AL 36604-1407 | 2018-10-26 |
| 1922502681 | Joshua Terkeurst | Pharmacist | 1700 Spring Hill Ave, Mobile, AL 36604-1407 | 2018-03-19 |
| 1972015501 | Brandy Mcgraw | Nurse Practitioner | 1700 Spring Hill Ave, Mobile, AL 36604-1407 | 2017-11-05 |
| 1265896526 | Gary Tyler Butts | Internal Medicine | 1700 Spring Hill Ave, Mobile, AL 36604-1407 | 2016-04-12 |
| 1720442460 | Andrew Shreve | Nurse Practitioner | 1700 Spring Hill Ave, Mobile, AL 36604-1407 | 2016-04-08 |
| 1396121497 | Diana Smith | Nurse Practitioner | 1700 Spring Hill Ave, Suite 100, Mobile, AL 36604-1407 | 2015-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013551449 | John F Kilpatrick | Social Worker | 1156 Springhill Avenue, Mobile, AL 36604 | 2019-10-29 |
| 1477036986 | Rachel Schneider | Specialist/Technologist | 1601 Center St Ste B, Mobile, AL 36604 | 2018-09-11 |
| 1891218194 | Transitional Care LLC | Nurse Practitioner | 1725 Springhill Avenue, Mobile, AL 36604 | 2017-07-19 |
| 1427404722 | Precision Orthotics & Prosthetics,llc | Durable Medical Equipment & Medical Supplies | 1557 Springhill Avenue, Mobile, AL 36604 | 2016-05-05 |
| 1851737746 | Robert P. Kobelja | Psychiatry & Neurology | 1601 Center St Ste 2s, Mobile, AL 36604 | 2013-05-17 |
| 1619233970 | Lisa Brown Bailey | Nurse Practitioner | 1700 Center Street--, Division of Neonatology, Mobile, AL 36604 | 2012-04-11 |
| 1023341773 | Rebecca Blankenhorn | Audiologist | 1610 Center St., Suite A, Mobile, AL 36604 | 2009-09-14 |
| 1700062684 | William-glenn Langley Hollingsworth | Counselor | 1156 Springhill Ave, Mobile, AL 36604 | 2008-01-10 |
| 1972715415 | Allison May Chung | Pharmacist | 1504 Springhill Dr, Rm 5225, Mobile, AL 36604 | 2007-05-04 |
| 1265504716 | Geriatric Specialists LLC | Internal Medicine | 1059 Palmetto St, Mobile, AL 36604 | 2006-11-13 |
| Find all providers in zip 36604 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| 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 |
|---|---|---|---|---|
| 1730497611 | William David Schwieterman | Internal Medicine | 3901 Point Rd, Mobile, AL 36619-9750 | 2010-09-14 |
| 1679131239 | Usa Health Physician Billing Services LLC | Internal Medicine | 2451 University Hospital Drive, Mastin 102, Mobile, AL 36617-2300 | 2019-05-30 |
| 1396105417 | University of South Alabama | Internal Medicine | 2451 Fillingim St, Mstn Bldg, Mobile, AL 36617-2238 | 2016-03-02 |
| 1093198632 | Hamdy Mohamed Abdelaziz Ahmed | Internal Medicine | 575 Stanton Rd, Mobile, AL 36617-2344 | 2015-07-01 |
| 1063679520 | Deepak Kumar | Internal Medicine | 101 Memorial Hospital Dr, Suite 200, Mobile, AL 36608-1786 | 2008-05-21 |
| 1154594737 | Yanming Xing | Internal Medicine | 6701 Airport Blvd, Suite A101, Mobile, AL 36608-6705 | 2008-04-03 |
| 1508878083 | Providence Healthcare Services | Internal Medicine | 6701 Airport Blvd, Suite D430, Mobile, AL 36608-6705 | 2006-08-12 |
| 1417963471 | Thomas Cookson Myers | Internal Medicine | 6701 Airport Blvd, Suite A-101, Mobile, AL 36608-6705 | 2006-07-31 |
| 1740295559 | Teresa Jean Oglesby | Internal Medicine | 6701 Airport Blvd, Suite A-101, Mobile, AL 36608-6705 | 2006-07-30 |
| 1366456295 | Gino Divittorio | Internal Medicine | 6701 Airport Blvd, Suite A-101, Mobile, AL 36608-6705 | 2006-07-28 |
| Find all providers in MOBILE | ||||
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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.