DR. LUIS RONALD PERNIA (NPI# 1174504336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174504336 |
| Entity Type | Individual |
| Full Name | DR. LUIS RONALD PERNIA |
| Credential | M.D. |
| Practice Address |
1325 Mcfarland Blvd Suite 201 Northport AL 35476-3270 |
| Practice Telephone | 2053308820 |
| Practice Fax Number | 2053332515 |
| Mailing Telephone | 2053308820 |
| Mailing Fax Number | 2053332515 |
| Enumeration Date | 2005-11-07 |
| Last Update Date | 2012-12-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 4104 | AL | Other Service Providers |
| Street Address |
1325 MCFARLAND BLVD SUITE 201 |
| City | NORTHPORT |
| State | AL |
| Zip Code | 35476-3270 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780034066 | Michael Christopher Jordan | Specialist/Technologist | 1325 Mcfarland Blvd, Northport, AL 35476-3270 | 2016-06-16 |
| 1073962833 | Sarah Clos | Specialist/Technologist | 1325 Mcfarland Blvd, Northport, AL 35476-3270 | 2016-06-12 |
| 1548643273 | Randi Cheree Melton | Family Medicine | 1325 Mcfarland Blvd, Suite 102, Northport, AL 35476-3270 | 2015-06-30 |
| 1316320054 | Amy Lee Wambolt | Student in an Organized Health Care Education/Training Program | 1325 Mcfarland Blvd, Suite 102, Northport, AL 35476-3270 | 2015-06-30 |
| 1275926719 | Capstone Health Services Foundation PC | Clinic/Center | 1325 Mcfarland Blvd, Suite 102, Northport, AL 35476-3270 | 2015-03-09 |
| 1750798534 | Jessica Hester | Nurse Practitioner | 1325 Mcfarland Blvd, Ste 101, Northport, AL 35476-3262 | 2014-07-14 |
| 1487901369 | Kyle David Adams | Specialist/Technologist | 1325 Mcfarland Blvd, Northport, AL 35476-3270 | 2012-08-09 |
| 1689980484 | Flh, Inc. | Physical Medicine & Rehabilitation | 1325 Mcfarland Blvd, Suite 101, Northport, AL 35476-3270 | 2010-08-31 |
| 1881841500 | April L Coleman | Physician Assistant | 1325 Mcfarland Blvd, Suite 102, Northport, AL 35476-3270 | 2008-08-25 |
| 1285826057 | Kimberly Ellison Wilson | Nurse Practitioner | 1325 Mcfarland Blvd, Suite 104, Northport, AL 35476-3270 | 2007-08-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669942728 | Dch Encore Rehabilitation, LLC | Clinic/Center | Dch Encore Rehabilitation, LLC, 92 Mcfarland Blvd, Northport, AL 35476 | 2018-12-03 |
| 1821592189 | Julia Madrid | Counselor | 1905 4th St Ste 4, Northport, AL 35476 | 2018-03-21 |
| 1740652395 | Restoring Piece LLC | Community/Behavioral Health | 433 Main Avenue, Northport, AL 35476 | 2015-10-22 |
| 1316363740 | Alabama Bariatric and Wellness | Internal Medicine | 1325 Mcfarland Blvd. Suite #209, Northport, AL 35476 | 2014-03-10 |
| 1104170406 | Kerry Thomas, Hill | Chiropractor | 1580 Lurleen Wallace Blvd., Northport, AL 35476 | 2012-11-08 |
| 1366794703 | Back To Fitness | Chiropractor | 1580 Lorleen Wallace Blvd., Northport, AL 35476 | 2012-10-10 |
| 1740532357 | Andrea Austin Barry | Nurse Practitioner | 920 Rose Dr., Northport, AL 35476 | 2012-10-05 |
| 1184995953 | Julie T Guy | Pharmacist | 3107 Lurleen B Wallace Boulevard, Northport, AL 35476 | 2012-01-25 |
| 1427280973 | Ida Denise Robinson | Internal Medicine | 2201 Mcfarland Blvd., Northport, AL 35476 | 2009-08-18 |
| 1700017852 | Bony F Barrineau Md PC | Orthopaedic Surgery | 2201 32nd Street, Northport, AL 35476 | 2009-08-06 |
| Find all providers in zip 35476 | ||||
| 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 |
|---|---|---|---|---|
| 1467000505 | Erika Marie Bicic | Specialist | 6 Pebble Hill Ct, Northport, NY 11768-1350 | 2019-09-02 |
| 1407200751 | Samantha Hauser | Specialist | 6 Troy Ct, Northport, NY 11768-2158 | 2016-04-22 |
| 1629437140 | Claudia Laura Martelloni-brennan | Specialist | 23 Wilafra Pl, Northport, NY 11768-2160 | 2016-02-11 |
| 1841660586 | Katharine Lynn Savan | Specialist | 25 Twin Cedar Ln, Northport, NY 11768-2231 | 2015-10-06 |
| 1720479454 | Jessica L Varvatsas | Specialist | 1 Bonnie Dr, Northport, NY 11768-1448 | 2015-02-17 |
| 1366868838 | Maribeth Clark Gruhn | Specialist | 27 Mariners Ln, Northport, NY 11768-1626 | 2014-03-08 |
| 1871835215 | Kathleen Araco | Specialist | 2 Naro Ln, Northport, NY 11768-2717 | 2013-03-25 |
| 1356683171 | Nadine M Martine | Specialist | 22 June Ave, Northport, NY 11768-3012 | 2013-03-19 |
| 1841532686 | David Hayse. Boyd | Specialist | 15041 Highway 69 N, Northport, AL 35475-3148 | 2013-03-19 |
| 1447513437 | Siobhan C Flanagan | Specialist | 2 Layne Way, Northport, NY 11768-2157 | 2012-06-25 |
| Find all providers in NORTHPORT | ||||
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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.