EDWARD F. MAHAN (NPI# 1174523617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174523617 |
| Entity Type | Individual |
| Full Name | EDWARD F. MAHAN |
| Credential | MD |
| Practice Address |
1912 Al Highway 157 Cullman AL 35058-0609 |
| Practice Telephone | 2567372095 |
| Practice Fax Number | 2567372097 |
| Mailing Telephone | 2567372095 |
| Mailing Fax Number | 2567372097 |
| Enumeration Date | 2005-07-27 |
| Last Update Date | 2017-02-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
14374 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 051511934 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790800472 | Edward P Mahan | Physician Assistant | 3820 Medical Park Dr, Austell, GA 30106-1110 | 2007-03-20 |
| Street Address |
1912 AL HIGHWAY 157 |
| City | CULLMAN |
| State | AL |
| Zip Code | 35058-0609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972118172 | Sonya Peters | Pharmacist | 1912 Al Highway 157, Cullman, AL 35058-0609 | 2020-09-14 |
| 1023642568 | Cullman Regional Medical Group Hospitalists LLC | Hospitalist | 1912 Al Highway 157, Cullman, AL 35058-0609 | 2020-02-24 |
| 1467083675 | Crmcmedical Group LLC | Clinic/Center | 1912 Al Highway 157, Cullman, AL 35058-0609 | 2020-01-28 |
| 1780224931 | Melanie Tubbs | Dietitian, Registered | 1912 Al Highway 157, Cullman, AL 35058-0609 | 2020-01-15 |
| 1700443439 | Brittney N Alexander | Nurse Anesthetist, Certified Registered | 1912 Al Highway 157, Cullman, AL 35058-0609 | 2019-05-29 |
| 1992362859 | Samantha Jo Phillips | Nurse Anesthetist, Certified Registered | 1912 Al Highway 157, Cullman, AL 35058-0609 | 2019-05-24 |
| 1124598842 | Daphne Sabrina Berry | Nurse Practitioner | 1912 Al Highway 157, Cullman, AL 35058-0609 | 2018-11-26 |
| 1518447622 | Cullman Regional Medical Center Physician Group | Urology | 1912 Al Highway 157, Cullman, AL 35058-0609 | 2018-08-17 |
| 1912495557 | Emily Johnson | Pharmacist | 1912 Al Highway 157, Cullman, AL 35058-0609 | 2018-04-30 |
| 1780126243 | Metta Smith | Clinical Nurse Specialist | 1912 Al Highway 157, Cullman, AL 35058-0609 | 2016-11-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659906980 | Paige Makenzie Schnittker | Nurse Practitioner | 1958 Al-157, Cullman, AL 35058 | 2020-03-06 |
| 1629617444 | Haven Counseling Services of Cullman, LLC | Community/Behavioral Health | 18291 Us Hwy 31, Cullman, AL 35058 | 2019-12-26 |
| 1174095681 | Rizzianne Pineda Miller | Nurse Anesthetist, Certified Registered | 1912 Al-157, Cullman, AL 35058 | 2018-12-21 |
| 1669974135 | Cullman Regional Medical Center, Inc. | Clinic/Center | 1958 Al Hwy 157, Cullman, AL 35058 | 2018-03-01 |
| 1346683125 | Teri L Mobley | Nurse Practitioner | 2021 Alabama Hwy 157, Cullman, AL 35058 | 2013-04-11 |
| 1811229891 | Affordable Family Dentistry P.C. | Dentist | 1096 Country Road 1579, Cullmar, AL 35058 | 2010-02-02 |
| 1548409873 | Birmingham Radiological Group, PC | Clinic/Center | 1809 Dahlke Drive Ne, Cullman, AL 35058 | 2009-02-10 |
| 1235212390 | Carmen Duke Moss | Dentist | 18708 Us Hwy 31 N, Cullman, AL 35058 | 2006-10-23 |
| 1174624282 | Vincent Thomas Karolewics | Radiology | 1811 Parkway Cir, Cullman, AL 35058 | 2006-09-25 |
| 1205937315 | Cullman Radiation Therapy Services, P.C. | Radiology | 1811 Park Way Cir, Cullman, AL 35058 | 2006-09-25 |
| Find all providers in zip 35058 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1124100979 | James Shu-lei Lee | Internal Medicine | 2021 Al Highway 157, Cullman, AL 35058-0687 | 2006-10-20 |
| 1295776581 | Mir Varquez | Internal Medicine | 1801 Parkview Dr Ne, Cullman, AL 35058-3618 | 2006-06-09 |
| 1326120940 | Heartcare, PC | Internal Medicine | 2021 Al Highway 157, Cullman, AL 35058-0687 | 2006-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124674098 | Jamie Torres | Internal Medicine | 1118 Ross Clark Cir Ste 403, Dothan, AL 36301-3038 | 2019-08-15 |
| 1770040255 | Druid City Vascular, P.C. | Internal Medicine | 701 University Blvd E Ste 608, Tuscaloosa, AL 35401-7411 | 2019-02-21 |
| 1962933796 | Robert Derenbecker | Internal Medicine | 1808 7th Avenue South Bdb 201, Birmingham, AL 35294-0010 | 2017-03-23 |
| 1770944340 | Jackson Hospital and Clinic, Inc | Internal Medicine | 74238 Tallassee Hwy, Wetumpka, AL 36092-5504 | 2016-03-10 |
| 1750742318 | Jackson Hospital and Clinic Inc | Internal Medicine | 707 Mcqueen Smith Rd S, Prattville, AL 36066-7503 | 2016-03-10 |
| 1053791764 | Multi-specialty Care-cardiac Care In South, LLC | Internal Medicine | 4490 Al Highway 22, Valley Grande, AL 36701-0501 | 2015-06-08 |
| 1922497312 | Michael Mckinney Cardiology PC | Internal Medicine | 1110 Lakeview Cres, Birmingham, AL 35205-1119 | 2015-01-22 |
| 1194160580 | David Huntsman Jackson | Internal Medicine | 3647 Dunbarton Dr, Mountain Brk, AL 35223-2891 | 2013-04-30 |
| 1700136728 | Farnoosh Rahimi | Internal Medicine | 2451 Fillingim St Bldg C, Mobile, AL 36617 | 2012-09-17 |
| 1720333867 | Rayan Saab | Internal Medicine | 801 Princeton Ave Sw Ste 707, Birmingham, AL 35211-1395 | 2012-07-15 |
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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.