STEVEN P MEDEIROS (NPI# 1174598486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174598486 |
Entity Type | Individual |
Full Name | STEVEN P MEDEIROS |
Credential | D.O. |
Practice Address |
500 Hospital Dr Wetumpka AL 36092-1625 |
Mailing Address |
Po Box 130 Wetumpka AL 36092-0003 |
Practice Telephone | 3345674311 |
Practice Fax Number | 3345674312 |
Enumeration Date | 2006-02-21 |
Last Update Date | 2018-03-29 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207P00000X | Emergency Medicine | 2800 | OK | Allopathic & Osteopathic Physicians |
N | 208600000X | Surgery | 2800 | OK | Allopathic & Osteopathic Physicians |
Y | 208D00000X | General Practice | DO300 | AL | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
101 Smith Ave, Ste 2, Poteau, OK 749532613 | 9186470670 | 9186470460 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629020516 | Steven M Medeiros | Specialist/Technologist | 150 Morrissey Blvd, Bc High, Dorchester, MA 02125-3313 | 2006-05-17 |
1851920763 | Steven Anthony Medeiros Jr. | Student in an Organized Health Care Education/Training Program | 100 N Academy Ave, Danville, PA 17822-0001 | 2020-04-02 |
Street Address |
500 HOSPITAL DR |
City | WETUMPKA |
State | AL |
Zip Code | 36092-1625 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396342184 | Ivy Creek Specialty Care | Emergency Medicine | 500 Hospital Dr, Wetumpka, AL 36092-1625 | 2020-10-05 |
1467069070 | Ivy Creek Specialty Care | Anesthesiology | 500 Hospital Dr, Wetumpka, AL 36092-1625 | 2020-09-28 |
1275919698 | Marlene Wilson-lavalley | Nurse Practitioner | 500 Hospital Dr, Wetumpka, AL 36092-1625 | 2015-08-07 |
1669733895 | Ivy Creek of Elmore, LLC | Hospitalist | 500 Hospital Dr, Wetumpka, AL 36092-1625 | 2012-06-05 |
1396031092 | Ivy Creek of Elmore LLC | General Acute Care Hospital | 500 Hospital Dr, Wetumpka, AL 36092-1625 | 2011-06-22 |
1790093029 | Ivy Creek of Elmore LLC | General Acute Care Hospital | 500 Hospital Dr, Wetumpka, AL 36092-1625 | 2010-09-21 |
1720309982 | Ivy Creek of Elmore, LLC | Physical Medicine & Rehabilitation | 500 Hospital Dr, Suite A, Wetumpka, AL 36092-1625 | 2010-06-22 |
1154642684 | Ivy Creek of Elmore, LLC | Surgery | 500 Hospital Dr, Suite B, Wetumpka, AL 36092-1625 | 2010-06-18 |
1144547712 | Ivy Creek of Elmore, LLC | Anesthesiology | 500 Hospital Dr, Wetumpka, AL 36092-1625 | 2010-04-22 |
1205034428 | Ivycreek of Elmore LLC | Emergency Medical Technician, Basic | 500 Hospital Dr, Wetumpka, AL 36092-1625 | 2007-07-10 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578195525 | River Region Family Medicine, LLC | Family Medicine | 277 Huntress Street, Suite 100, Wetumpka, AL 36092 | 2020-02-07 |
1710548003 | 2la, LLC | Hearing Instrument Specialist | 4354 Us Highway 231, Suite A, Wetumpka, AL 36092 | 2019-06-26 |
1124549308 | Medi - Rides Transport LLC | Non-emergency Medical Transport (VAN) | 173 Hill Street, Suite 103, Wetumpka, AL 36092 | 2017-06-28 |
1538699129 | Joni Smart | Pharmacist | 4538 Us Hwy 231, Wetumpka, AL 36092 | 2017-06-15 |
1134396898 | Blue Ridge Chiropractic, LLC | Chiropractor | 2412 Us Hwy 231, Wetumpka, AL 36092 | 2008-05-13 |
1932243565 | Patricia Dianne White Mcclanahan | Psychologist | 8476 U S Hwy 231 Admh Division of Intellectual Disabili, Comprehensive Support Svcs Riv & V, Wetumpka, AL 36092 | 2007-02-16 |
1952472607 | Wetumpka Family Practice Pa | Family Medicine | 73970 Tallassee Hwy, Wetumpka, AL 36092 | 2006-11-13 |
1063429744 | Jim G Anderson | Chiropractor | 76299 Tallassee Hwy, Wetumpka, AL 36092 | 2006-08-02 |
1710908009 | Winn Dixie Stores Inc | Durable Medical Equipment & Medical Supplies | 5326 Hwy 231 South, Wetumpka, AL 36092 | 2006-07-21 |
1629011770 | Spencer J Coleman Sr. | Family Medicine | 73970 Tallassee Highway, Wetumpka, AL 36092 | 2006-06-14 |
Find all providers in zip 36092 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649441650 | Ivy Creek of Elmore LLC | General Practice | 7 Cambridge Court, Wetumpka, AL 36093-1261 | 2008-03-18 |
1568874543 | American Family Care, Inc. | General Practice | 4452 Us Highway 231, Wetumpka, AL 36092-3328 | 2014-05-27 |
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1922624097 | Kyle Rolfe | General Practice | 1962 Schillinger Rd S, Mobile, AL 36695-4118 | 2020-06-24 |
1497390447 | Dw Mcmillan Memorial Hospital | General Practice | 1311 Mcmillan Ave, Brewton, AL 36426-1324 | 2019-11-14 |
1871059212 | Southeast Medical Group LLC | General Practice | 1930 Edwards Lake Rd Ste 138b, Birmingham, AL 35235-3720 | 2019-02-11 |
1528561974 | Stephen David Thrasher | General Practice | 2215 California St Se, Huntsville, AL 35801-2706 | 2018-03-12 |
1487170031 | Premier Medical Housecall, LLC | General Practice | 173 Cahaba Valley Pkwy, Pelham, AL 35124-1144 | 2017-08-16 |
1336662287 | Center Point Medical LLC | General Practice | 151 Woodham Dr, Albertville, AL 35951-3301 | 2017-07-24 |
1558898874 | B Vitality Pllc | General Practice | 3425 Colonnade Pkwy Ste C, Birmingham, AL 35243-2356 | 2017-05-17 |
1710438502 | Homewood Family Wellcare LLC | General Practice | 1 Independence Plz Ste 410, Homewood, AL 35209-2648 | 2016-10-17 |
1750837068 | Michelle R. Grana, Do; PC | General Practice | 470 Providence Main St Nw Ste 302a, Huntsville, AL 35806-4843 | 2016-08-27 |
1073964979 | Taurin Pyongkap Lee | General Practice | 2713 Downing St, Huntsville, AL 35801 | 2016-06-22 |
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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.