SELF AND SELF COMPANY, LLC (NPI# 1174869820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174869820 |
Entity Type | Organization |
Organization Name | SELF AND SELF COMPANY, LLC |
Practice Address |
306 Greeno Rd S Suite A Fairhope AL 36532-1905 |
Practice Telephone | 2519288760 |
Practice Fax Number | 2519287028 |
Mailing Telephone | 2519288760 |
Mailing Fax Number | 2519287028 |
Enumeration Date | 2012-12-28 |
Last Update Date | 2015-03-17 |
Authorized Official Name | KARL STANLEY SELF (OWNER/PRESIDENT) |
Authorized Official Telephone | 2519288760 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
Allopathic & Osteopathic Physicians |
Street Address |
306 GREENO RD S SUITE A |
City | FAIRHOPE |
State | AL |
Zip Code | 36532-1905 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376000729 | Abby Stockman | Marriage & Family Therapist | 372 S. Greeno Road, Fairhope, AL 36532 | 2019-02-21 |
1962973990 | Pain Consultants of Alabama | Non-Pharmacy Dispensing Site | 320 North Greeno Rd., Fairhope, AL 36532 | 2018-12-17 |
1881182236 | Interface Medical Consulting LLC | Family Medicine | 12141 Cri, Fairhope, AL 36532 | 2018-05-01 |
1063937167 | Julia W Stone, LLC | Counselor | 21180 Al State Hwy 181, Suite 2, Fairhope, AL 36532 | 2017-08-09 |
1568985349 | Eastern Shore Oral, Facial and Implant Surgery Center, P.C. | Clinic/Center | 24172 4th Street, Fairhope, AL 36532 | 2017-07-24 |
1205209509 | Comfort Care Coastal Hospice, LLC | Hospice Care, Community Based | 22502 U.S. Highway 98, Fairhope, AL 36532 | 2015-11-09 |
1609248632 | Sabrina Reeves | Physician Assistant | 77 Magnolia Ave, Fairhope, AL 36532 | 2015-10-29 |
1386025146 | Laura Lasecki Wimmer | Podiatrist | 23937 Us Highway 98 Ste 1, Fairhope, AL 36532 | 2015-06-17 |
1386024719 | Gulf Coast Homecare LLC Dba Firstlight Homecare of Mobile Eastern Shor | In Home Supportive Care | 924 Plantation Blvd., Suite C, Fairhope, AL 36532 | 2015-06-01 |
1386021525 | June Lassiter | Nurse Practitioner | 22823 Ecor Rouge Lane, Fairhope, AL 36532 | 2015-04-27 |
Find all providers in zip 36532 |
Taxonomy Code | 207QA0505X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Adult Medicine |
Definition to come. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013465988 | Steve Lovelady Md LLC | Family Medicine | 1490 N Bank Pkwy Ste 290, Tuscaloosa, AL 35406-2430 | 2016-09-20 |
1821454224 | Harveen Sodhi | Family Medicine | 5310 Medford Dr, Hoover, AL 35244-2108 | 2016-01-14 |
1316363807 | Charles Karst IIi | Family Medicine | 6110 Monticello Dr, Montgomery, AL 36117-2625 | 2014-03-09 |
1740536036 | Franklin Primary Health Center, Inc | Family Medicine | 201 Dolive St, Bay Minette, AL 36507-3226 | 2012-07-24 |
1912260886 | Lloyd W. Russell | Family Medicine | 7325 Sibley St, 1040, Montrose, AL 36559-2100 | 2012-06-16 |
1184800948 | Delano Benjamin | Family Medicine | 1480 Forestdale Blvd, Forestdale, AL 35214-3034 | 2008-01-11 |
1760605851 | Jmh Medical Services, LLC | Family Medicine | 867 Lee Rd 248, Smiths Station, AL 36877 | 2007-04-10 |
1578645396 | Hazel Green Primary Care | Family Medicine | 13596 Highway 231 431 N, Suite 4, Hazel Green, AL 35750-8617 | 2006-10-20 |
1669563649 | Erwin Harry Peyton Jr. | Family Medicine | 601 S 4th St, Suite B, Gadsden, AL 35901-5218 | 2006-09-27 |
1972603587 | Vidya Alapati | Family Medicine | 13596 Highway 231 431 N Ste 4, Hazel Green, AL 35750-8618 | 2006-09-24 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on SELF AND SELF COMPANY, LLC.
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.