SETON MEDICAL MANAGEMENT INC. (NPI# 1205265303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205265303 |
| Entity Type | Organization |
| Organization Name | SETON MEDICAL MANAGEMENT INC. |
| Other Organization Name | THE CANCER CENTER AT PROVIDENCE PARK PET CT |
| Practice Address |
6701 Airport Blvd Suite A-t01 Mobile AL 36608-6705 |
| Mailing Address |
Po Box 850489 Mobile AL 36685-0489 |
| Practice Telephone | 2516313157 |
| Practice Fax Number | 2516331182 |
| Mailing Telephone | 2513423949 |
| Mailing Fax Number | 2516313361 |
| Enumeration Date | 2013-11-08 |
| Last Update Date | 2013-11-08 |
| Authorized Official Name | DR. JAMES L. WALKER (PRESIDENT) |
| Authorized Official Telephone | 2516338880 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| The Cancer Center at Providence Park PET CT | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265861009 | Seton Medical Management Inc. | Preventive Medicine | 18 Rambo Dr, Saraland, AL 36571-2147 | 2013-11-02 |
| 1679958136 | Seton Medical Management Inc. | Surgery | 6701 Airport Blvd, Suite B222, Mobile, AL 36608-6705 | 2015-07-27 |
| 1518344498 | Seton Medical Management Inc. | Surgery | 6701 Airport Blvd, Suite B329, Mobile, AL 36608-6705 | 2015-04-30 |
| 1871994475 | Seton Medical Management Inc. | Surgery | 6701 Airport Blvd, Suite B222, Mobile, AL 36608-6705 | 2014-09-15 |
| 1689075954 | Seton Medical Management Inc. | Radiology | 6701 Airport Blvd, Suite A-t06, Mobile, AL 36608-6705 | 2014-09-05 |
| 1295135911 | Seton Medical Management Inc. | Surgery | 6701 Airport Blvd, Suite B217, Mobile, AL 36608-6705 | 2014-08-29 |
| 1497184592 | Seton Medical Management Inc. | Preventive Medicine | 5100 Rangeline Road N, Mobile, AL 36619-9504 | 2013-11-08 |
| 1013346113 | Seton Medical Management Inc. | Nurse Practitioner | 6701 Airport Blvd, Suite C132, Mobile, AL 36608-6705 | 2013-11-08 |
| 1841629946 | Seton Medical Management Inc. | Surgery | 6701 Airport Blvd, Suite D143, Mobile, AL 36608-6705 | 2013-11-08 |
| 1811073554 | Seton Medical Management Inc. | Pharmacist | 6701 Airport Blvd, Suite B124, Mobile, AL 36608-6705 | 2006-10-27 |
| Street Address |
6701 AIRPORT BLVD SUITE A-T01 |
| City | MOBILE |
| State | AL |
| Zip Code | 36608-6705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053313312 | Richard O Nenstiel | Physician Assistant | 6701 Airport Blvd, Suite D146, Mobile, AL 36608 | 2005-06-01 |
| 1508392432 | University of South Alabama Health Care Authority | Internal Medicine | 6701 Airport Blvd, A101, Mobile, AL 36608-6705 | 2017-05-11 |
| 1093241671 | Alabama Providence Healthcare Services | Otolaryngology | 6701 Airport Blvd, Suite B123, Mobile, AL 36608-6705 | 2017-05-03 |
| 1588109599 | Citrin Cardiology PC | Internal Medicine | 6701 Airport Blvd, Suite C138, Mobile, AL 36608-3784 | 2016-12-29 |
| 1629511753 | Alabama Providence Healthcare Services | Specialist | 6701 Airport Blvd, Ste B215, Mobile, AL 36608-6705 | 2016-11-21 |
| 1891245692 | Alabama Providence Healthcare Services | Specialist | 6701 Airport Blvd, Suite D143, Mobile, AL 36608-6705 | 2016-10-05 |
| 1386191740 | Leah Ambrose | Physician Assistant | 6701 Airport Blvd, Suite C138, Mobile, AL 36608-6705 | 2016-09-02 |
| 1386093953 | Terra Lynn Parnell | Nurse Practitioner | 6701 Airport Blvd, Suite D-330, Mobile, AL 36608 | 2016-06-06 |
| 1649634395 | Alabama Providence Healthcare Services | Specialist | 6701 Airport Blvd, Suite A-t06, Mobile, AL 36608-6705 | 2016-04-08 |
| 1558725200 | Alabama Providence Healthcare Services | Specialist | 6701 Airport Blvd, Suite B329, Mobile, AL 36608-6705 | 2016-04-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475524 | Grantham Dental, Inc. | Dentist | 3620 Springhill Memorial Drive South, Mobile, AL 36608 | 2020-10-21 |
| 1114540879 | Dearrius Hines | Home Health Aide | 1370 Lucerne Dr, Mobile, AL 36608 | 2020-05-28 |
| 1558980409 | Rachel Stevens | Registered Nurse | 8507 Tanner Williams Rd, Mobile, AL 36608 | 2020-04-10 |
| 1073170700 | Usa Health Physician Billing Services LLC | Otolaryngology | 5721 Usa Drive North, Hahn 1119, Mobile, AL 36608 | 2019-05-29 |
| 1952885600 | Franklin Primary Health Center Inc. | Dentist | 990 Cody Rd North, Mobile, AL 36608 | 2018-09-19 |
| 1114410040 | Zackary Elkins | Optometrist | 105 W I65 Service Rd N, Mobile, AL 36608 | 2018-06-14 |
| 1023562865 | Covenant Hospice, Inc. | Internal Medicine | 6801 Airport Blvd., Main Tower, 11th Floor North, Mobile, AL 36608 | 2016-08-10 |
| 1730575416 | Rayven Likely | Student in an Organized Health Care Education/Training Program | 1014 Centerwood Dr, Mobile, AL 36608 | 2015-04-09 |
| 1598040461 | Robert S Harlin | Specialist | 75 Clarise Circle, Mobile, AL 36608 | 2011-10-11 |
| 1972884948 | Heidi Michelle Mcdermott | Physical Therapist | 5721 Usa Drive N, Hahn 2050, Mobile, AL 36608 | 2011-09-06 |
| Find all providers in zip 36608 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
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|---|---|---|---|---|
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| 1609473040 | American Heath Imaging of Alabama LLC | Clinic/Center | 3105 Independence Dr Ste 101, Homewood, AL 35209-4111 | 2020-10-08 |
| 1164029948 | American Heath Imaging of Alabama LLC | Clinic/Center | 224 1st St N Ste 150, Alabaster, AL 35007-9081 | 2020-10-05 |
| 1518564392 | American Heath Imaging of Alabama LLC | Clinic/Center | 7500 Hugh Daniel Dr Ste 150, Hoover, AL 35242-7145 | 2020-10-05 |
| 1639678550 | Med Tech Imaging Center LLC | Clinic/Center | 102 Medical Center Dr Ste B, Prattville, AL 36066-7286 | 2018-02-06 |
| 1548789852 | Women's Imaging Specialists - Gulf Shores, LLC | Clinic/Center | 1229 Gulf Shores Pkwy Ste 100, Gulf Shores, AL 36542-5929 | 2017-09-18 |
| 1629434881 | Grandview Imaging, LLC | Clinic/Center | 3570 Grandview Pkwy, Suite 102, Birmingham, AL 35243-2064 | 2016-01-04 |
| 1912377508 | Ally Radiology Consultants, LLC | Clinic/Center | 1907 W Farmville Rd, Auburn, AL 36879-4621 | 2015-09-25 |
| 1215250634 | Foley Diagnostic Imaging, LLC | Clinic/Center | 112 W Laurel Ave, Foley, AL 36535-1967 | 2010-03-12 |
| 1265671630 | Birmingham Radiological Group, PC | Clinic/Center | 100 Pilot Medical Drive, Ste 150, Birmingham, AL 35235 | 2009-02-09 |
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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.