ADVANCED OBGYN PC (NPI# 1215118104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215118104 |
Entity Type | Organization |
Organization Name | ADVANCED OBGYN PC |
Other Organization Name | ADVANCED OBSTETRICS AND GYNECOLOGY |
Practice Address |
250 Chateau Dr Sw Ste 100 Huntsville AL 35801-3497 |
Practice Telephone | 2568819997 |
Practice Fax Number | 2568803838 |
Mailing Telephone | 2568819997 |
Mailing Fax Number | 2568803838 |
Enumeration Date | 2007-11-19 |
Last Update Date | 2015-06-03 |
Authorized Official Name | DR. MICHAEL J CONRAD (MD) |
Authorized Official Telephone | 2568819997 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207V00000X | Obstetrics & Gynecology | 22430 | AL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AL | MEDICARE | 051517281 | 01 |
AL | 051517281 | 05 | |
AL | UNITED HEALTHCARE | 7410654 | 01 |
AL | AETNA | 7338022 | 01 |
AL | 1ST HEALTH/CCN | 1823651 | 01 |
AL | BCBS OF AL | 51517281 | 01 |
Other Name | Type Code |
---|---|
Advanced Obstetrics and Gynecology | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194128330 | Advanced Obgyn PC | Obstetrics & Gynecology | 250 Chateau Dr Sw, Ste 100, Huntsville, AL 35801-6436 | 2014-10-02 |
Street Address |
250 CHATEAU DR SW STE 100 |
City | HUNTSVILLE |
State | AL |
Zip Code | 35801-3497 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235367038 | Kevin David Mcintosh | Obstetrics & Gynecology | 250 Chateau Dr Sw Ste 100, Huntsville, AL 35801 | 2009-06-30 |
1528294220 | Lynn L Summers-beauchamp | Obstetrics & Gynecology | 250 Chateau Dr Sw Ste 100, Huntsville, AL 35801-3497 | 2009-06-09 |
1306027289 | John P Cimino Md, PC | Obstetrics & Gynecology | 250 Chateau Dr Sw Ste 100, Huntsville, AL 35801-3497 | 2007-11-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003422742 | Elena Mihaela Kruse | Nurse Practitioner | 415 Echurch St, Nw Suite 4, Huntsville, AL 35801 | 2020-09-18 |
1225657661 | Ashley Danielle Ford | Student in an Organized Health Care Education/Training Program | 301 Governors Drive Se, Huntsville, AL 35801 | 2020-04-15 |
1407417702 | Sasha J White | Specialist | 410 Governors Dr. Sw, Huntsville, AL 35801 | 2019-06-26 |
1003472978 | Gina Marie Delgado | Nurse Practitioner | Huntsville Hospital Cvicu, 101 Sivley Rd., Huntsville, AL 35801 | 2019-05-15 |
1366909863 | Lisa Starkey Suggs | Nurse Practitioner | 3500 Memorial Parkway S.w., Huntsville, AL 35801 | 2019-02-21 |
1902373277 | Kelly S Fisher LLC | Counselor | 300 Clinton Avenue, Suite 22 A, Huntsville, AL 35801 | 2018-10-25 |
1073097911 | Brittani B Hamrick | Psychologist | 203 Eastside Sq Ste C9, Huntsville, AL 35801 | 2018-09-17 |
1548748312 | Jane O. Orton, Licsw, LLC | Social Worker | 120 Holmes Ave Ne, Huntsville, AL 35801 | 2018-08-02 |
1184100661 | Regroup Psychological Services | Psychologist | 2006 Franklin St. Se, Suite 110, Huntsville, AL 35801 | 2018-07-17 |
1366968398 | Bennett Brent Smith | Physician Assistant | 825 Adams St. Se, Huntsville, AL 35801 | 2017-08-22 |
Find all providers in zip 35801 |
Taxonomy Code | 207V00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902338163 | Women4women Obgyn, LLC | Obstetrics & Gynecology | 320 Pelham Avenue, Sw, Suite 300, Huntsville, AL 35801 | 2017-03-28 |
1578917944 | Jordan Tyler Hamilton | Obstetrics & Gynecology | 401 Sivley Rd Sw Ste 1, Huntsville, AL 35801-5108 | 2016-04-21 |
1912351859 | Brittany Elizabeth Swartout | Obstetrics & Gynecology | 401 Lowell Drive, Suite 1, Huntsville, AL 35801 | 2016-04-18 |
1497136774 | Christa S. Littrell | Obstetrics & Gynecology | 910 Adams Street Suite 300, Huntsville, AL 35801 | 2015-06-12 |
1962846832 | Health Care Authority of The City of Huntsville | Obstetrics & Gynecology | 910 Adams St Se Ste 100, Huntsville, AL 35801-3751 | 2013-04-23 |
1033485198 | B.j. Atkins, M.d., P.a. | Obstetrics & Gynecology | 260 Interstate 45 S, Suite A, Huntsville, TX 77340-4968 | 2012-03-22 |
1063655959 | Richard Rollin Thornton | Obstetrics & Gynecology | 713 Halstead Court, Huntsville, AL 35803 | 2009-04-08 |
1972759348 | Karen Leigh Samples | Obstetrics & Gynecology | 3 Old Chimney Rd Se, Huntsville, AL 35801-6144 | 2008-08-17 |
1831382258 | Leon W. Lewis M.d., P.C. | Obstetrics & Gynecology | 420 Lowell Dr Se Ste 401, Huntsville, AL 35801-3761 | 2007-08-20 |
1710187588 | St Johns Clinic Inc | Obstetrics & Gynecology | 705 Phillips, Huntsville, AR 72740 | 2007-07-20 |
Find all providers in HUNTSVILLE |
City | HUNTSVILLE |
Zip Code | 35801 |
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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.