JOE L SHACKELFORD OD LLC (NPI# 1215229455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215229455 |
| Entity Type | Organization |
| Organization Name | JOE L SHACKELFORD OD LLC |
| Practice Address |
685 Schillinger Rd S Mobile AL 36695-8922 |
| Mailing Address |
1840 Bradshire Dr Mobile AL 36695-3078 |
| Practice Telephone | 2516335011 |
| Practice Fax Number | 2516335394 |
| Mailing Telephone | 2516397101 |
| Mailing Fax Number | 2516397101 |
| Enumeration Date | 2011-05-06 |
| Last Update Date | 2011-06-22 |
| Authorized Official Name | DR. JOE L. SHACKELFORD (MEMBER) |
| Authorized Official Telephone | 2516397101 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
S-421-TA-151 | AL | Ambulatory Health Care Facilities |
| Street Address |
685 SCHILLINGER RD S |
| City | MOBILE |
| State | AL |
| Zip Code | 36695-8922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811914195 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 685 Schillinger Rd S, Mobile, AL 36695-8922 | 2006-07-16 |
| 1952913162 | Arielle Aleyah Holder | Pharmacist | 685 Schillinger Rd S, Mobile, AL 36695-8944 | 2020-08-19 |
| 1194204222 | Kenrico Oakley Sr. | Pharmacist | 685 Schillinger Rd S, Mobile, AL 36695-8922 | 2018-08-09 |
| 1336632884 | Elizabeth Lindsay Miller | Pharmacist | 685 Schillinger Rd S, Mobile, AL 36695 | 2018-06-10 |
| 1265965057 | Jacob Odom | Pharmacist | 685 Schillinger Rd S, Pharmacy, Mobile, AL 36695-8922 | 2017-04-07 |
| 1255468997 | Joe L. Shackelford | Optometrist | 685 Schillinger Rd S, Mobile, AL 36695-8922 | 2007-02-28 |
| 1003999087 | Wal-mart Stores East, Lp | Technician/Technologist | 685 Schillinger Rd S, Mobile, AL 36695-8922 | 2006-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629677596 | Linda Jean Hayes | Counselor | 2146 Carson Court, Mobile, AL 36695 | 2020-10-22 |
| 1205447836 | Restore Therapy Services, Ltd | Physical Therapist | 6720 Grejot Road, Mobile, AL 36695 | 2020-08-17 |
| 1437774999 | Nicholas Alan Brautigam | Chiropractor | 960 Schillinger Rd S, Suite D, Mobile, AL 36695 | 2020-06-10 |
| 1891320412 | R3 Counseling Solutions, LLC | Social Worker | 1110 Hillcrest Road, Suite 1b, Mobile, AL 36695 | 2020-03-04 |
| 1649800079 | Tondalaya Denise Mack | Home Health | 1450 Leroy Stevens Rd, Apt35, Mobile, AL 36695 | 2020-01-24 |
| 1801367107 | Tera Walters Therapy LLC | Pediatrics | 2523 D'iberville Drive North, Mobile, AL 36695 | 2018-12-12 |
| 1023595279 | Hall & Oates Pt West Mobile, LLC | Physical Therapist | 2351 Dawes Road, Mobile, AL 36695 | 2018-07-20 |
| 1679069116 | Oculo-facial Consultants | Ophthalmology | 610 Providence Park Dr E Bldg 2, Mobile, AL 36695 | 2018-07-09 |
| 1669964318 | Tina Highsmith | Hearing Instrument Specialist | 2344 Schillinger Rd S, Building #2 Ste A, Mobile, AL 36695 | 2018-05-30 |
| 1023533858 | Reach Pediatric Therapy | Speech-Language Pathologist | 12485 Jeff Hamilton Rd, Mobile, AL 36695 | 2017-08-14 |
| Find all providers in zip 36695 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922641406 | Regenerative Medicine of South Alabama LLC | Clinic/Center | 3929 Airport Blvd Ste 3-110, Mobile, AL 36609-2234 | 2019-10-28 |
| 1821540956 | Symbol Health Solutions, L.lc. | Clinic/Center | 6508 Wall St, Building 12, Mobile, AL 36695-4542 | 2016-10-24 |
| 1295287324 | Symbol Health Solutions, L.lc. | Clinic/Center | 2039 S Broad St, Mobile, AL 36615-1286 | 2016-10-24 |
| 1194277228 | Symbol Health Solutions, L.lc. | Clinic/Center | 3610 Springhill Memorial Dr N, Mobile, AL 36608-1162 | 2016-10-24 |
| 1366997918 | Symbol Health Solutions, L.lc. | Clinic/Center | 3725 Airport Blvd, Space 207, Mobile, AL 36608-1633 | 2016-08-23 |
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| 1437771052 | Phlebotomy Ink Allied Healthcare Services | Clinic/Center | 1512 Center Point Pkwy Ste 203, Birmingham, AL 35215-5663 | 2020-05-18 |
| 1811450661 | Anew Begenning, LLC | Clinic/Center | 274 N 3rd St, Gadsden, AL 35901-3201 | 2019-04-09 |
| 1699239509 | Heartsease Counseling Services LLC | Clinic/Center | 2231 Victory Ln., Suite 500, Hoover, AL 35216 | 2019-01-24 |
| 1962914184 | Apex Integrity Chiropractic | Clinic/Center | 3120 Frederick Rd Ste K, Opelika, AL 36801-7135 | 2017-10-27 |
| 1356870349 | Trinity Healthcare Services, Inc | Clinic/Center | 5295 Riverchase Dr Apt 805, Phenix City, AL 36867-7511 | 2017-06-05 |
| 1801322748 | Symbol Health Solutions, L.lc. | Clinic/Center | 210 Commerce St, Brewton, AL 36426-2141 | 2017-05-11 |
| 1396279543 | Symbol Health Solutions, L.lc. | Clinic/Center | 22259-a Palmer St, Robertsdale, AL 36567 | 2017-04-14 |
| 1639621527 | Integrative Approaches To Wellness | Clinic/Center | 5710 Watermelon Rd, Suite 600, Northport, AL 35473-7692 | 2016-10-26 |
| Find all providers with the same taxonomy | ||||
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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.