PHYSICIANS MEDICAL CENTER, LLC (NPI# 1235251810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235251810 |
| Entity Type | Organization |
| Organization Name | PHYSICIANS MEDICAL CENTER, LLC |
| Other Organization Name | PHYSICIANS-CARRAWAY MEDICAL CENTER |
| Practice Address |
1600 Carraway Blvd Birmingham AL 35234-1913 |
| Mailing Address |
Po Box 830469 Msc 511 Birmingham AL 35283-0469 |
| Practice Telephone | 2055026000 |
| Practice Fax Number | 2055025720 |
| Mailing Telephone | 2059798552 |
| Mailing Fax Number | 2059791248 |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2008-05-14 |
| Authorized Official Name | MR. THOMAS A GALLAGHER (PRESIDENT) |
| Authorized Official Telephone | 6156651223 |
| Is Organization Subpart | Y |
| Parent Organization Name | PHYSICIANS MEDICAL CENTER, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities | ||
| N | 282N00000X | General Acute Care Hospital | H3703 | AL | Hospitals |
| Y | 367500000X | Nurse Anesthetist, Certified Registered | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 529932814 | 05 | |
| AL | 529932340 | 05 | |
| AL | 529932815 | 05 |
| Other Name | Type Code |
|---|---|
| Physicians-Carraway Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477509859 | Physicians Medical Center, LLC | General Acute Care Hospital | 218 Corporate Dr, Houma, LA 70360-2768 | 2006-05-26 |
| 1700251253 | Physicians Medical Center, LLC | Clinic/Center | 131 Corporate Dr, Houma, LA 70360-2767 | 2015-12-09 |
| 1982809257 | Physicians Medical Center, LLC | General Acute Care Hospital | 6020 W Parker Rd, Plano, TX 75093-8171 | 2007-06-18 |
| 1598972606 | Physicians Medical Center, LLC | Specialist | 1528 Carraway Blvd, Ste 202, Birmingham, AL 35234 | 2007-05-17 |
| 1457568594 | Physicians Medical Center, LLC | General Acute Care Hospital | 1600 Carraway Blvd, Birmingham, AL 35234 | 2007-05-17 |
| 1760696066 | Physicians Medical Center, LLC | Clinic/Center | 3001 27th St N, Birmingham, AL 35207-4549 | 2007-05-09 |
| 1124231766 | Physicians Medical Center, LLC | Clinic/Center | 2401 15th Ave North, Birmingham, AL 35234 | 2007-05-08 |
| 1427123017 | Physicians Medical Center, LLC | Psychiatric Unit | 1600 Carraway Blvd, Birmingham, AL 35234-1913 | 2006-11-21 |
| 1538230131 | Physicians Medical Center, LLC | General Acute Care Hospital | 1600 Carraway Blvd, Birmingham, AL 35234-1913 | 2006-11-13 |
| 1316933609 | Physicians Medical Center, LLC | General Acute Care Hospital | 6020 W Parker Rd, Plano, TX 75093-8171 | 2005-09-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PHYSICIANS MEDICAL CENTER, LLC | 218 Corporate Dr, Houma, LA 70360-2768 |
| Street Address |
1600 CARRAWAY BLVD |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35234-1913 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962462374 | Jennifer W Devilleneuve | Nurse Practitioner | 1600 Carraway Blvd, Suite 402, Birmingham, AL 35234-1913 | 2006-03-28 |
| 1114119567 | Physician Medical Center, LLC | Family Medicine | 1600 Carraway Blvd, Birmingham, AL 35234 | 2007-08-09 |
| 1225249790 | Physicians Emergency Services LLC | Emergency Medicine | 1600 Carraway Blvd, Birmingham, AL 35234-1913 | 2007-05-25 |
| 1457568594 | Physicians Medical Center, LLC | General Acute Care Hospital | 1600 Carraway Blvd, Birmingham, AL 35234 | 2007-05-17 |
| 1992826325 | Carraway Surgical Associates | Specialist | 1600 Carraway Blvd, Physician Plaza Suite 200, Birmingham, AL 35234-1913 | 2007-04-03 |
| 1699813501 | Carraway Methodist Medical Center | General Acute Care Hospital | 1600 Carraway Blvd, Birmingham, AL 35234-1913 | 2007-02-02 |
| 1366596447 | Kimberlee S Redwine | Registered Nurse | 1600 Carraway Blvd, Suite 402, Birmingham, AL 35234-1913 | 2007-01-23 |
| 1023162930 | Graciela Joy Mcree | Nurse Anesthetist, Certified Registered | 1600 Carraway Blvd, Birmingham, AL 35234-1913 | 2007-01-22 |
| 1417022666 | Catherine Post | Nurse Anesthetist, Certified Registered | 1600 Carraway Blvd, Birmingham, AL 35234-1913 | 2006-11-22 |
| 1356416564 | Melissa H Benton | Nurse Anesthetist, Certified Registered | 1600 Carraway Blvd, Birmingham, AL 35234-1913 | 2006-11-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225549140 | Kathy Youngblood | Home Health | 1907 14th Ave N Apt 4b, Birmingham, AL 35234 | 2017-10-18 |
| 1154765568 | University of Alabama In Birmingham | General Acute Care Hospital | 619 S 19th Street, Birmingham, AL 35234 | 2013-04-29 |
| 1699722348 | Agatha I Asuru | Internal Medicine | 2401 15th Ave North, Birmingham, AL 35234 | 2006-05-28 |
| 1447210844 | Painsouth Inc | Pain Medicine | 1528 Carraway Blvd, Suite 402, Birmingham, AL 35234 | 2006-03-28 |
| 1295922649 | Pmc Gastroenterology Associates, PC | Internal Medicine | 1532 Carraway Blvd, Suite 220, Birmingham, AL 35234 | 2007-10-01 |
| 1598972606 | Physicians Medical Center, LLC | Specialist | 1528 Carraway Blvd, Ste 202, Birmingham, AL 35234 | 2007-05-17 |
| 1124231766 | Physicians Medical Center, LLC | Clinic/Center | 2401 15th Ave North, Birmingham, AL 35234 | 2007-05-08 |
| 1669412466 | Hugh Pinkney O'shields Jr. | Internal Medicine | 1600 Carraway Blvd Ste 801, Birmingham, AL 35234-1913 | 2006-06-08 |
| 1578516076 | Ralph Thomas Lyerly Jr. | Internal Medicine | 1532 Carraway Blvd, Suite 220, Birmingham, AL 35234-1955 | 2006-05-18 |
| 1962539536 | John Robert Wilson | Pharmacist | 1528 Carraway Blvd, Birmingham, AL 35234-1998 | 2007-02-28 |
| Find all providers in zip 35234 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619526829 | Kourtni Brooke Young | Nurse Anesthetist, Certified Registered | Grandview Medical Center, 3690 Grandview Parkway, Birmingham, AL 35243 | 2019-09-10 |
| 1205364791 | Mollie Quinn Allen | Nurse Anesthetist, Certified Registered | 1600 7th Ave S Dept Br, Birmingham, AL 35233-1711 | 2017-05-26 |
| 1669823076 | Caroline Norris | Nurse Anesthetist, Certified Registered | 1417 Bristol Mnr, Birmingham, AL 35242-5665 | 2016-06-27 |
| 1649655820 | Emily Diane Bromley | Nurse Anesthetist, Certified Registered | 619 19th St S # Jt807, Birmingham, AL 35249-6810 | 2015-07-29 |
| 1750774055 | Brendan Weishaar | Nurse Anesthetist, Certified Registered | 1156 Castlemaine Dr, Birmingham, AL 35226-5925 | 2015-03-10 |
| 1659778447 | Venessia Cunningham | Nurse Anesthetist, Certified Registered | 115 Freda Jane Ln, Birmingham, AL 35215-7105 | 2014-11-24 |
| 1366866949 | Odis Brandon Owen | Nurse Anesthetist, Certified Registered | 212 Stoneriver Dr, Birmingham, AL 35211-4550 | 2014-02-18 |
| 1437571080 | Mary Elizabeth Strong | Nurse Anesthetist, Certified Registered | 1128 Kingsbury Ave, Birmingham, AL 35213-2632 | 2014-01-16 |
| 1487083960 | Lena Oliver | Nurse Anesthetist, Certified Registered | 4712 Guilford Way, Birmingham, AL 35242-7334 | 2013-11-05 |
| 1366714396 | Britany Nicole Kirkes | Nurse Anesthetist, Certified Registered | 619 19th St S Rm Jt-845, Birmingham, AL 35249-1900 | 2012-02-07 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35234 |
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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.