PENTASTAR, LLC (NPI# 1235365255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235365255 |
| Entity Type | Organization |
| Organization Name | PENTASTAR, LLC |
| Practice Address |
101 2nd Ave Se Cullman AL 35055-3511 |
| Practice Telephone | 2567371793 |
| Practice Fax Number | 2567373765 |
| Mailing Telephone | 2567371793 |
| Mailing Fax Number | 2567373765 |
| Enumeration Date | 2009-06-04 |
| Last Update Date | 2009-06-04 |
| Authorized Official Name | DR. GREGORY LEE MEIMAN (PHYSICIAN/DIRECTOR) |
| Authorized Official Telephone | 2567371793 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 7112 | AL | Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | PENTASTAR, LLC | 176 Bergen Street, Brooklyn, NY 11217 |
| Street Address |
101 2ND AVE SE |
| City | CULLMAN |
| State | AL |
| Zip Code | 35055-3511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093760464 | Thomas C Brecht | Psychologist | 101 2nd Ave Se, Cullman, AL 35055 | 2006-05-24 |
| 1528682804 | Ali Anderson Adams | Nurse Practitioner | 101 2nd Ave Se, Cullman, AL 35055-3511 | 2020-06-03 |
| 1578973954 | Mary Katherine Leonard Thrower | Psychiatry & Neurology | 101 2nd Ave Se, Cullman, AL 35055 | 2014-05-06 |
| 1255487716 | Clark Still | Counselor | 101 2nd Ave Se, Cullman, AL 35055-3511 | 2007-01-26 |
| 1639271844 | Kathy H Tanner | Counselor | 101 2nd Ave Se, Cullman, AL 35055-3511 | 2006-09-01 |
| 1720014780 | Michael Phillips | Counselor | 101 2nd Ave Se, Cullman, AL 35055-3511 | 2006-06-23 |
| 1588619662 | Daniel Thomas Meadows Jr. | Psychiatry & Neurology | 101 2nd Ave Se, Cullman, AL 35055-3511 | 2006-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013482694 | Timothy Brett Hunt | Counselor | 1912 Commerce Avenue Nw, Cullman, AL 35055 | 2018-10-10 |
| 1073017919 | Kaitlin Roberts | Occupational Therapist | 1640 2nd Ave Sw, Cullman, AL 35055 | 2018-03-23 |
| 1922514488 | Dialysis Clinic Inc | Clinic/Center | 208 Broadway Drive, Sw, Cullman, AL 35055 | 2017-12-20 |
| 1447789870 | Alexis Lindsey | Specialist | 1909 Commerce Avenue Nw, Cullman, AL 35055 | 2017-06-08 |
| 1003297144 | Thomas Ricky Cosper | Counselor | 1528 Peachtree Lane Ste #104, Cullman, AL 35055 | 2015-06-15 |
| 1053574434 | Joshua Michael Robinson | Dentist | 1851 Main Ave Se, Suite A, Cullman, AL 35055 | 2008-07-07 |
| 1902088206 | Dr Henry S Beeler | Family Medicine | 1900 Main Ave, Ste 3, Cullman, AL 35055 | 2007-11-29 |
| 1982896627 | Ronald Wilson Carter | Dentist | 305 6th Ave Se, Cullman, AL 35055 | 2007-08-16 |
| 1710048640 | Home Oxygen Inc | Durable Medical Equipment & Medical Supplies | 408 2nd Avenue Nw, Suite B, Cullman, AL 35055 | 2006-12-13 |
| 1912071150 | Econo Med Inc | Pharmacy | 1824 Main Avenue Sw, Cullman, AL 35055 | 2006-11-20 |
| Find all providers in zip 35055 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902088206 | Dr Henry S Beeler | Family Medicine | 1900 Main Ave, Ste 3, Cullman, AL 35055 | 2007-11-29 |
| 1235248097 | Patrick S. Baldwin | Family Medicine | 1912 Alabama Highway 157, Cullman, AL 35055 | 2006-08-29 |
| 1881676930 | Gerald M Machen | Family Medicine | 1948 Al Highway 157 Ste 101, Cullman, AL 35058-0642 | 2005-11-15 |
| 1780665703 | Angelia H Elliott | Family Medicine | 408 Clark St Ne, Cullman, AL 35055-1953 | 2005-11-08 |
| 1902893233 | Hobert J Sharpton Jr. | Family Medicine | 1800 Al Highway 157, Suite 101, Cullman, AL 35058-1271 | 2005-10-03 |
| 1467457507 | Henry S Beeler | Family Medicine | 1705 Main Ave Sw, Suite B, Cullman, AL 35055-7206 | 2005-06-16 |
| 1598284739 | Haley Elizabeth Mabrey | Family Medicine | 408 Clark St Ne, Cullman, AL 35055-1953 | 2017-09-19 |
| 1043735707 | Family Medicine of Cullman | Family Medicine | 1900 Main Ave Sw, Cullman, AL 35055-7200 | 2017-08-03 |
| 1134656556 | Justin Rushing | Family Medicine | 1800 Al Highway 157, Cullman, AL 35058-1271 | 2017-05-16 |
| 1174977383 | Brian Parker | Family Medicine | 1890 Al Highway 157 Ste 300, Cullman, AL 35058-0689 | 2016-04-14 |
| Find all providers in CULLMAN | ||||
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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.