ALABAMA PROVIDENCE HEALTHCARE SERVICES


Address: 6701 Airport Blvd, Suite A101, Mobile, AL 36608-6705
Phone: 2513423949

ALABAMA PROVIDENCE HEALTHCARE SERVICES (NPI# 1245669514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245669514
Entity Type Organization
Organization Name ALABAMA PROVIDENCE HEALTHCARE SERVICES
Other Organization Name PROVIDENCE MEDICAL GROUP
Practice Address 6701 Airport Blvd
Suite A101
Mobile
AL 36608-6705
Mailing Address Po Box 850489
Mobile
AL 36685-0489
Practice Telephone 2513423949
Practice Fax Number 2516313361
Mailing Telephone 2513423949
Mailing Fax Number 2516313361
Enumeration Date 2013-11-06
Last Update Date 2015-09-28
Authorized Official Name MR. TODD S. KENNEDY (PRESIDENT)
Authorized Official Telephone 2516331660
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RE0101X Internal Medicine
Specialization: Endocrinology, Diabetes & Metabolism
Allopathic & Osteopathic Physicians
N 207RG0100X Internal Medicine
Specialization: Gastroenterology
Allopathic & Osteopathic Physicians
N 207RR0500X Internal Medicine
Specialization: Rheumatology
Allopathic & Osteopathic Physicians
N 208D00000X General Practice Allopathic & Osteopathic Physicians
N 207Q00000X Family Medicine Allopathic & Osteopathic Physicians
Y 207R00000X Internal Medicine Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Providence Medical Group Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1316464183 Alabama Providence Healthcare Services Family Medicine 411 N Section St, Fairhope, AL 36532-2649 2017-08-23
1093241671 Alabama Providence Healthcare Services Otolaryngology 6701 Airport Blvd, Suite B123, Mobile, AL 36608-6705 2017-05-03
1730613431 Alabama Providence Healthcare Services Pediatrics 6908 Providence Park Dr S, Mobile, AL 36695-4600 2017-04-19
1447799861 Alabama Providence Healthcare Services Family Medicine 5621 Cottage Hill Rd, Mobile, AL 36609-4210 2017-02-17
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
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
1851755581 Alabama Providence Healthcare Services Specialist 6701 Airport Blvd, Suite B222, Mobile, AL 36608-6705 2016-04-08
1689038382 Alabama Providence Healthcare Services Specialist 6801 Airport Blvd, Mobile, AL 36608-3709 2016-04-08

Office Location

Street Address 6701 AIRPORT BLVD
SUITE A101
City MOBILE
State AL
Zip Code 36608-6705

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1962856732 Timothy Kennedy Internal Medicine 6701 Airprot Blvd, Ste A101, Mobile, AL 36608-0000 2016-04-19
1902269400 Cesar Moreno Internal Medicine 2451 University Hospital Dr Rm 714, Mobile, AL 36617 2016-04-01
1770979882 Mason Gabriel Adams Internal Medicine 75 S University Blvd Ste 6000-b, Mobile, AL 36608-3271 2015-04-15
1083009930 Mark Owusu Internal Medicine 2451 Fillingim St # 7th, Mobile, AL 36617 2015-03-30
1730573627 Theresa Yarbrough Internal Medicine 75 S University Blvd Ste 6000-a, Mobile, AL 36608-3042 2015-03-27
1346689163 Benjamin Ross Niland Internal Medicine 75 S University Blvd Unit 6000, Mobile, AL 36608-3274 2013-06-14
1902249303 Symbol Health Solutions, LLC Internal Medicine 3765b Government Blvd, Mobile, AL 36693-4307 2013-04-16
1629411731 Adhd Medical Clinic of Mobile, P.C. Internal Medicine 2404 Spring Hill Ave, Unit 114, Mobile, AL 36607-3029 2013-04-09
1578826293 Waqar Ahmed Siddiqui Internal Medicine 2451 Fillingim St Ste 10g, Mobile, AL 36617-2238 2012-06-18
1972860641 Katrina Alexis Chapman Internal Medicine 2451 Fillingim St Rm 714, Mobile, AL 36617-2238 2012-04-18
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Competitor

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City MOBILE
Zip Code 36608

Improve Information

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Dataset Information

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.

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