HEALTHSTAT ONSITE CLINIC PARKDALE PLANT 43 (NPI# 1245740984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245740984 |
| Entity Type | Organization |
| Organization Name | HEALTHSTAT ONSITE CLINIC PARKDALE PLANT 43 |
| Practice Address |
400 Industrial Blvd Leesburg AL 35983-3745 |
| Mailing Address |
4651 Charlotte Park Dr Ste 300 Charlotte NC 28217-1916 |
| Practice Telephone | 2565268875 |
| Enumeration Date | 2017-10-09 |
| Last Update Date | 2017-10-09 |
| Authorized Official Name | JILL JOHNSON PATTON (DIRECTOR OF RISK MANAGEMENT) |
| Authorized Official Telephone | 7049365546 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
400 INDUSTRIAL BLVD |
| City | LEESBURG |
| State | AL |
| Zip Code | 35983-3745 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508252909 | Healthstat Onsite Clinic Parkdale Leesburg Al | Preventive Medicine | 400 Industrial Blvd, Leesburg, AL 35983-3745 | 2015-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376636134 | Yoyen Lau | Family Medicine | 280 Industrial Blvd, Leesburg, AL 35983 | 2006-10-02 |
| 1134238140 | Pascual Herrera Jr. | Specialist | 215 Industrial Blouvard, Leesburg, AL 35983 | 2006-08-30 |
| 1306918909 | St Clair Pharmacy LLC | Pharmacy | 270 Industrial Blvd, Leesburg, AL 35983-3737 | 2006-11-15 |
| 1467797803 | Complete Family Care, LLC | Family Medicine | 280 Industrial Blvd, Leesburg, AL 35983-3737 | 2012-12-11 |
| 1003046772 | Sarrell Regional Dental Center for Public Health, Inc. | Dentist | 215c Industrial Blvd, Leesburg, AL 35983-3742 | 2009-07-16 |
| 1982929782 | Leesburg Pharmacy, Inc. Dba Lookout Mountain Pharmacy | Pharmacist | 1955 Sand Rock Ave, Sandrock, AL 35983-4327 | 2010-04-05 |
| 1376962183 | Michael Mosley | Nurse Practitioner | 1955 Sand Rock Ave, Sandrock, AL 35983-4327 | 2014-04-08 |
| 1275899031 | The Family First Health Clinic At The Rock | Nurse Practitioner | 1955 Sand Rock Ave, Sandrock, AL 35983-4327 | 2012-04-05 |
| 1477119659 | Angela Kay Davis | Registered Nurse | 5270 County Road 147, Leesburg, AL 35983-4905 | 2019-05-14 |
| 1023398492 | Tammie Mullins Graves | Nurse's Aide | 960 County Road 233, Sandrock, AL 35983-5517 | 2011-08-17 |
| Find all providers in zip 35983 | ||||
| Taxonomy Code | 2083P0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Preventive Medicine/Occupational Environmental Medicine |
| A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508252909 | Healthstat Onsite Clinic Parkdale Leesburg Al | Preventive Medicine | 400 Industrial Blvd, Leesburg, AL 35983-3745 | 2015-04-13 |
| 1770772725 | Gregory S Krivonyak | Preventive Medicine | 550 E Dixie Ave, Leesburg, FL 34748-5925 | 2007-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235620345 | Healthstat Onsite Clinic-standard Furniture | Preventive Medicine | 801 S Us Highway 31, Bay Minette, AL 36507-2811 | 2018-05-24 |
| 1811407554 | Healthstat Onsite Clinic Parkdale Plant 39 | Preventive Medicine | 520 Comer St, Alexander City, AL 35010-2791 | 2017-10-09 |
| 1972012771 | Occumed Health & Wellness, LLC | Preventive Medicine | 1231 Perry Hill Rd Ste C, Montgomery, AL 36109-5206 | 2017-09-25 |
| 1407220155 | Healthstat Onsite Clinic Truist Birmingham | Preventive Medicine | 2501 20th Pl S, Birmingham, AL 35223-1723 | 2015-11-18 |
| 1629451224 | Healthstat Onsite Clinic Mvm Sage | Preventive Medicine | 2905 Highway 280 E, Opelika, AL 36804-8311 | 2015-07-01 |
| 1407236037 | Healthstat Onsite Clinic Amsted Bessemer Al | Preventive Medicine | 2100 Wheel Dr, Bessemer, AL 35020-2610 | 2015-06-09 |
| 1912307240 | Healthstat Onsite Clinic- City of Auburn | Preventive Medicine | 122 Tichenor Ave, Auburn, AL 36830-4704 | 2014-08-22 |
| 1801211263 | Healthstat Onsite Clinic/heil Environmental | Preventive Medicine | 106 45th St Ne, Fort Payne, AL 35967-4010 | 2014-02-21 |
| 1114342607 | The Health Care Authority for Baptist Health, An Affiliate of Uabhs | Preventive Medicine | 1637 Perry Hill Rd, Montgomery, AL 36106-2729 | 2014-02-20 |
| 1932460474 | Healthstat Inc/birmingham Water Works | Preventive Medicine | 2805 6th Ave S, Birmingham, AL 35233-2801 | 2012-05-31 |
| 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.