TENNESSEE VALLEY CARDIOVASCULAR CENTER, PC (NPI# 1255417598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255417598 |
| Entity Type | Organization |
| Organization Name | TENNESSEE VALLEY CARDIOVASCULAR CENTER, PC |
| Practice Address |
1120 S Jackson Hwy Suite 302 Sheffield AL 35660-5777 |
| Practice Telephone | 2563838066 |
| Practice Fax Number | 2563838727 |
| Mailing Telephone | 2563838066 |
| Mailing Fax Number | 2563838727 |
| Enumeration Date | 2006-10-30 |
| Last Update Date | 2008-04-29 |
| Authorized Official Name | TAMMY VARIE HADDOCK (CREDENTIALS SPECIALIST) |
| Authorized Official Telephone | 2567662118 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
23786 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 529202460 | 05 |
| Street Address |
1120 S JACKSON HWY SUITE 302 |
| City | SHEFFIELD |
| State | AL |
| Zip Code | 35660-5777 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770582371 | Joshua Vacik | Internal Medicine | 1120 S Jackson Hwy, Suite 300, Sheffield, AL 35660-5777 | 2005-07-18 |
| 1932642899 | Christy Reid | Nurse Practitioner | 1120 S Jackson Hwy, Suite 201, Sheffield, AL 35660-5777 | 2016-11-28 |
| 1699165258 | Grace Zills | Nurse Practitioner | 1120 S Jackson Hwy, Suite 300, Sheffield, AL 35660-5777 | 2015-02-03 |
| 1134519994 | Bradley Brown | Nurse Practitioner | 1120 S Jackson Hwy, Suite 300, Sheffield, AL 35660-5777 | 2015-02-02 |
| 1780011668 | Shoals Gastroenterology LLC | Internal Medicine | 1120 S Jackson Hwy, Suite 201, Sheffield, AL 35660-5777 | 2013-10-08 |
| 1780021337 | Randall Keith Mansell II | Surgery | 1120 S Jackson Hwy, Suite 105, Sheffield, AL 35660 | 2013-05-22 |
| 1164781373 | Charles Jeremy Thompson | Family Medicine | 1120 S Jackson Hwy, Suite 300, Sheffield, AL 35660-5777 | 2012-05-08 |
| 1053695478 | Martha Aldridge Md | Obstetrics & Gynecology | 1120 S Jackson Hwy, Suite 101, Sheffield, AL 35660-5777 | 2011-10-04 |
| 1083937452 | Nw Alabama Practice Management, LLC | Hospitalist | 1120 S Jackson Hwy, Suite 206, Sheffield, AL 35660-5777 | 2010-03-12 |
| 1598909004 | Brian Clark Richards | Family Medicine | 1120 S Jackson Hwy, Suite 300, Sheffield, AL 35660-5777 | 2009-04-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013517317 | Remedy Behavioral Health | Social Worker | 1001 S. Jackson Highway, Shelfield, AL 35660 | 2020-10-27 |
| 1336557446 | Hh Health System - Retail Pharmacy LLC | Pharmacy | 1300 S. Montgomery Ave., Sheffield, AL 35660 | 2014-08-01 |
| 1760647556 | James Ryan Conner | Specialist | 1120 S. Jackson Hwy, Suite 105, Sheffield, AL 35660 | 2008-07-22 |
| 1285894618 | Steven B Snyder | Obstetrics & Gynecology | 1120 Jackson Highway, Suite 104, Sheffield, AL 35660 | 2008-06-10 |
| 1124105671 | Shoals Ear Nose & Throat Group PC | Otolaryngology | 421 Cox Blvd, Sheffield, AL 35660 | 2006-11-01 |
| 1356363816 | Visunda Shay Giddy | Social Worker | 422 Dd Cox Boulevard, Sheffield, AL 35660 | 2006-07-24 |
| 1467405787 | Lisa M Christian | Obstetrics & Gynecology | 1100 South Montgomery Ave, Suite 259, Sheffield, AL 35660 | 2006-05-18 |
| 1437114055 | Mark A Kassels | Ophthalmology | 1110 S. Montgomery Ave, Sheffield, AL 35660 | 2006-04-18 |
| 1700386091 | Comprehensive Family Services, LLC | Social Worker | 398 Ashe Blvd, Sheffield, AL 35660 | 2018-02-13 |
| 1982113312 | The Treatment Centers, Inc. | Clinic/Center | 3430 N Jackson Hwy, Sheffield, AL 35660 | 2017-09-28 |
| Find all providers in zip 35660 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245464114 | Phillip Jordan Dean | Internal Medicine | 1100 S Jackson Hwy, Suite 104, Sheffield, AL 35660-5769 | 2009-05-07 |
| 1699746552 | Jerry Brent Williams | Internal Medicine | 1120 S Jackson Hwy, Suite 204, Sheffield, AL 35660-5777 | 2006-01-30 |
| 1205807385 | Randall Eugene Little | Internal Medicine | 1120 S Jackson Hwy, Suite 204, Sheffield, AL 35660-5777 | 2006-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124674098 | Jamie Torres | Internal Medicine | 1118 Ross Clark Cir Ste 403, Dothan, AL 36301-3038 | 2019-08-15 |
| 1770040255 | Druid City Vascular, P.C. | Internal Medicine | 701 University Blvd E Ste 608, Tuscaloosa, AL 35401-7411 | 2019-02-21 |
| 1962933796 | Robert Derenbecker | Internal Medicine | 1808 7th Avenue South Bdb 201, Birmingham, AL 35294-0010 | 2017-03-23 |
| 1770944340 | Jackson Hospital and Clinic, Inc | Internal Medicine | 74238 Tallassee Hwy, Wetumpka, AL 36092-5504 | 2016-03-10 |
| 1750742318 | Jackson Hospital and Clinic Inc | Internal Medicine | 707 Mcqueen Smith Rd S, Prattville, AL 36066-7503 | 2016-03-10 |
| 1053791764 | Multi-specialty Care-cardiac Care In South, LLC | Internal Medicine | 4490 Al Highway 22, Valley Grande, AL 36701-0501 | 2015-06-08 |
| 1922497312 | Michael Mckinney Cardiology PC | Internal Medicine | 1110 Lakeview Cres, Birmingham, AL 35205-1119 | 2015-01-22 |
| 1194160580 | David Huntsman Jackson | Internal Medicine | 3647 Dunbarton Dr, Mountain Brk, AL 35223-2891 | 2013-04-30 |
| 1700136728 | Farnoosh Rahimi | Internal Medicine | 2451 Fillingim St Bldg C, Mobile, AL 36617 | 2012-09-17 |
| 1720333867 | Rayan Saab | Internal Medicine | 801 Princeton Ave Sw Ste 707, Birmingham, AL 35211-1395 | 2012-07-15 |
| 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.