EAST ALABAMA MEDICAL CENTER ONCOLOGY SERVICES (NPI# 1255484960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255484960 |
| Entity Type | Organization |
| Organization Name | EAST ALABAMA MEDICAL CENTER ONCOLOGY SERVICES |
| Practice Address |
2000 Pepperell Pkwy Opelika AL 36801-5452 |
| Practice Telephone | 3345284411 |
| Practice Fax Number | 3345284414 |
| Mailing Telephone | 3345284411 |
| Mailing Fax Number | 3345284414 |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. CHRISTOPHER M CLARK (DIRECTOR - ONCOLOGY SVC - WOUND CTR) |
| Authorized Official Telephone | 3345282309 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QX0200X |
Clinic/Center Specialization: Oncology |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BLUE CROSS - BLUE SHIELD | 010029 | 01 |
| Street Address |
2000 PEPPERELL PKWY |
| City | OPELIKA |
| State | AL |
| Zip Code | 36801-5452 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467452532 | John F Cabelka II | Radiology | 2000 Pepperell Pkwy, Radiation Oncology, Opelika, AL 36801-5452 | 2005-07-29 |
| 1437766185 | Katy Angelina Medford | Specialist/Technologist | 2000 Pepperell Pkwy, Opelika, AL 36801 | 2020-09-27 |
| 1093321473 | Kelsey Nicole Carter | Registered Nurse | 2000 Pepperell Pkwy, Opelika, AL 36801-5452 | 2020-09-21 |
| 1881209500 | Monty D Ledbetter | Nurse Practitioner | 2000 Pepperell Pkwy, Opelika, AL 36801-5452 | 2020-09-10 |
| 1568071652 | Emily Sandlin Norris | Family Medicine | 2000 Pepperell Pkwy, Opelika, AL 36801-5452 | 2020-07-24 |
| 1881219285 | Sarah Vest Cogle | Pharmacist | 2000 Pepperell Pkwy, Opelika, AL 36801-5452 | 2020-06-11 |
| 1336769892 | Alexa Pratt | Registered Nurse | 2000 Pepperell Pkwy, Opelika, AL 36801-5452 | 2020-04-24 |
| 1629602339 | Joseph Earl Kaczynski | Nurse Practitioner | 2000 Pepperell Pkwy, Opelika, AL 36801-5452 | 2020-03-03 |
| 1982235065 | Kimberly De Vincentis Jones | Nurse Anesthetist, Certified Registered | 2000 Pepperell Pkwy, Opelika, AL 36801-5452 | 2020-01-28 |
| 1912541806 | Darlene Wilson | Nurse Practitioner | 2000 Pepperell Pkwy, Opelika, AL 36801-5452 | 2019-11-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407400963 | Paul Simon | Physical Therapist | 3051 Frederick Rd Suite 4, Opelika, AL 36801 | 2019-08-01 |
| 1932662434 | East Alabama Apothecary LLC | Pharmacy | 2501 Village Professional Drive, Suite 2031, Opelika, AL 36801 | 2019-04-11 |
| 1316399108 | Jessica Audrey Haynie | Nurse Practitioner | 2609 Village Prof. Dr., Suite 3, Opelika, AL 36801 | 2016-07-06 |
| 1639574916 | Melissa Shah Kerber | Dentist | 2015 Interstate Drive, Opelika, AL 36801 | 2014-10-28 |
| 1588096200 | Carla Lynn Hudson | Nurse Practitioner | 2420 Village Professional Drive, Opelika, AL 36801 | 2013-08-05 |
| 1528404878 | Baowu Wang | Psychiatry & Neurology | 2506 Lambert Drive, Opelika, AL 36801 | 2013-05-14 |
| 1144566266 | Caremed Inc. | Durable Medical Equipment & Medical Supplies | 702 N Railroad Ave., Opelika, AL 36801 | 2012-12-18 |
| 1659635472 | Meshia Kerry-ann Wallace | Internal Medicine | 2412 Village Professional Dr S, Opelika, AL 36801 | 2012-06-26 |
| 1558651570 | Amanda Mamie Reimer | Psychiatry & Neurology | 2570 Village Professional Park, Opelika, AL 36801 | 2011-04-11 |
| 1356640569 | Mary Neal Gipson | Marriage & Family Therapist | 218 S. 8th St., Opeika, AL 36801 | 2011-03-28 |
| Find all providers in zip 36801 | ||||
| Taxonomy Code | 261QX0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Oncology |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment and prescriptive services related to cancerous conditions. Services include chemotherapy infusions and monitoring of implanted chemotherapeutic agents. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043532930 | Tennessee Valley Gynecologic Oncology Associates | Clinic/Center | 201 Sivley Rd Sw Ste 620, Huntsville, AL 35801-5102 | 2010-02-19 |
| 1144681156 | University of Alabama Health System | Clinic/Center | 2000 6th Ave S, Birmingham, AL 35233-2110 | 2016-03-18 |
| 1376947028 | Center for Cancer & Blood Disorders PC | Clinic/Center | 202 E Dr Hicks Blvd, Florence, AL 35630-5768 | 2014-10-09 |
| 1740524677 | Colbert Co Nw Alabama Healthcare Authority | Clinic/Center | 202 E Dr Hicks Blvd, Florence, AL 35630-5768 | 2012-11-15 |
| 1326305186 | Children's of Alabama | Clinic/Center | 1600 7th Ave S, Birmingham, AL 35233-1711 | 2012-04-18 |
Please comment or provide details below to improve the information on EAST ALABAMA MEDICAL CENTER ONCOLOGY SERVICES.
| 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.