SETON MEDICAL MANAGMENT- THE CANCER CENTER AT PROVIDENCE PARK (NPI# 1285086736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285086736 |
| Entity Type | Organization |
| Organization Name | SETON MEDICAL MANAGMENT- THE CANCER CENTER AT PROVIDENCE PARK |
| Practice Address |
6701 Airport Blvd Bldg Bt-101 Mobile AL 36608-6705 |
| Practice Telephone | 2516331890 |
| Practice Fax Number | 2516331182 |
| Mailing Telephone | 2516331890 |
| Mailing Fax Number | 2516331182 |
| Enumeration Date | 2016-07-08 |
| Last Update Date | 2016-07-15 |
| Authorized Official Name | MS. MARJORIE LEAH SELTZER (PATIENT NAVIGATOR) |
| Authorized Official Telephone | 2516331884 |
| Authorized Official Credential | CRNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QX0203X |
Clinic/Center Specialization: Oncology, Radiation |
1-129322 | AL | Ambulatory Health Care Facilities |
| Street Address |
6701 AIRPORT BLVD BLDG BT-101 |
| City | MOBILE |
| State | AL |
| Zip Code | 36608-6705 |
| 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 |
| Find all providers in zip 36608 | ||||
| Taxonomy Code | 261QX0203X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Oncology, Radiation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649736752 | Proton International Alabama, LLC | Clinic/Center | 400 20th Street South, Birmingham, AL 35233 | 2019-02-13 |
| 1407054539 | Jefferson M Trupp Md PC | Clinic/Center | 1320 Leighton Ave Ste A, Anniston, AL 36207-4614 | 2007-07-10 |
| 1942225602 | The Center for Cancer Care, PC | Clinic/Center | 22281 Hwy 72 E, Athens, AL 35613 | 2006-07-13 |
| 1912151317 | Cyberknife of Birmingham, LLC | Clinic/Center | 2010 Brookwood Medical Ctr Dr, Birmingham, AL 35209-6804 | 2008-11-11 |
| 1073538732 | The Center for Cancer Care, PC | Clinic/Center | 201 Sivley Rd Sw, Ground Floor, Huntsville, AL 35801-5134 | 2006-07-13 |
Please comment or provide details below to improve the information on SETON MEDICAL MANAGMENT- THE CANCER CENTER AT PROVIDENCE PARK.
| 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.