DR. JOHNNY QUE NACILLA (NPI# 1346261526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1346261526 |
Entity Type | Individual |
Full Name | DR. JOHNNY QUE NACILLA |
Credential | M.D. |
Practice Address |
1750 Al Highway 157 Cullman AL 35058-3622 |
Mailing Address |
Po Box 2126 Cullman AL 35056-2126 |
Practice Telephone | 2562552500 |
Practice Fax Number | 2562552501 |
Mailing Telephone | 2562552500 |
Mailing Fax Number | 2562552501 |
Enumeration Date | 2006-07-22 |
Last Update Date | 2011-04-22 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | 00020069 | AL | Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AL | BC/BS OF ALABAMA | 51000810 | 01 |
AL | RAILROAD MEDICARE | P00188313 | 01 |
AL | 051555314 | 05 |
Street Address |
1750 AL HIGHWAY 157 |
City | CULLMAN |
State | AL |
Zip Code | 35058-3622 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538363239 | Charles Allen Smith | Nurse Practitioner | 1750 Al Highway 157, Cullman, AL 35058-3622 | 2007-06-14 |
1508959107 | Cullman Oncology, P.C. | Durable Medical Equipment & Medical Supplies | 1750 Al Highway 157, Cullman, AL 35058 | 2006-10-02 |
1689697880 | Harry Sandoval Yu | Specialist | 1750 Al Highway 157, Cullman, AL 35058-3622 | 2006-07-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659906980 | Paige Makenzie Schnittker | Nurse Practitioner | 1958 Al-157, Cullman, AL 35058 | 2020-03-06 |
1629617444 | Haven Counseling Services of Cullman, LLC | Community/Behavioral Health | 18291 Us Hwy 31, Cullman, AL 35058 | 2019-12-26 |
1174095681 | Rizzianne Pineda Miller | Nurse Anesthetist, Certified Registered | 1912 Al-157, Cullman, AL 35058 | 2018-12-21 |
1669974135 | Cullman Regional Medical Center, Inc. | Clinic/Center | 1958 Al Hwy 157, Cullman, AL 35058 | 2018-03-01 |
1346683125 | Teri L Mobley | Nurse Practitioner | 2021 Alabama Hwy 157, Cullman, AL 35058 | 2013-04-11 |
1811229891 | Affordable Family Dentistry P.C. | Dentist | 1096 Country Road 1579, Cullmar, AL 35058 | 2010-02-02 |
1548409873 | Birmingham Radiological Group, PC | Clinic/Center | 1809 Dahlke Drive Ne, Cullman, AL 35058 | 2009-02-10 |
1235212390 | Carmen Duke Moss | Dentist | 18708 Us Hwy 31 N, Cullman, AL 35058 | 2006-10-23 |
1174624282 | Vincent Thomas Karolewics | Radiology | 1811 Parkway Cir, Cullman, AL 35058 | 2006-09-25 |
1205937315 | Cullman Radiation Therapy Services, P.C. | Radiology | 1811 Park Way Cir, Cullman, AL 35058 | 2006-09-25 |
Find all providers in zip 35058 |
Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447789870 | Alexis Lindsey | Specialist | 1909 Commerce Avenue Nw, Cullman, AL 35055 | 2017-06-08 |
1417045360 | Tammie Michelle Friedrichs | Specialist | 104 4th Ave Ne, Cullman, AL 35055-1903 | 2006-10-10 |
1750315511 | Thomas Anthony Richard | Specialist | 1800 Al Hwy 157, Suite 302, Cullman, AL 35058-0600 | 2006-07-10 |
1164404042 | Mark K Addison | Specialist | 1800 Al Highway 157 Ste 101, Cullman, AL 35058-1273 | 2005-11-16 |
1588669212 | James Willard Davis | Specialist | 1948 Al Highway 157, Ste 450, Cullman, AL 35058-0643 | 2005-06-17 |
1689679524 | Rodney Clark Sanders | Specialist | 1848 Parkland Drive Ne, Cullman, AL 35058 | 2005-06-16 |
1841802766 | Felicia Humphries | Specialist | 1909 Commerce Ave, Cullman, AL 35055-6151 | 2020-08-21 |
1093327934 | Kimberly Mckinney | Specialist | 1909 Commerce Ave, Cullman, AL 35055-6151 | 2020-08-21 |
1477079192 | Devan Freeman | Specialist | 1909 Commerce Ave, Cullman, AL 35055-6151 | 2017-08-15 |
1447775085 | Amy Shaw | Specialist | 1909 Commerce Ave, Cullman, AL 35055-6151 | 2017-08-04 |
Find all providers in CULLMAN |
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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.