DR. JOHNNY QUE NACILLA


Address: 1750 Al Highway 157, Cullman, AL 35058-3622
Phone: 2562552500

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist 00020069 AL Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
AL BC/BS OF ALABAMA 51000810 01
AL RAILROAD MEDICARE P00188313 01
AL 051555314 05

Office Location

Street Address 1750 AL HIGHWAY 157
City CULLMAN
State AL
Zip Code 35058-3622

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City CULLMAN
Zip Code 35058

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Dataset Information

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.

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