AJAY TADEPALLI (NPI# 1396030326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396030326 |
| Entity Type | Individual |
| Full Name | AJAY TADEPALLI |
| Credential | M.D |
| Practice Address |
809 University Blvd E Tuscaloosa AL 35401-2029 |
| Mailing Address |
1660 Arborway Cir Tuscaloosa AL 35405-6547 |
| Practice Telephone | 5167348900 |
| Mailing Telephone | 5167348900 |
| Enumeration Date | 2011-06-17 |
| Last Update Date | 2014-06-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 261854 | NY | Allopathic & Osteopathic Physicians |
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
33413 | AL | Allopathic & Osteopathic Physicians |
| Street Address |
809 UNIVERSITY BLVD E |
| City | TUSCALOOSA |
| State | AL |
| Zip Code | 35401-2029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497751226 | Helena T Buchalter | Pathology | 809 University Blvd E, Tuscaloosa, AL 35401-2029 | 2005-06-27 |
| 1548873045 | Jerome Edwards | Pharmacy Technician | 809 University Blvd E, Tuscaloosa, AL 35401-2029 | 2020-08-25 |
| 1215552021 | Lauren Kyzar | Nurse Practitioner | 809 University Blvd E, Tuscaloosa, AL 35401-2029 | 2020-06-08 |
| 1912532664 | Clint Winfield Miller | Nurse Anesthetist, Certified Registered | 809 University Blvd E, Tuscaloosa, AL 35401-2029 | 2020-03-03 |
| 1124667332 | James Lewis Fenley IIi | Registered Nurse | 809 University Blvd E, Tuscaloosa, AL 35401-2029 | 2020-01-06 |
| 1609418342 | Joshua Wayne Bankston | Nurse Practitioner | 809 University Blvd E, Tuscaloosa, AL 35401-2029 | 2019-10-15 |
| 1821651589 | Jenna L Gaut | Nurse Practitioner | 809 University Blvd E, Tuscaloosa, AL 35401-2029 | 2019-04-18 |
| 1881150738 | Tyler Matthew Elmore | Nurse Anesthetist, Certified Registered | 809 University Blvd E, Tuscaloosa, AL 35401-2071 | 2019-02-15 |
| 1093282691 | Courtney Hendrix | Nurse Practitioner | 809 University Blvd E, Tuscaloosa, AL 35401-2029 | 2018-11-01 |
| 1841766375 | Haley Tipps | Nurse Practitioner | 809 University Blvd E, Tuscaloosa, AL 35401-2029 | 2018-10-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942768031 | Serenity and Hope LLC | Clinic/Center | 2703 7th Street, Tuscaloosa, AL 35401 | 2019-03-07 |
| 1356834428 | Heather Glenn Macleod | Social Worker | 303 Hargrove Rd E Ste A, Tuscaloosa, AL 35401 | 2018-06-12 |
| 1154832921 | Imc of Alabama | Physical Therapist | 5101 21st Street, Tuscaloosa, AL 35401 | 2017-10-19 |
| 1316466238 | Parents Resource Institute for Drug Education (pride) of Tuscaloosa | Community/Behavioral Health | 620 14th Street, Suite E, Tuscaloosa, AL 35401 | 2017-09-12 |
| 1871967075 | Jeri Zemke | Specialist/Technologist | 504 University Blvd, Tuscaloosa, AL 35401 | 2015-11-25 |
| 1356719033 | Jimmy Dean Winters | Nurse Practitioner | Five Horizons Health Services, 2720 6th Street, Tuscaloosa, AL 35401 | 2015-09-11 |
| 1831505429 | Jennifer Baggett | Speech-Language Pathologist | 603 Hackberry Lane, Tuscaloosa, AL 35401 | 2014-07-03 |
| 1184045684 | Samantha Pasteur | Massage Therapist | 2601 12 St, Tuscaloosa, AL 35401 | 2013-12-31 |
| 1386089282 | John Logan Bailey | Pharmacist | 809 University Boulevard, Dch Regional Medical Center, Tuscaloosa, AL 35401 | 2013-05-06 |
| 1104170539 | Kristin C Townsend | Technician, Other | 500 -b Paul Bryant Drive East, Tuscaloosa, AL 35401 | 2012-11-07 |
| Find all providers in zip 35401 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962459073 | Southeast Cancer Network, Inc. | Internal Medicine | 1400 Afflink Pl, Suite 100, Tuscaloosa, AL 35406-2289 | 2006-05-27 |
| 1255813119 | Southeast Physician Network, P.C. | Internal Medicine | 1410 Mcfarland Blvd N, Tuscaloosa, AL 35406-2209 | 2018-09-06 |
| 1083806830 | Tatyana Sycheva | Internal Medicine | 1400 Afflink Pl, Suite 100, Tuscaloosa, AL 35406-2289 | 2007-08-15 |
| 1295807857 | Southeast Cancer Network, Inc | Internal Medicine | 1410 Mcfarland Blvd N, Tuscaloosa, AL 35406-2209 | 2006-11-15 |
| 1104833458 | Pamela Hughes | Internal Medicine | 809 University Blvd E, Tuscaloosa, AL 35401-2029 | 2006-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801211958 | Antonio Di Stasi | Internal Medicine | 1802 6th Ave S # Np255, Birmingham, AL 35233-1932 | 2014-02-26 |
| 1417398033 | Rehan Ajmal Sarmad | Internal Medicine | 625 19th Street South Birmingham, Birmingham, AL 35249 | 2013-07-11 |
| 1336409838 | Marshall Medical Center South Medical Oncology Services | Internal Medicine | 2505 U. S. Highway 431, Boaz, AL 35957-9999 | 2012-05-18 |
| 1548550833 | John Richard Nicholson IIi | Internal Medicine | 201 Sivley Rd Sw Ste 200, Huntsville, AL 35801-5177 | 2011-04-08 |
| 1093018681 | Shelby-chilton Hematology and Oncology LLC | Internal Medicine | 644 2nd St Ne Ste 202, Alabaster, AL 35007-8823 | 2010-12-21 |
| 1003122573 | Amitkumar Mehta | Internal Medicine | 1720 2nd Ave S # Np2540t, Birmingham, AL 35294-3528 | 2010-08-23 |
| 1447579644 | Alabama Cancer Care, LLC | Internal Medicine | 171 Town Center Dr Ste 6, Anniston, AL 36205 | 2010-05-27 |
| 1033443775 | Hematology & Oncology Associates of Alabama | Internal Medicine | 339 Walker Chapel Plaza, Suite 109, Fultondale, AL 35068 | 2009-09-29 |
| 1831350198 | David James Mooney | Internal Medicine | 513 Brookwood Blvd Ste 275, Birmingham, AL 35209-6806 | 2008-06-19 |
| 1578755815 | Oncology Specialties, PC | Internal Medicine | 310 8th Ave Se, Decatur, AL 35601 | 2007-08-10 |
| Find all providers with the same taxonomy | ||||
| City | TUSCALOOSA |
| Zip Code | 35401 |
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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.