JOHN ELLIOTT FANNING


Address: 420 Lowell Dr Se, Ste 105, Huntsville, AL 35801-3754
Phone: 2565355988

JOHN ELLIOTT FANNING (NPI# 1417938762) 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) 1417938762
Entity Type Individual
Full Name JOHN ELLIOTT FANNING
Credential MD
Practice Address 420 Lowell Dr Se
Ste 105
Huntsville
AL 35801-3754
Mailing Address 420 Lowell Dr Se
Ste 103
Huntsville
AL 35801-3754
Practice Telephone 2565355988
Practice Fax Number 2565355955
Mailing Telephone 2565355940
Mailing Fax Number 2565355954
Enumeration Date 2005-11-11
Last Update Date 2009-12-14
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 22224 AL Allopathic & Osteopathic Physicians
N 208M00000X Hospitalist 222224 AL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
AL 000007557 05
AL BLUE CROSS BLUE SHIELD 51007557 01
AL 051558693 05
AETNA IDENTIFICATION NO 0004265233 01
TAX IDENTIFICATION NO 621491901 01

Other Providers JOHN FANNING

NPI Name Taxonomy Address Enumeration
1508072216 John Truman Fanning Clinical Neuropsychologist 4440 Canal Street, New Orleans, LA 70119-6021 2007-05-16
1245378967 John F Fanning Optometrist 6105 Memorial Dr, Dublin, OH 43017-9000 2007-02-02
1952740060 John Paul Fanning General Practice 36000 Darnall Loop, Fort Hood, TX 76544-5095 2013-06-21
1053494435 John M Fanning Family Medicine 8 Morton Ave, Suite 303, Ridley Park, PA 19078-2210 2006-10-23
1306813571 John W Fanning Orthopaedic Surgery 2778 N Webb Rd, Wichita, KS 67226-8112 2006-03-07

Office Location

Street Address 420 LOWELL DR SE
STE 105
City HUNTSVILLE
State AL
Zip Code 35801-3754

Providers in the same location

NPI Name Taxonomy Address Enumeration
1063404978 Ali A M Hassoun Internal Medicine 420 Lowell Dr Se, Suite 301, Huntsville, AL 35801-3754 2005-08-17
1275984916 John E Fanning,md,inc Internal Medicine 420 Lowell Dr Se, Suite 105, Huntsville, AL 35801-3754 2016-06-23
1114387289 Tecie Haller Nurse Practitioner 420 Lowell Dr Se, Suite 204, Huntsville, AL 35801-3754 2016-03-02
1437564200 Premier Internal Medicine Associates, PC Internal Medicine 420 Lowell Dr Se, Suite 302, Huntsville, AL 35801-3754 2014-06-30
1760896856 Hh Digestive Disease Center Nurse Practitioner 420 Lowell Dr Se, Suite 204, Huntsville, AL 35801-3754 2014-06-17
1821331562 David K Calderwood Md PC Family Medicine 420 Lowell Dr Se, Suite 201, Huntsville, AL 35801-3754 2013-04-01
1215294764 Kay Shaw Thrash Nurse Practitioner 420 Lowell Dr Se, Suite 201, Huntsville, AL 35801-3754 2012-04-20
1861760951 Michelle Darlene Tunstill Licensed Practical Nurse 420 Lowell Dr Se, Suite 105, Huntsville, AL 35801-3754 2011-12-05
1336424555 Huntsville Clinic Lab LLC Clinical Medical Laboratory 420 Lowell Dr Se, Suite 201, Huntsville, AL 35801-3754 2011-10-19
1982916706 Clinton Scott Williams, Md/pc Family Medicine 420 Lowell Dr Se, Suite 107, Huntsville, AL 35801-3754 2010-07-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1003422742 Elena Mihaela Kruse Nurse Practitioner 415 Echurch St, Nw Suite 4, Huntsville, AL 35801 2020-09-18
1225657661 Ashley Danielle Ford Student in an Organized Health Care Education/Training Program 301 Governors Drive Se, Huntsville, AL 35801 2020-04-15
1407417702 Sasha J White Specialist 410 Governors Dr. Sw, Huntsville, AL 35801 2019-06-26
1003472978 Gina Marie Delgado Nurse Practitioner Huntsville Hospital Cvicu, 101 Sivley Rd., Huntsville, AL 35801 2019-05-15
1366909863 Lisa Starkey Suggs Nurse Practitioner 3500 Memorial Parkway S.w., Huntsville, AL 35801 2019-02-21
1902373277 Kelly S Fisher LLC Counselor 300 Clinton Avenue, Suite 22 A, Huntsville, AL 35801 2018-10-25
1073097911 Brittani B Hamrick Psychologist 203 Eastside Sq Ste C9, Huntsville, AL 35801 2018-09-17
1548748312 Jane O. Orton, Licsw, LLC Social Worker 120 Holmes Ave Ne, Huntsville, AL 35801 2018-08-02
1184100661 Regroup Psychological Services Psychologist 2006 Franklin St. Se, Suite 110, Huntsville, AL 35801 2018-07-17
1366968398 Bennett Brent Smith Physician Assistant 825 Adams St. Se, Huntsville, AL 35801 2017-08-22
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447744537 M.d. Hospitalists, LLC Internal Medicine 6275 University Dr Nw Ste 37-235, Huntsville, AL 35806-1776 2018-06-21
1669994331 Blossomwood Research LLC Internal Medicine 2121 Whitesburg Dr Se Ste D, Huntsville, AL 35801-4501 2017-07-13
1922554641 Acts Signature Community Services, Inc. Internal Medicine One Clubhouse Avenue, Huntsville, AL 35802 2016-09-01
1255713327 Omer Iqbal Internal Medicine 420 Lowell Dr Se Ste 101, Huntsville, AL 35801-3755 2015-06-24
1780072801 Mahesri Mht LLC Internal Medicine 119 Medical Park Ln Ste A, Huntsville, TX 77340-4980 2014-12-23
1750726162 Raleigh Forrest Adams Internal Medicine 250 Chateau Drive, Suite 110, Huntsville, AL 35801 2013-04-30
1417390543 Tyler Green Internal Medicine 2004 Airport Rd Sw Ste 212, Huntsville, AL 35801-5848 2013-04-08
1407107709 Richard Aloysius Finch Internal Medicine 2709 Boulder Cir Se, Huntsville, AL 35801-1402 2012-09-26
1003170218 Michael Frederick Donze Jr. Internal Medicine 250 Chateau Dr Sw Ste 110, Huntsville, AL 35801-3497 2012-07-02
1962761486 Alfred Lawrence Watson Internal Medicine 2112 Clubhouse Ave, Huntsville, AL 35802 2012-05-04
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Competitor

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City HUNTSVILLE
Zip Code 35801

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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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