DR. ANTHONY FAZAL HOUSSAIN (NPI# 1457323347) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457323347 |
| Entity Type | Individual |
| Full Name | DR. ANTHONY FAZAL HOUSSAIN |
| Credential | D.C. |
| Practice Address |
12205 County Line Rd Suite D Madison AL 35758-7719 |
| Practice Telephone | 2564617775 |
| Practice Fax Number | 2564617756 |
| Mailing Telephone | 2564617775 |
| Mailing Fax Number | 2564617756 |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2012-05-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 1995 | AL | Chiropractic Providers |
| N | 111NR0400X |
Chiropractor Specialization: Rehabilitation |
1995 | AL | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| US DEPT OF LABOR | 374479800 | 01 | |
| AETNA | 0005775803 | 01 | |
| AL | BLUE CROSS BLUE SHIELD | 051505583 | 01 |
| Street Address |
12205 COUNTY LINE RD SUITE D |
| City | MADISON |
| State | AL |
| Zip Code | 35758-7719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568095669 | Elizabeth H Ludwig | Massage Therapist | 12205 County Line Rd, Suite D, Madison, AL 35758-7720 | 2020-02-17 |
| 1447783675 | Recovery Health Solutions | Family Medicine | 12205 County Line Rd, Madison, AL 35758-7719 | 2017-04-05 |
| 1245634567 | Brian Mann | Chiropractor | 12205 County Line Rd, Suite D, Madison, AL 35758-7719 | 2014-10-15 |
| 1043551716 | Natalie R Baker | Nurse Practitioner | 12205 County Line Rd, Suite B, Madison, AL 35758-7719 | 2013-03-06 |
| 1508169814 | Ryan Walsh Davis | Chiropractor | 12205 County Line Rd, D, Madison, AL 35758-7719 | 2010-12-08 |
| 1023323276 | W Forrest Bryant Dmd PC | Dentist | 12205 County Line Rd, Suite A, Madison, AL 35758-7719 | 2010-08-12 |
| 1962732263 | Faith Denise Johnson | Nurse Practitioner | 12205 County Line Rd, Suite B, Madison, AL 35758-7719 | 2010-01-08 |
| 1962649053 | De'andra Michelle Stewart | Chiropractor | 12205 County Line Rd, Suite D, Madison, AL 35758-7719 | 2009-01-12 |
| 1932346343 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 12205 County Line Rd, Ste C, Madison, AL 35758 | 2009-01-08 |
| 1649439761 | Oasis Dental Services | Clinic/Center | 12205 County Line Rd, Suite A, Madison, AL 35758-7719 | 2008-06-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487299277 | Hanging Lanes Christian Wellness Ministries and Counseling Center | Counselor | 650 Sun Temple Drive, Madison, AL 35758 | 2019-11-15 |
| 1104487396 | Caroline Thomas Estes | Occupational Therapist | 8475 Wann Drive, Madison, AL 35758 | 2019-06-27 |
| 1265902894 | Sharinne Summers Sears | Registered Nurse | 204 Grove Village Way, Madison, AL 35758 | 2018-11-27 |
| 1013484666 | Lori Pohly | Counselor | 190 Lime Quarry Road, Suite 212, Madison, AL 35758 | 2018-10-31 |
| 1174022297 | Rhonda Marie Stalb | Marriage & Family Therapist | 650 Sun Temple Dr Ste 101, Madison, AL 35758 | 2018-02-04 |
| 1528585932 | Alabama Dental Professionals, PC | Dentist | 7666 Highway 72 W, Madison, AL 35758 | 2017-08-25 |
| 1134658537 | Diane Bierbauer | Dietitian, Registered | 520 Thoreau Spring Ct, Madison, AL 35758 | 2017-06-08 |
| 1255870408 | Maggie Collins | Nurse Practitioner | 7559 U.S. 72, Madison, AL 35758 | 2017-02-21 |
| 1649648858 | Terry A. Burgess | Dentist | 810 Palmer Plaza, # 103, Madison, AL 35758 | 2015-09-03 |
| 1063896314 | Caswall C Harrigan Physician PC | Family Medicine | Madison Medical Plaza 540 Hughes Road, Suite 14, Madison, AL 35758 | 2015-07-16 |
| Find all providers in zip 35758 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013543198 | Logan Georgeson | Chiropractor | 132 Alton Dr, Madison, WI 53718-9156 | 2020-03-20 |
| 1710527965 | Stephen Grooms | Chiropractor | 8103 Highway 72 W Ste E, Madison, AL 35758-9529 | 2020-01-15 |
| 1194365239 | Jacob Riley Calder | Chiropractor | 71 Bradley Rd Unit 5, Madison, CT 06443-2662 | 2020-01-07 |
| 1962041061 | Kendyl Rose Greimann | Chiropractor | 2639 University Ave # 200, Madison, WI 53705-3750 | 2020-01-06 |
| 1265074306 | Austin Tray Klute | Chiropractor | 6075 Gemini Dr Ste 101, Madison, WI 53718-3013 | 2019-10-10 |
| 1245871573 | Jennifer Humphrey | Chiropractor | 5609 Medical Cir Ste 2, Madison, WI 53719-1228 | 2019-10-08 |
| 1720540164 | Apex Chiropractic Center LLC | Chiropractor | 562 Junction Road, Madison, WI 53717 | 2019-04-04 |
| 1669946836 | Timothy Grayson Ernst | Chiropractor | 135 Main St Ste 101, Madison, NJ 07940-2165 | 2019-01-21 |
| 1982196630 | Thrive Chiropractic LLC | Chiropractor | 637 E Washington Ave, Madison, WI 53703-2909 | 2018-05-30 |
| 1669989299 | Joseph Kevin Kelbel | Chiropractor | 6138 Mineral Point Rd, Madison, WI 53705-4458 | 2018-01-04 |
| Find all providers in MADISON | ||||
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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.