JEFFREY J ICKLER (NPI# 1477656528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477656528 |
| Entity Type | Individual |
| Full Name | JEFFREY J ICKLER |
| Credential | M.D. |
| Practice Address |
1700 Spring Hill Ave Ste 400 Mobile AL 36604-1407 |
| Practice Telephone | 2514384440 |
| Practice Fax Number | 2514384599 |
| Mailing Telephone | 2514384440 |
| Mailing Fax Number | 2514384599 |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2011-04-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 00022258 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 009998120 | 05 |
| Street Address |
1700 SPRING HILL AVE STE 400 |
| City | MOBILE |
| State | AL |
| Zip Code | 36604-1407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265430243 | Roger Martin Alvarado | Internal Medicine | 1700 Spring Hill Ave, Suite 100, Mobile, AL 36604-1407 | 2005-07-13 |
| 1871132282 | Nelda Thomas | Registered Nurse | 1700 Spring Hill Ave, Mobile, AL 36604-1407 | 2020-01-02 |
| 1336605179 | Lauren Pollard Wilson | Registered Nurse | 1700 Spring Hill Ave, Mobile, AL 36604-1407 | 2019-02-18 |
| 1447724935 | Jennifer Hansmann Umbarger | Nurse Practitioner | 1700 Spring Hill Ave, Mobile, AL 36604-1407 | 2019-01-17 |
| 1326515529 | Kelsey Leigh Wright | Physician Assistant | 1700 Spring Hill Ave, Mobile, AL 36604-1407 | 2018-10-26 |
| 1922502681 | Joshua Terkeurst | Pharmacist | 1700 Spring Hill Ave, Mobile, AL 36604-1407 | 2018-03-19 |
| 1972015501 | Brandy Mcgraw | Nurse Practitioner | 1700 Spring Hill Ave, Mobile, AL 36604-1407 | 2017-11-05 |
| 1265896526 | Gary Tyler Butts | Internal Medicine | 1700 Spring Hill Ave, Mobile, AL 36604-1407 | 2016-04-12 |
| 1720442460 | Andrew Shreve | Nurse Practitioner | 1700 Spring Hill Ave, Mobile, AL 36604-1407 | 2016-04-08 |
| 1396121497 | Diana Smith | Nurse Practitioner | 1700 Spring Hill Ave, Suite 100, Mobile, AL 36604-1407 | 2015-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013551449 | John F Kilpatrick | Social Worker | 1156 Springhill Avenue, Mobile, AL 36604 | 2019-10-29 |
| 1477036986 | Rachel Schneider | Specialist/Technologist | 1601 Center St Ste B, Mobile, AL 36604 | 2018-09-11 |
| 1891218194 | Transitional Care LLC | Nurse Practitioner | 1725 Springhill Avenue, Mobile, AL 36604 | 2017-07-19 |
| 1427404722 | Precision Orthotics & Prosthetics,llc | Durable Medical Equipment & Medical Supplies | 1557 Springhill Avenue, Mobile, AL 36604 | 2016-05-05 |
| 1851737746 | Robert P. Kobelja | Psychiatry & Neurology | 1601 Center St Ste 2s, Mobile, AL 36604 | 2013-05-17 |
| 1619233970 | Lisa Brown Bailey | Nurse Practitioner | 1700 Center Street--, Division of Neonatology, Mobile, AL 36604 | 2012-04-11 |
| 1023341773 | Rebecca Blankenhorn | Audiologist | 1610 Center St., Suite A, Mobile, AL 36604 | 2009-09-14 |
| 1700062684 | William-glenn Langley Hollingsworth | Counselor | 1156 Springhill Ave, Mobile, AL 36604 | 2008-01-10 |
| 1972715415 | Allison May Chung | Pharmacist | 1504 Springhill Dr, Rm 5225, Mobile, AL 36604 | 2007-05-04 |
| 1265504716 | Geriatric Specialists LLC | Internal Medicine | 1059 Palmetto St, Mobile, AL 36604 | 2006-11-13 |
| Find all providers in zip 36604 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467871533 | Edward Alston Otts | Surgery | 1700 Spring Hill Ave Ste 400, Mobile, AL 36604-1416 | 2014-04-15 |
| 1578903480 | Hanna Alemayehu | Surgery | 1720 Center St Ste 103, Mobile, AL 36604-3300 | 2013-06-25 |
| 1295178697 | Brian J Jones | Surgery | 1901 Spring Hill Ave, Mobile, AL 36607-2303 | 2013-04-16 |
| 1497016794 | Gregory Mark Quatrino | Surgery | 3 Mobile Infirmary Cir Ste 212, Mobile, AL 36607 | 2012-06-03 |
| 1710244835 | Charles Caleb Butts | Surgery | 2451 Fillingim St, Mastin 101, Mobile, AL 36617-2238 | 2012-04-13 |
| 1851688923 | Scott Blair | Surgery | 2451 Fillingim St Rm 709, Mobile, AL 36617-2238 | 2011-07-08 |
| 1093954794 | Five Star Medical, Inc | Surgery | 2480 Government St, Mobile, AL 36606-1632 | 2009-02-19 |
| 1700025251 | Daniel Patrick Mcmahon | Surgery | 2451 University Hospital Drive, Mastin 101, Mobile, AL 366172 | 2009-02-06 |
| 1174639926 | Joseph Warren Galloway | Surgery | 1700 Springhill Ave Ste 400, Mobile, AL 36604 | 2006-08-22 |
| 1689692915 | Andrew D Burch Jr. | Surgery | 3715 Dauphin St Ste 6d, Mobile, AL 36608-1774 | 2006-07-17 |
| Find all providers in MOBILE | ||||
Please comment or provide details below to improve the information on JEFFREY J ICKLER.
| 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.