DR. MALCOLM WEATHERS (NPI# 1487602710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487602710 |
| Entity Type | Individual |
| Full Name | DR. MALCOLM WEATHERS |
| Credential | MD |
| Practice Address |
1201 7th St Se Decatur AL 35601-3337 |
| Mailing Address |
Po Box 2007 Decatur AL 35602-2007 |
| Practice Telephone | 2563557133 |
| Practice Fax Number | 2563506361 |
| Mailing Telephone | 2563557133 |
| Mailing Fax Number | 2563506361 |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
16406 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 84419 | 05 |
| Street Address |
1201 7TH ST SE |
| City | DECATUR |
| State | AL |
| Zip Code | 35601-3337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326036070 | Brian Koonce | Nurse Anesthetist, Certified Registered | 1201 7th St Se, Decatur, AL 35601-3337 | 2005-10-06 |
| 1598389116 | Julianna Mize | Nurse Anesthetist, Certified Registered | 1201 7th St Se, Decatur, AL 35601-3337 | 2020-05-29 |
| 1831728302 | Jennifer Leigh Davis | Registered Nurse | 1201 7th St Se, Decatur, AL 35601-3337 | 2020-04-06 |
| 1316571615 | Decatur Morgan Emergency Medicine | Emergency Medicine | 1201 7th St Se, Decatur, AL 35601-3337 | 2020-02-25 |
| 1245791912 | Summer Cole Todd | Nurse Practitioner | 1201 7th St Se, Decatur, AL 35601-3337 | 2019-03-26 |
| 1417416173 | Reagan Robinson Lindsey | Nurse Practitioner | 1201 7th St Se, Decatur, AL 35601-3337 | 2019-03-12 |
| 1639633258 | Brittany Marie Walker | Registered Nurse | 1201 7th St Se, Decatur, AL 35601-3337 | 2019-01-28 |
| 1144799693 | Jenna Anne Cox Mcgee | Nurse Practitioner | 1201 7th St Se, Decatur, AL 35601-3303 | 2018-11-14 |
| 1093296964 | Delana Cole Clemons | Nurse Practitioner | 1201 7th St Se, Decatur, AL 35601-3337 | 2018-08-28 |
| 1710409958 | Mrudula Thiriveedi | Internal Medicine | 1201 7th St Se, Decatur, AL 35601-3337 | 2017-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376000679 | Monica Dawn Ross | Counselor | 106 Lee St. Ne, Suite C, Decatur, AL 35601 | 2019-02-23 |
| 1063950319 | Samantha Elizabeth Pickett | Nurse Practitioner | 1115 Beltline Rd Se, Ste 400, Decatur, AL 35601 | 2017-02-07 |
| 1497208250 | Beronica Goodwin | Home Health Aide | 1102b Suite #2 4th Ave Se, Decatur, AL 35601 | 2016-07-28 |
| 1770957177 | Xochitl Dupre | Obstetrics & Gynecology | 1874 Beltline Road Sw, Suite 105, Decatur, AL 35601 | 2015-11-23 |
| 1104224708 | River City Psychiatry, Inc. | Community/Behavioral Health | 115 Johnston Street, Se, Suite 202, Decatur, AL 35601 | 2014-12-12 |
| 1760882690 | Derrick Aaron Randolph | Registered Nurse | 1207 7th St S.e., Decatur/morgan Hospital - Parkway Campus, Decatur, GA 35601 | 2014-08-28 |
| 1427465434 | Martha Read | Family Medicine | 2208 Danville Rd Sw Ste A, Decatur, AL 35601 | 2014-07-22 |
| 1205242948 | Pure Heart Home Care of Alabama, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 107 B 14th Street Sw, Decatur, AL 35601 | 2014-07-02 |
| 1720492242 | Christopher John Phillips | Emergency Medicine | 1201 7th Street Se, Decatur, AL 35601 | 2014-06-12 |
| 1366794711 | Complete Dental Decatur LLC | Dentist | 1241 Point Mallard Parkway, Suite. 105, Decatur, AL 35601 | 2012-10-10 |
| Find all providers in zip 35601 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326650136 | Tbi Diagnostic Centers of Georgia | Radiology | 4294 Memorial Dr Ste D, Decatur, GA 30032-1226 | 2020-08-21 |
| 1932685096 | T2 Imaging | Radiology | 1376 Church Street, Suite 100, Decatur, GA 30030 | 2018-07-12 |
| 1952746802 | Saurabh Gupta | Radiology | 2675 N Decatur Rd Ste 310, Decatur, GA 30033-6133 | 2013-05-06 |
| 1972735009 | Open Mri of Georgia, Inc | Radiology | 2859 N Decatur Rd, Decatur, GA 30033-5911 | 2009-08-24 |
| 1447276225 | Kevin L. Sullivan | Radiology | 250 Ponce De Leon Ave, Suite 100, Decatur, GA 30030-3406 | 2006-07-14 |
| 1366479255 | Todd F Fibus | Radiology | Vamc-atlanta, 1670 Clairmont Road, Decatur, GA 30033 | 2006-06-27 |
| 1942255757 | Martha H Garrison | Radiology | 125 E Trinity Pl, Suite 201, Decatur, GA 30030-3360 | 2006-05-23 |
| 1578539557 | Abbas A Chamsuddin | Radiology | 1501 Clairmont Rd, Apt 1731, Decatur, GA 30033-4601 | 2006-02-28 |
| 1215919121 | Sandra L Ridings-hesser | Radiology | 496 Medlock Rd Lowr Level, Decatur, GA 30030-1566 | 2005-11-16 |
| 1255312070 | Northwest Diagnostic Imaging, Inc | Radiology | 2601 N Decatur Rd, Decatur, GA 30033-6127 | 2005-11-09 |
| Find all providers in DECATUR | ||||
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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.