DR. SAMMY F BECDACH (NPI# 1497726137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497726137 |
| Entity Type | Individual |
| Full Name | DR. SAMMY F BECDACH |
| Credential | M.D. |
| Practice Address |
1107 14th Ave Se Plaza II Suite 200 Decatur AL 35601-3309 |
| Mailing Address |
Po Box 18428 Huntsville AL 35804-8428 |
| Practice Telephone | 2563089889 |
| Practice Fax Number | 2563089858 |
| Mailing Telephone | 2567054224 |
| Mailing Fax Number | 2567054135 |
| Enumeration Date | 2006-01-31 |
| Last Update Date | 2012-07-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
25345 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 528701110 | 05 | |
| AL | RR MEDICARE | P00258669 | 01 |
| AL | BCBS OF ALABAMA | 515-46228 | 01 |
| AL | 009939807 | 05 | |
| AL | BCBS OF ALABAMA | 515-31193 | 01 |
| AL | BCBS OF ALABAMA | 51536679 | 01 |
| AL | BCBS OF ALABAMA | 510-50070 | 01 |
| AL | RR MEDICARE | CA0084 | 01 |
| AL | 009933132 | 05 | |
| AL | 009913951 | 05 |
| Street Address |
1107 14TH AVE SE PLAZA II SUITE 200 |
| City | DECATUR |
| State | AL |
| Zip Code | 35601-3309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316478175 | Decatur Morgan Internal Medicine | Internal Medicine | 1107 14th Ave Se, Suite 330, Decatur, AL 35601-3309 | 2017-03-23 |
| 1164967451 | Kari Lyn Griffith | Nurse Practitioner | 1107 14th Ave Se, Decatur, AL 35601-3309 | 2016-12-22 |
| 1235568577 | Decatur Morgan Gastroenterology | Clinic/Center | 1107 14th Ave Se, Suite 330, Decatur, AL 35601-3309 | 2013-11-07 |
| 1477991024 | Ashley Mcbride | Nurse Practitioner | 1107 14th Ave Se, Suite 200, Decatur, AL 35601-3309 | 2013-06-05 |
| 1477999571 | Hh Health System Morgan | Obstetrics & Gynecology | 1107 14th Ave Se, Suite 330, Decatur, AL 35601-3309 | 2013-05-15 |
| 1306280490 | Decatur Morgan Women's Center | Obstetrics & Gynecology | 1107 14th Ave Se, Suite 320, Decatur, AL 35601-3309 | 2013-04-19 |
| 1295023984 | Decatur General Hospital | Urology | 1107 14th Ave Se, Suite G200, Decatur, AL 35601-3309 | 2011-07-14 |
| 1073826954 | Tameron D Harvell | Nurse Practitioner | 1107 14th Ave Se, Plaza II Suite #200, Decatur, AL 35601-3309 | 2010-07-20 |
| 1982938221 | Scott A. Matthews, M.d., P.C. | Internal Medicine | 1107 14th Ave Se, Suite G500, Decatur, AL 35601-3309 | 2009-09-18 |
| 1598901373 | Alabama Internal Medicine | Clinic/Center | 1107 14th Ave Se, Suite G-400, Decatur, AL 35601-3309 | 2008-12-27 |
| 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 | 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 |
|---|---|---|---|---|
| 1578755815 | Oncology Specialties, PC | Internal Medicine | 310 8th Ave Se, Decatur, AL 35601 | 2007-08-10 |
| 1134291792 | Southeast Cancer Network, Inc. | Internal Medicine | 1107 14th Ave Se Ste 200, Decatur, AL 35601-3354 | 2006-11-15 |
| 1063412567 | Aaron R Alizadeh | Internal Medicine | 2712 Lawrenceville Hwy, Decatur, GA 30033-2512 | 2005-07-26 |
| 1669762795 | Vijay Kumar Damarla | Internal Medicine | 210 W Mckinley Ave Ste 1, Decatur, IL 62526 | 2011-04-11 |
| 1053571091 | Dallas Oncology Consultants Pa | Internal Medicine | 2010 Ben Merritt Dr, Suite A, Decatur, TX 76234-3854 | 2008-06-12 |
| 1447437538 | Ana Gabriela Antun | Internal Medicine | 1670 Clairmont Rd, Decatur, GA 30033-4004 | 2008-01-30 |
| 1770769234 | Simbo Oluwabusuyi Aduloju | Internal Medicine | 2712 Lawrenceville Hwy, Decatur, GA 30033-2512 | 2008-01-15 |
| 1396876835 | Badi El Osta | Internal Medicine | 1670 Clairmont Rd, Decatur, GA 30033-4004 | 2007-03-08 |
| 1366549735 | Neelima Maddukuri | Internal Medicine | 2010 Ben Merritt Dr, Suite A, Decatur, TX 76234-3854 | 2006-09-20 |
| 1326152208 | Maria Ja Ribeiro | Internal Medicine | 1670 Clairmont Rd, Maistop 111, Decatur, GA 30033-4004 | 2006-08-18 |
| 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.