MS. SELINA GREATHOUSE WOOLVERTON


Address: 1325 Mcfarland Blvd, Suite 102, Northport, AL 35476-3270
Phone: 2053338800

MS. SELINA GREATHOUSE WOOLVERTON (NPI# 1528006970) 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) 1528006970
Entity Type Individual
Full Name MS. SELINA GREATHOUSE WOOLVERTON
Other Name MS. SELINA RENEE GREATHOUSE
Credential P.A.
Practice Address 1325 Mcfarland Blvd
Suite 102
Northport
AL 35476-3270
Practice Telephone 2053338800
Practice Fax Number 2053338406
Mailing Telephone 2053338800
Mailing Fax Number 2053338406
Enumeration Date 2006-06-04
Last Update Date 2008-01-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
PA269 AL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
AL RAILROAD MEDICARE P00393710 01
AL ALABAMA BLUE CROSS 51527773 01

Office Location

Street Address 1325 MCFARLAND BLVD
SUITE 102
City NORTHPORT
State AL
Zip Code 35476-3270

Providers in the same location

NPI Name Taxonomy Address Enumeration
1174504336 Luis Ronald Pernia Specialist 1325 Mcfarland Blvd, Suite 201, Northport, AL 35476-3270 2005-11-07
1780034066 Michael Christopher Jordan Specialist/Technologist 1325 Mcfarland Blvd, Northport, AL 35476-3270 2016-06-16
1073962833 Sarah Clos Specialist/Technologist 1325 Mcfarland Blvd, Northport, AL 35476-3270 2016-06-12
1548643273 Randi Cheree Melton Family Medicine 1325 Mcfarland Blvd, Suite 102, Northport, AL 35476-3270 2015-06-30
1316320054 Amy Lee Wambolt Student in an Organized Health Care Education/Training Program 1325 Mcfarland Blvd, Suite 102, Northport, AL 35476-3270 2015-06-30
1275926719 Capstone Health Services Foundation PC Clinic/Center 1325 Mcfarland Blvd, Suite 102, Northport, AL 35476-3270 2015-03-09
1750798534 Jessica Hester Nurse Practitioner 1325 Mcfarland Blvd, Ste 101, Northport, AL 35476-3262 2014-07-14
1487901369 Kyle David Adams Specialist/Technologist 1325 Mcfarland Blvd, Northport, AL 35476-3270 2012-08-09
1689980484 Flh, Inc. Physical Medicine & Rehabilitation 1325 Mcfarland Blvd, Suite 101, Northport, AL 35476-3270 2010-08-31
1881841500 April L Coleman Physician Assistant 1325 Mcfarland Blvd, Suite 102, Northport, AL 35476-3270 2008-08-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669942728 Dch Encore Rehabilitation, LLC Clinic/Center Dch Encore Rehabilitation, LLC, 92 Mcfarland Blvd, Northport, AL 35476 2018-12-03
1821592189 Julia Madrid Counselor 1905 4th St Ste 4, Northport, AL 35476 2018-03-21
1740652395 Restoring Piece LLC Community/Behavioral Health 433 Main Avenue, Northport, AL 35476 2015-10-22
1316363740 Alabama Bariatric and Wellness Internal Medicine 1325 Mcfarland Blvd. Suite #209, Northport, AL 35476 2014-03-10
1104170406 Kerry Thomas, Hill Chiropractor 1580 Lurleen Wallace Blvd., Northport, AL 35476 2012-11-08
1366794703 Back To Fitness Chiropractor 1580 Lorleen Wallace Blvd., Northport, AL 35476 2012-10-10
1740532357 Andrea Austin Barry Nurse Practitioner 920 Rose Dr., Northport, AL 35476 2012-10-05
1184995953 Julie T Guy Pharmacist 3107 Lurleen B Wallace Boulevard, Northport, AL 35476 2012-01-25
1427280973 Ida Denise Robinson Internal Medicine 2201 Mcfarland Blvd., Northport, AL 35476 2009-08-18
1700017852 Bony F Barrineau Md PC Orthopaedic Surgery 2201 32nd Street, Northport, AL 35476 2009-08-06
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1881841500 April L Coleman Physician Assistant 1325 Mcfarland Blvd, Suite 102, Northport, AL 35476-3270 2008-08-25
1205925906 Kenneth Tinsley Physician Assistant 79 Middleville Rd, Northport, NY 11768-2200 2006-10-12
1548229537 Carl F Cannata Physician Assistant 79 Middleville Rd, Northport, NY 11768-2200 2006-03-20

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1942771183 Sarah Elizabeth Sloop Physician Assistant 4300 W Main St Ste 24, Dothan, AL 36305-1312 2018-12-16
1053887885 Rachel B Rigsby Physician Assistant 22454 Us Highway 72 Ste 200, Athens, AL 35613-2609 2018-10-19
1588139349 Lauren M Sheffield Physician Assistant 22454 Hwy 72, Suite 200, Athens, AL 35613 2018-10-09
1255815908 Cora Kuhns Physician Assistant 6401 Jordan Rd Suite A, Daphne, AL 36526-4728 2018-09-19
1396282026 Travis Blackburn Physician Assistant 200 Montgomery Hwy Ste 125, Vestavia, AL 35216-1840 2017-01-19
1043603236 Julie Boyd Physician Assistant 516 20th St S, Birmingham, AL 35233-2028 2015-03-11
1255738605 James Cilimberg Physician Assistant 2871 Acton Rd, Suite 100, Vestavia, AL 35243-2559 2014-12-01
1780950733 Laura Nugent Bradley Physician Assistant 800 St. Vincent's Drive, Suite 700, Birmingham, AL 35205-1630 2012-03-23
1740583780 University Orthopaedic Clinic, PC Physician Assistant 1732 Temple Ave N, Fayette, AL 35555-1321 2010-12-14
1811290968 Lacey Golden Physician Assistant 48 Medical Park Dr E Ste 255, Birmingham, AL 35235-3464 2010-12-13
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Competitor

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City NORTHPORT
Zip Code 35476

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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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