OPHARD K MUPANOMUNDA (NPI# 1538356506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538356506 |
| Entity Type | Individual |
| Full Name | OPHARD K MUPANOMUNDA |
| Credential | MD |
| Practice Address |
1303 Dr Martin L King Jr Ave Mobile AL 36603-5341 |
| Mailing Address |
Po Box 2048 Mobile AL 36652-2048 |
| Practice Telephone | 2514324117 |
| Practice Fax Number | 2519644012 |
| Mailing Telephone | 2514324117 |
| Mailing Fax Number | 2519644012 |
| Enumeration Date | 2007-10-03 |
| Last Update Date | 2017-05-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 28350 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | STATE LICENSE | 28350 | 01 |
| Street Address |
1303 DR MARTIN L KING JR AVE |
| City | MOBILE |
| State | AL |
| Zip Code | 36603-5341 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679532303 | Franklin Primary Health Center, Inc. | Obstetrics & Gynecology | 1303 Dr Martin L King Jr Ave, Mobile, AL 36603 | 2006-03-21 |
| 1871119040 | Faith Alce | Nurse Practitioner | 1303 Dr Martin L King Jr Ave, Mobile, AL 36603-5341 | 2020-06-23 |
| 1700401098 | Rashonda Jordan | Nurse Practitioner | 1303 Dr Martin L King Jr Ave, Mobile, AL 36603-5341 | 2020-06-11 |
| 1922623453 | Anna Katherine Leurck | Nurse Practitioner | 1303 Dr Martin L King Jr Ave, Mobile, AL 36603-5341 | 2020-06-10 |
| 1215412770 | Lawana D Kennedy | Social Worker | 1303 Dr Martin L King Jr Ave, Mobile, AL 36603-5341 | 2018-10-01 |
| 1952886491 | Raven J Lang | Social Worker | 1303 Dr Martin L King Jr Ave, Mobile, AL 36603-5341 | 2018-10-01 |
| 1043794480 | Franklin Primary Health Center, Inc. | Social Worker | 1303 Dr Martin L King Jr Ave, Mobile, AL 36603-5341 | 2018-09-21 |
| 1013491802 | Joycelyn Curtis | Social Worker | 1303 Dr Martin L King Jr Ave, Mobile, AL 36603-5341 | 2018-09-18 |
| 1013455641 | Bernadine Peters | Nutritionist | 1303 Dr Martin L King Jr Ave, Mobile, AL 36603-5341 | 2017-02-02 |
| 1124565494 | Kimberly Norris | Nurse Practitioner | 1303 Dr Martin L King Jr Ave, Mobile, AL 36603-5341 | 2017-01-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457813412 | Vanessa Gill | Home Health | 916 State St., Same As Above, Mobile, AL 36603 | 2019-04-01 |
| 1942784483 | Dale Deward Donnelly | Physical Therapy Assistant | 1361 Dr. Martin Luther King Jr. Ave., Mobile, AL 36603 | 2018-09-20 |
| 1760904338 | Elite Residential, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1554 Basil Street, Mobile, AL 36603 | 2017-07-14 |
| 1699195024 | Jamie Hennigan | Student in an Organized Health Care Education/Training Program | 162.5 N Bayou St, Upper B, Mobile, AL 36603 | 2014-04-24 |
| 1487747945 | Beverly A Wilson | Dentist | 1303 Dr. Martin L King Jr Ave, Mobile, AL 36603 | 2006-10-02 |
| 1871936641 | Leticia M Gibbs | Nurse Practitioner | 251 N Bayou St, Mobile, AL 36603 | 2013-04-11 |
| 1417913682 | Montubua Vasser-smith | Internal Medicine | 1303 Dr Martin Luther King Jr Ave, Mobile, AL 36603 | 2006-04-25 |
| 1003896358 | Angelia Deniese Lewis | Nurse Practitioner | 251 N Bayou St, Mobile, AL 36603 | 2006-01-20 |
| 1982846754 | Dales Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 880 Martin Luther King Ave, Suite E, Mobile, AL 36603-0000 | 2009-03-25 |
| 1619022928 | Ladas Pharmacy | Durable Medical Equipment & Medical Supplies | 1050 S Broad St, Mobile, AL 36603-1038 | 2007-01-24 |
| Find all providers in zip 36603 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801367107 | Tera Walters Therapy LLC | Pediatrics | 2523 D'iberville Drive North, Mobile, AL 36695 | 2018-12-12 |
| 1629573928 | Kaitlyn Brown Parker | Pediatrics | 2451 Usa Medical Center Dr Rm 714, Mobile, AL 36617-2300 | 2018-03-28 |
| 1881149557 | Child Behavioral Resources LLC | Pediatrics | 6304 Piccadilly Square Dr Ste 3, Mobile, AL 36609-5143 | 2016-08-23 |
| 1013327097 | Charlotte Steelman Macdonell | Pediatrics | 1601 Center St Ste 1n, Mobile, AL 36604-1541 | 2014-04-30 |
| 1912271834 | Mobile Pediatric Clinic LLC | Pediatrics | 1835 Old Shell Rd, Mobile, AL 36607-3416 | 2012-02-24 |
| 1194011288 | Gulf Coast Pediatrics, LLC | Pediatrics | 5675 Three Notch Rd Ste C, Mobile, AL 36619-1617 | 2011-06-27 |
| 1376833319 | Nina Sheree Ford Johnson | Pediatrics | 4013c Airport Blvd, Mobile, AL 36608-2201 | 2011-04-11 |
| 1720305030 | Sonia Singh Grevenitis | Pediatrics | 6321 Piccadilly Square Dr Ste A, Mobile, AL 36609-5305 | 2010-04-26 |
| 1164746806 | Jennifer Gremse Adair | Pediatrics | 3920 Airport Blvd., Mobile, AL 36608-1622 | 2010-03-24 |
| 1538366190 | Nancy Oppenheimer Wood | Pediatrics | 610 Providence Park Dr E Ste 201, Mobile, AL 36695-4615 | 2007-06-28 |
| Find all providers in MOBILE | ||||
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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.