INTREPID INTERNAL MEDICINE PC (NPI# 1548581705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548581705 |
| Entity Type | Organization |
| Organization Name | INTREPID INTERNAL MEDICINE PC |
| Practice Address |
40 Medical Cir Moulton AL 35650-1256 |
| Practice Telephone | 2569740606 |
| Practice Fax Number | 2569744530 |
| Mailing Telephone | 2569740606 |
| Mailing Fax Number | 2569744530 |
| Enumeration Date | 2010-06-22 |
| Last Update Date | 2010-06-22 |
| Authorized Official Name | MONICA COPELAND (BILLING MGR) |
| Authorized Official Telephone | 2565321888 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | DO1056 | AL | Allopathic & Osteopathic Physicians |
| Street Address |
40 MEDICAL CIR |
| City | MOULTON |
| State | AL |
| Zip Code | 35650-1256 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801979075 | Charles D Coffey Md PC | Family Medicine | 40 Medical Cir, Moulton, AL 35650-1256 | 2006-10-23 |
| 1760930200 | Attentus Moulton, LLC | Clinic/Center | 40 Medical Cir, Moulton, AL 35650-1256 | 2016-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366892804 | Leigh Ann Black | Speech-Language Pathologist | 300 Hospital Street, Moutlon, AL 35650 | 2016-06-15 |
| 1518285683 | Wesley A Dubose Od Inc | Optometrist | 213 Cox Creek Parkway, Florence, AL 35650 | 2010-05-13 |
| 1831347327 | Kenneth F. Seale | Dentist | 926 East Street, Moulton, AL 35650 | 2008-09-09 |
| 1902022841 | Shannon Lee Johnson | Counselor | 317 Hospital Street, Moulton, AL 35650 | 2007-04-18 |
| 1588726111 | Stephen Ray Mclemore | Pharmacist | 11809 Alabama Highway 157, Moulton, AL 35650 | 2006-12-13 |
| 1174692107 | Charles David Joiner Jr. | Pharmacist | 22747 Al Hwy 24 Ste D, Moulton, AL 35650 | 2006-11-06 |
| 1578677563 | Town & Country Pharmacy Inc | Pharmacy | 22747 Hwy 24 Ste D, Moulton, AL 35650 | 2006-08-18 |
| 1386680049 | Kathleen Louise Bachelor | Nurse Practitioner | 10939 Alabama Highway 157, Moulton, AL 35650 | 2006-06-21 |
| 1649239922 | Gini M Montgomery | Nurse Practitioner | 10939 Al Hwy 157, Moulton, AL 35650 | 2006-03-23 |
| 1821147182 | Lizz Lackey Waple | Occupational Therapy Assistant | 300 Hospital St, Moulton, AL 35650 | 2007-01-09 |
| Find all providers in zip 35650 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093324287 | Prestige Telemedicine Group LLC | Internal Medicine | 303 Cumberland Rd, Fairhope, AL 36532-3442 | 2020-07-23 |
| 1447872999 | Robert C. Cain, M.d., LLC | Internal Medicine | 5381 1st Ave N, Birmingham, AL 35212-2401 | 2020-05-07 |
| 1306467337 | Ginger Alred, Md PC | Internal Medicine | 636 2nd St Ne Ste B, Alabaster, AL 35007-8817 | 2020-04-30 |
| 1831718535 | Healthpointe | Internal Medicine | 24020 John T Reid Pkwy, Scottsboro, AL 35769 | 2020-04-13 |
| 1881223162 | Pelham Internal Medicine LLC | Internal Medicine | 2156 Highway 52 East, Suite 100, Pelham, AL 35124 | 2020-04-07 |
| 1992339246 | Comprehensive Pediatrics and Internal Medicine, LLC | Internal Medicine | 430 Emery Dr Ste 200, Hoover, AL 35244-4595 | 2020-02-26 |
| 1922657147 | Julie Anna Wright | Internal Medicine | 100 Rice Mine Rd N Ste 100, Tuscaloosa, AL 35406-3905 | 2019-09-10 |
| 1346897550 | Leap Medical Services LLC | Internal Medicine | 22375 Troon Dr, Athens, AL 35613-8138 | 2019-08-22 |
| 1689146250 | Faith Internal Medicine PC | Internal Medicine | 755 55th Pl E, Tuscaloosa, AL 35405-4140 | 2018-12-20 |
| 1437625084 | Kathryn Northcutt Cunningham | Internal Medicine | 6434 County Road 95, Elberta, AL 36530-5728 | 2018-10-22 |
| Find all providers with the same taxonomy | ||||
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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.