JOHNNY R WILBORN (NPI# 1558441444) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558441444 |
| Entity Type | Individual |
| Full Name | JOHNNY R WILBORN |
| Credential | MD |
| Practice Address |
100 Medical Center Dr #207 Gadsden AL 35903-1134 |
| Practice Telephone | 2564924001 |
| Practice Fax Number | 2564924031 |
| Mailing Telephone | 2564924001 |
| Mailing Fax Number | 2564924031 |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2009-06-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 9133 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 1558441444 / 109107 | 05 | |
| AL | AL BCBS | 515-95241 | 01 |
| Street Address |
100 MEDICAL CENTER DR #207 |
| City | GADSDEN |
| State | AL |
| Zip Code | 35903-1134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558506550 | Gadsden Regional Physician Group Practice LLC | Pediatrics | 100 Medical Center Dr, Suite 308, Gadsden, AL 35903-1134 | 2008-12-05 |
| 1902931819 | Oral Surgery Associates, PC | Dentist | 100 Medical Center Dr, Suite 205, Gadsden, AL 35903-1134 | 2007-02-22 |
| 1326173311 | Bob Dean Gross | Dentist | 100 Medical Center Dr, Suite 205, Gadsden, AL 35903-1134 | 2007-02-22 |
| 1134254881 | Larry Ted Jones | Dentist | 100 Medical Center Dr, Suite 205, Gadsden, AL 35903-1134 | 2007-02-22 |
| 1336209246 | Enmpc | Internal Medicine | 100 Medical Center Dr, Suite 305, Gadsden, AL 35903-1134 | 2006-12-11 |
| 1346319886 | Neurological Specialists PC | Psychiatry & Neurology | 100 Medical Center Dr, Ste 402, Gadsden, AL 35903-1134 | 2006-11-07 |
| 1700955846 | Olga L Bogdanova | Psychiatry & Neurology | 100 Medical Center Dr, Suite 402, Gadsden, AL 35903 | 2006-11-06 |
| 1063501773 | Hugh's Pharmacy, Inc | Pharmacy | 100 Medical Center Dr, Suite 102, Gadsden, AL 35903-1134 | 2006-10-12 |
| 1053409060 | James D Smith IIi | Orthopaedic Surgery | 100 Medical Center Dr, Suite 101, Gadsden, AL 35903-1134 | 2006-10-11 |
| 1215029293 | Hanger Prosthetics & Orthotics, Inc. | Prosthetic/Orthotic Supplier | 100 Medical Center Dr, Suite 302, Gadsden, AL 35903-1134 | 2006-09-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821519612 | Fresenius Kidney Care Gadsden Acq, LLC | Clinic/Center | 800 Goodyear Ave, Gadsden, AL 35903 | 2017-06-30 |
| 1992140545 | Kristy Bray | Nurse Practitioner | 1007 Goodyear Avenue, Gadsden, AL 35903 | 2013-05-08 |
| 1386918076 | Chinyere Hope Buchi-ahiabuike | Nurse Practitioner | 1216 Wilbanks Ave, Gadsden, AL 35903 | 2012-02-28 |
| 1003047606 | Housing Opportunities for Persons With Exceptionalities, Inc. | Community/Behavioral Health | 327 N. 10th Street, Gadsden, AL 35903 | 2009-07-30 |
| 1154596690 | Cardiovascular Imaging | Technician, Cardiology | 5606 2nd St, Hokes Bluff, AL 35903 | 2008-04-25 |
| 1114007713 | State of Alabama Department of Public Health | Home Health | 709 East Broad Street, Gadsden, AL 35903 | 2006-10-17 |
| 1336246321 | Terisa Ann Thomas | Specialist | 800 Goodyear Avenue, Suite B, Gadsden, AL 35903 | 2006-09-20 |
| 1508874512 | Steven Michael Sanders | Family Medicine | 1026 Goodyear Avenue, Suite 100, Gadsden, AL 35903 | 2006-08-04 |
| 1184673535 | Quality of Life Health Services, Inc. | Clinic/Center | 1216 Wilbanks Avenue, Gadsden, AL 35903 | 2006-05-10 |
| 1306838818 | Thomas A Pugliese | Internal Medicine | 900 Goodyear Avenue, Suite A, Gadsden, AL 35903 | 2005-08-19 |
| Find all providers in zip 35903 | ||||
| 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 |
|---|---|---|---|---|
| 1356731467 | Prime Healthcare Services Gadsden Physician Management LLC | Internal Medicine | 404 S 6th St, Gadsden, AL 35901-4107 | 2015-01-27 |
| 1124461769 | Tyler Christian Parris | Internal Medicine | 945 Chestnut St, Gadsden, AL 35901-4034 | 2013-04-13 |
| 1881748820 | Ralph N Wesley Jr. | Internal Medicine | 311 South 5th Street, Suite C, Gadsden, AL 35901 | 2007-01-23 |
| 1982668828 | Darryl Dwayne Prime | Internal Medicine | 1102 Goodyear Ave, Gadsden, AL 35903-2008 | 2006-04-17 |
| 1467416941 | Oluwole Sunday Akisanya | Internal Medicine | 311 S 4th St, Gadsden, AL 35901-5212 | 2006-04-13 |
| 1184688681 | First Care Medical Clinic | Internal Medicine | 311 South 4th Street, Gadsden, AL 35901-5212 | 2006-04-13 |
| 1003895624 | James N Wallace | Internal Medicine | 512 S 4th St, Gadsden, AL 35901-5217 | 2006-01-12 |
| 1295736460 | Kenny Smith | Internal Medicine | 760 Chestnut St, Gadsden, AL 35901-4147 | 2005-08-09 |
| 1609486331 | Joseph Scott Hooks | Internal Medicine | 1007 Goodyear Ave, Gadsden, AL 35903-1195 | 2020-08-06 |
| 1255959086 | Rey Gavino Md PC | Internal Medicine | 801 Goodyear Ave, Gadsden, AL 35903-1133 | 2020-07-08 |
| Find all providers in GADSDEN | ||||
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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.