NEPHROLOGY ASSOCIATES OF MOBILE, PA (NPI# 1558534933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558534933 |
| Entity Type | Organization |
| Organization Name | NEPHROLOGY ASSOCIATES OF MOBILE, PA |
| Practice Address |
124 S University Blvd Ste A Mobile AL 36608-3078 |
| Mailing Address |
4682 Airport Blvd Mobile AL 36608-3124 |
| Practice Telephone | 2513435004 |
| Practice Fax Number | 2513435136 |
| Mailing Telephone | 2513435004 |
| Mailing Fax Number | 2513435136 |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2019-04-19 |
| Authorized Official Name | ANDREW RADOSZEWSKI (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 2513006969 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
1-080490 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
124 S UNIVERSITY BLVD STE A |
| City | MOBILE |
| State | AL |
| Zip Code | 36608-3078 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861477507 | Nephrology Associates of Mobile, P.a. | Specialist | 124 S University Blvd Ste A, Mobile, AL 36608-3078 | 2005-12-14 |
| 1447742705 | Mindy E Childs | Nurse Practitioner | 124 S University Blvd Ste A, Mobile, AL 36608-3078 | 2018-06-02 |
| 1194182642 | James Collier IIi | Nurse Practitioner | 124 S University Blvd Ste A, Mobile, AL 36608-3078 | 2016-01-27 |
| 1285996694 | Elizabeth Marie Anderson | Internal Medicine | 124 S University Blvd Ste A, Mobile, AL 36608-3078 | 2012-06-12 |
| 1134488521 | Ryan Tulowitzki | Internal Medicine | 124 S University Blvd Ste A, Mobile, AL 36608-3078 | 2012-05-07 |
| 1588952493 | Purnima Rani Tripathy | Internal Medicine | 124 S University Blvd Ste A, Mobile, AL 36608-3078 | 2011-07-12 |
| 1700175106 | Holli Kathleen Beall | Nurse Practitioner | 124 S University Blvd Ste A, Mobile, AL 36608-3078 | 2011-04-06 |
| 1710115977 | Saadur Rahman | Internal Medicine | 124 S University Blvd Ste A, Mobile, AL 36608-3078 | 2009-06-26 |
| 1063602449 | Jesse Michael Corbello | Specialist | 124 S University Blvd Ste A, Mobile, AL 36608-3078 | 2007-07-31 |
| 1528269321 | Christine Avinger | Registered Nurse | 124 S University Blvd Ste A, Mobile, AL 36608-3078 | 2007-05-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475524 | Grantham Dental, Inc. | Dentist | 3620 Springhill Memorial Drive South, Mobile, AL 36608 | 2020-10-21 |
| 1114540879 | Dearrius Hines | Home Health Aide | 1370 Lucerne Dr, Mobile, AL 36608 | 2020-05-28 |
| 1558980409 | Rachel Stevens | Registered Nurse | 8507 Tanner Williams Rd, Mobile, AL 36608 | 2020-04-10 |
| 1073170700 | Usa Health Physician Billing Services LLC | Otolaryngology | 5721 Usa Drive North, Hahn 1119, Mobile, AL 36608 | 2019-05-29 |
| 1952885600 | Franklin Primary Health Center Inc. | Dentist | 990 Cody Rd North, Mobile, AL 36608 | 2018-09-19 |
| 1114410040 | Zackary Elkins | Optometrist | 105 W I65 Service Rd N, Mobile, AL 36608 | 2018-06-14 |
| 1023562865 | Covenant Hospice, Inc. | Internal Medicine | 6801 Airport Blvd., Main Tower, 11th Floor North, Mobile, AL 36608 | 2016-08-10 |
| 1730575416 | Rayven Likely | Student in an Organized Health Care Education/Training Program | 1014 Centerwood Dr, Mobile, AL 36608 | 2015-04-09 |
| 1598040461 | Robert S Harlin | Specialist | 75 Clarise Circle, Mobile, AL 36608 | 2011-10-11 |
| 1972884948 | Heidi Michelle Mcdermott | Physical Therapist | 5721 Usa Drive N, Hahn 2050, Mobile, AL 36608 | 2011-09-06 |
| Find all providers in zip 36608 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386206688 | Tasha Latiya Jones | Nurse Practitioner | 4950 Government Blvd Apt 75, Mobile, AL 36693-5011 | 2019-07-08 |
| 1760843981 | Tatianne Bell | Nurse Practitioner | 3862 Cypress Shores Dr N, Mobile, AL 36619-9713 | 2016-03-15 |
| 1639298540 | Linda Sullivan | Nurse Practitioner | 210 Government St, Mobile, AL 36602-2614 | 2007-03-29 |
| 1518924828 | Kim Havas | Nurse Practitioner | 3737 Government Blvd, Ste 408, Mobile, AL 36693-4308 | 2006-04-28 |
| 1922623453 | Anna Katherine Leurck | Nurse Practitioner | 1303 Dr Martin L King Jr Ave, Mobile, AL 36603-5341 | 2020-06-10 |
| 1598310740 | Mary Jane Smith | Nurse Practitioner | 3750 Professional Pkwy, Mobile, AL 36609-5407 | 2019-08-05 |
| 1518424266 | Kelly Vincent Dauenheimer | Nurse Practitioner | 6701 Airport Blvd Ste A101, Mobile, AL 36608-6767 | 2019-02-28 |
| 1043774664 | Rachael Hughes Taylor | Nurse Practitioner | 22 Mobile St, Mobile, AL 36607-3121 | 2019-01-28 |
| 1750888921 | Roselee Roxane Fenley | Nurse Practitioner | 5 Mobile Infirmary Cir, Mobile, AL 36607-3513 | 2018-04-12 |
| 1477059392 | Zakiyyah Jones | Nurse Practitioner | 5 Mobile Infirmary Cir, Mobile, AL 36607-3513 | 2018-03-30 |
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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.