DALE MEDICAL SPECIALTY CLINIC (NPI# 1568708717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1568708717 |
Entity Type | Organization |
Organization Name | DALE MEDICAL SPECIALTY CLINIC |
Practice Address |
218 Hospital Ave Suite A1 Ozark AL 36360-2064 |
Mailing Address |
Po Box 863 Ozark AL 36361-0863 |
Practice Telephone | 3344430190 |
Practice Fax Number | 3347745867 |
Mailing Telephone | 3344430190 |
Mailing Fax Number | 3347745867 |
Enumeration Date | 2012-12-17 |
Last Update Date | 2012-12-17 |
Authorized Official Name | MR. BRAD HULL (CHIEF FINANCIAL OFFICER) |
Authorized Official Telephone | 3347742601 |
Authorized Official Credential | CFO |
Is Organization Subpart | Y |
Parent Organization Name | DALE MEDICAL CENTER |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
25178 | AL | Allopathic & Osteopathic Physicians |
Street Address |
218 HOSPITAL AVE SUITE A1 |
City | OZARK |
State | AL |
Zip Code | 36360-2064 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629055330 | Oliver Wilson Crawford Jr. | Internal Medicine | 218 Hospital Ave, Suite B, Ozark, AL 36360-2064 | 2005-12-23 |
1801446190 | April Michelle Tate | Nurse Practitioner | 218 Hospital Ave, Ozark, AL 36360-2064 | 2019-09-18 |
1164651568 | Dale Medical Center | Family Medicine | 218 Hospital Ave, Ste B, Ozark, AL 36360-2064 | 2009-07-07 |
1659533206 | Dale Medical Center | Internal Medicine | 218 Hospital Ave, Suite B, Ozark, AL 36360-2064 | 2008-06-25 |
1891952537 | Giang N Lam, M.d., P.C. | Family Medicine | 218 Hospital Ave, Suite B, Ozark, AL 36360-2064 | 2008-05-20 |
1497920276 | Richard Scott Hammock | Family Medicine | 218 Hospital Ave, Suite A, Ozark, AL 36360-2064 | 2008-04-23 |
1689866121 | Keith G Vanderzyl Jr Md Pa | Specialist | 218 Hospital Ave, Ste D, Ozark, AL 36360-2064 | 2007-08-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699385906 | Wei Xuan Lim | Behavior Technician | 850 Andrews Ave, Suite 2, Ozark, AL 36360 | 2020-08-03 |
1831638220 | Rebekah Layne Windsor | Occupational Therapist | 193 Sam Lisenby Road, Sumlar Therapy, Ozark, AL 36360 | 2017-02-17 |
1003264136 | Dale Medical Center | Nurse Practitioner | 633 South Union Ave, Ozark, AL 36360 | 2016-05-31 |
1578948436 | Jones Mobile Phlebotomy Servies, Inc. | Technician, Pathology | 343 Acker Ave, Ozark, ALABAMA 36360 | 2015-07-21 |
1740623701 | Dr. Tucker and Associates, Inc. | Counselor | 1566 A East Andrews Avenue, Ozark, AL 36360 | 2013-04-09 |
1093036592 | City of Ozark City Clerk | Ambulance | 188 Peacock Parkway, Ozark, AL 36360 | 2010-06-18 |
1811144934 | Roger William Wiley | Optometrist | 578 Andrews Ave., Ozark, AL 36360 | 2008-08-20 |
1821295940 | Ozark City | Local Education Agency (LEA) | 1044 Andrews Ave, Ozark, AL 36360 | 2007-07-02 |
1548303761 | Dale County Health Dept Mat | Public Health or Welfare | 200 Katherine Avenue, Ozark, AL 36360 | 2007-02-15 |
1952462954 | Alan Conrad | Chiropractor | 1817 Andrews Ave, Ozark, AL 36360 | 2006-12-13 |
Find all providers in zip 36360 |
Taxonomy Code | 207RR0500X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Rheumatology |
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
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 |
---|---|---|---|---|
1497240998 | Jackson Hospital and Clinic, Inc. | Internal Medicine | 1722 Pine St Ste 801, Montgomery, AL 36106-1108 | 2018-06-27 |
1154732436 | Marcum Collins | Internal Medicine | The Whitaker Clinic of Uab Hospital, 500 22nd Street South, Birmingham, AL 35233-3110 | 2014-05-08 |
1730497611 | William David Schwieterman | Internal Medicine | 3901 Point Rd, Mobile, AL 36619-9750 | 2010-09-14 |
1033371323 | Nopporn Unnoppet | Internal Medicine | 1010 1st Street North, Ste 210, Alabaster, AL 35007 | 2008-06-27 |
1861650988 | Ximena Del Pilar Ruiz | Internal Medicine | 2119 E South Blvd Ste 100, Montgomery, AL 36116-2496 | 2008-05-27 |
1215114004 | Mclain Medical Assoc PC | Internal Medicine | 2022 Brookwood Medical Assoc PC, 2022, Birmingham, AL 35209-6807 | 2008-01-24 |
1295825461 | Adahli E Massey | Internal Medicine | 1536 Professional Pkwy, Auburn, AL 36830 | 2006-10-16 |
1750472957 | D John Mountz | Internal Medicine | 1825 University Blvd, Shelby Bldg., Suite 301, Birmingham, AL 35294-0001 | 2006-09-27 |
1689688970 | Vijayanarayana Rao Jampala | Internal Medicine | 400 Whitesport Dr Sw Ste 101, Huntsville, AL 35801-6429 | 2006-07-29 |
1639103666 | Rheumatology Associates of North Alabama, PC | Internal Medicine | 720 Gallatin Street, Suite 500, Huntsville, AL 35801-4414 | 2006-07-10 |
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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.