CENTRAL ALABAMA PAIN MANAGEMENT CENTER, P.C. (NPI# 1568716207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568716207 |
| Entity Type | Organization |
| Organization Name | CENTRAL ALABAMA PAIN MANAGEMENT CENTER, P.C. |
| Practice Address |
1709 Forest Ave Montgomery AL 36106-1543 |
| Practice Telephone | 3342643367 |
| Practice Fax Number | 3342643305 |
| Mailing Telephone | 3342643367 |
| Mailing Fax Number | 3342643305 |
| Enumeration Date | 2012-11-02 |
| Last Update Date | 2012-11-02 |
| Authorized Official Name | DR. ROGER WILLIAMS KEMP (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 3342643367 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
15752 | AL | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | MEDICARE ID | 000086173 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386791697 | Central Alabama Pain Management Center, P.C. | Pain Medicine | 1709 Forest Ave, Montgomery, AL 36106-1543 | 2007-01-05 |
| Street Address |
1709 FOREST AVE |
| City | MONTGOMERY |
| State | AL |
| Zip Code | 36106-1543 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386791697 | Central Alabama Pain Management Center, P.C. | Pain Medicine | 1709 Forest Ave, Montgomery, AL 36106-1543 | 2007-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235747205 | Rural Urgent Care LLC | Clinic/Center | 3039 Vaughn Road, Montgomery, AL 36106 | 2020-07-16 |
| 1548733306 | Bennett Family Dentistry, LLC | Dentist | 4270 Carmichael Road, Montgomery, AL 36106 | 2019-01-04 |
| 1588133854 | Lori Leanne Fail | Physical Therapist | 1615 Windsor Hill Court, Montgomery, AL 36106 | 2018-11-16 |
| 1073020749 | Charlene Richmond Harrell | Chiropractor | 2900 Zelda Rd., Suite A, Montgomery, AL 36106 | 2018-01-03 |
| 1780123109 | Montgomery Accident and Injury Center, Inc | Nurse Practitioner | 2900 Zelda Rd, Ste B, Montgomery, AL 36106 | 2017-02-17 |
| 1467843573 | Ernest Porterfield | Non-emergency Medical Transport (VAN) | 4183 Carmichael Road, Suite A, Montgomery, AL 36106 | 2015-02-11 |
| 1114334281 | Daniel Gerald O'bryant | Specialist/Technologist | 1160 Navarro Avenue, Montgomery, AL 36106 | 2014-07-21 |
| 1801213764 | Amanda Hodge | Specialist/Technologist | 4605 Cherry Tree Terrace, Montgomery, AL 36106 | 2014-03-27 |
| 1871861542 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1758 Park Pl Ste 102, Montgomery, AL 36106 | 2011-12-08 |
| 1578862546 | Helping Hands Preventitive Health Center | Community/Behavioral Health | 2015 Mulberry St, Montgomery, AL 36106 | 2011-03-16 |
| Find all providers in zip 36106 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871907568 | Spencer Holaway Durham | Pharmacist | 615 Perry Hill Road, Montgomery, AL 36109 | 2014-06-20 |
| 1306445374 | Liza Pirofsky Kreutzer | Pharmacist | 545 Cotton Gin Rd, Montgomery, AL 36117-3552 | 2020-10-21 |
| 1164021473 | Chris Mallia | Pharmacist | 20168 Eva St, Montgomery, TX 77356-2006 | 2020-10-19 |
| 1144828674 | Logan Douglas Durst | Pharmacist | 9939 Montgomery Rd, Montgomery, OH 45242-5311 | 2020-10-16 |
| 1548881378 | Deidra Easley | Pharmacist | 2105 E South Blvd, Montgomery, AL 36116-2409 | 2020-05-04 |
| 1265051635 | Shayne Kreutzer | Pharmacist | 4145 Carmichael Rd, Montgomery, AL 36106-2803 | 2020-04-15 |
| 1356980072 | Melanie Lowe Hyte | Pharmacist | 2105 E South Blvd, Montgomery, AL 36116-2409 | 2019-12-27 |
| 1528612942 | Michelle Adams | Pharmacist | 215 Perry Hill Rd, Montgomery, AL 36109-3725 | 2019-07-25 |
| 1114371952 | Ashley Trammell | Pharmacist | 215 Perry Hill Rd, Montgomery, AL 36109-3725 | 2016-04-18 |
| 1326313628 | Cassie Moss Boyd | Pharmacist | 101 S Union St, Montgomery, AL 36130-3022 | 2012-03-20 |
| Find all providers in MONTGOMERY | ||||
| City | MONTGOMERY |
| Zip Code | 36106 |
Please comment or provide details below to improve the information on CENTRAL ALABAMA PAIN MANAGEMENT CENTER, P.C..
| 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.