PHYSICIANS MEDICAL CENTER, LLC (NPI# 1598972606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598972606 |
| Entity Type | Organization |
| Organization Name | PHYSICIANS MEDICAL CENTER, LLC |
| Other Organization Name | PHYSICIANS MEDICAL CENTER CARRAWAY |
| Practice Address |
1528 Carraway Blvd Ste 202 Birmingham AL 35234 |
| Mailing Address |
Po Box 10288 Birmingham AL 35202-0288 |
| Practice Telephone | 2055023602 |
| Practice Fax Number | 2055023601 |
| Mailing Telephone | 2055025610 |
| Mailing Fax Number | 2055025513 |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. JAN DICESARE (CFO) |
| Authorized Official Telephone | 2055025000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Other Name | Type Code |
|---|---|
| Physicians Medical Center Carraway | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477509859 | Physicians Medical Center, LLC | General Acute Care Hospital | 218 Corporate Dr, Houma, LA 70360-2768 | 2006-05-26 |
| 1700251253 | Physicians Medical Center, LLC | Clinic/Center | 131 Corporate Dr, Houma, LA 70360-2767 | 2015-12-09 |
| 1982809257 | Physicians Medical Center, LLC | General Acute Care Hospital | 6020 W Parker Rd, Plano, TX 75093-8171 | 2007-06-18 |
| 1457568594 | Physicians Medical Center, LLC | General Acute Care Hospital | 1600 Carraway Blvd, Birmingham, AL 35234 | 2007-05-17 |
| 1760696066 | Physicians Medical Center, LLC | Clinic/Center | 3001 27th St N, Birmingham, AL 35207-4549 | 2007-05-09 |
| 1124231766 | Physicians Medical Center, LLC | Clinic/Center | 2401 15th Ave North, Birmingham, AL 35234 | 2007-05-08 |
| 1235251810 | Physicians Medical Center, LLC | Clinic/Center | 1600 Carraway Blvd, Birmingham, AL 35234-1913 | 2007-04-04 |
| 1427123017 | Physicians Medical Center, LLC | Psychiatric Unit | 1600 Carraway Blvd, Birmingham, AL 35234-1913 | 2006-11-21 |
| 1538230131 | Physicians Medical Center, LLC | General Acute Care Hospital | 1600 Carraway Blvd, Birmingham, AL 35234-1913 | 2006-11-13 |
| 1316933609 | Physicians Medical Center, LLC | General Acute Care Hospital | 6020 W Parker Rd, Plano, TX 75093-8171 | 2005-09-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PHYSICIANS MEDICAL CENTER, LLC | 218 Corporate Dr, Houma, LA 70360-2768 |
| Street Address |
1528 CARRAWAY BLVD STE 202 |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447210844 | Painsouth Inc | Pain Medicine | 1528 Carraway Blvd, Suite 402, Birmingham, AL 35234 | 2006-03-28 |
| 1962539536 | John Robert Wilson | Pharmacist | 1528 Carraway Blvd, Birmingham, AL 35234-1998 | 2007-02-28 |
| 1871638916 | Norwood Clinic, Inc | Durable Medical Equipment & Medical Supplies | 1528 Carraway Blvd, Birmingham, AL 35234-1998 | 2007-02-20 |
| 1316053515 | Hematology and Oncology Associates of Alabama, LLC | Radiology | 1528 Carraway Blvd, Attn: Radiation Oncology Department, Birmingham, AL 35234-1998 | 2006-08-21 |
| 1972525004 | Cardiovascular Associates of North Alabama, P.C. | Internal Medicine | 1528 Carraway Blvd, 3rd Floor, Birmingham, AL 35234-1998 | 2006-07-25 |
| 1922054972 | Matthew Vinson Sheffield | Pathology | 1528 Carraway Blvd, Birmingham, AL 35234-1998 | 2006-05-25 |
| 1376596890 | William Rufus Harvey IIi | Surgery | 1528 Carraway Blvd, Birmingham, AL 35234-1998 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225549140 | Kathy Youngblood | Home Health | 1907 14th Ave N Apt 4b, Birmingham, AL 35234 | 2017-10-18 |
| 1154765568 | University of Alabama In Birmingham | General Acute Care Hospital | 619 S 19th Street, Birmingham, AL 35234 | 2013-04-29 |
| 1699722348 | Agatha I Asuru | Internal Medicine | 2401 15th Ave North, Birmingham, AL 35234 | 2006-05-28 |
| 1295922649 | Pmc Gastroenterology Associates, PC | Internal Medicine | 1532 Carraway Blvd, Suite 220, Birmingham, AL 35234 | 2007-10-01 |
| 1114119567 | Physician Medical Center, LLC | Family Medicine | 1600 Carraway Blvd, Birmingham, AL 35234 | 2007-08-09 |
| 1457568594 | Physicians Medical Center, LLC | General Acute Care Hospital | 1600 Carraway Blvd, Birmingham, AL 35234 | 2007-05-17 |
| 1124231766 | Physicians Medical Center, LLC | Clinic/Center | 2401 15th Ave North, Birmingham, AL 35234 | 2007-05-08 |
| 1194826446 | Jeffrey Wurst | Emergency Medicine | 1600 Carraway Blvd, Emergency Department, Birmingham, AL 35234 | 2006-09-26 |
| 1669412466 | Hugh Pinkney O'shields Jr. | Internal Medicine | 1600 Carraway Blvd Ste 801, Birmingham, AL 35234-1913 | 2006-06-08 |
| 1962462374 | Jennifer W Devilleneuve | Nurse Practitioner | 1600 Carraway Blvd, Suite 402, Birmingham, AL 35234-1913 | 2006-03-28 |
| Find all providers in zip 35234 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
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| 1750995361 | Advanced Spinal Reconstruction Pllc | Specialist | 972 Chesterfield Ave, Birmingham, MI 48009-1223 | 2020-09-01 |
| 1609342088 | Vituro Health of Georgia, LLC | Specialist | 2901 2nd Ave S Ste 130, Birmingham, AL 35233-2928 | 2018-10-23 |
| 1356889547 | David Perry | Specialist | 3208 Colony Park Dr, Birmingham, AL 35243-2396 | 2017-02-07 |
| 1316481294 | Elite Imaging, LLC | Specialist | 200 Cahaba Park Circle, Suite 215, Birmingham, AL 35242 | 2016-12-12 |
| 1174076640 | Tracy Denise Gulley | Specialist | 1005 Garrett Dr, Birmingham, AL 35235-1422 | 2016-08-01 |
| 1497122931 | Ihab Nader Tawfik Atallah | Specialist | Bdb 563, 1720 2nd Avenue South, Birmingham, AL 35294-0012 | 2015-09-01 |
| 1568852572 | Brittney Bass-gray | Specialist | 1251 Beacon Pkwy E, Unit 202, Birmingham, AL 35209-1069 | 2015-01-28 |
| 1700280773 | Implantable Supplies | Specialist | 605 Queens Gate, Birmingham, AL 35242-7221 | 2014-10-20 |
| 1083031975 | Timothy Connolly | Specialist | 1720 2nd Avneue S, Bdb 563, Birmingham, AL 35294-0012 | 2014-03-28 |
| 1710226329 | Charles Peter Diliberti | Specialist | 235 Inverness Center Dr, Apt#001, Birmingham, AL 35242-4805 | 2013-02-04 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35234 |
Please comment or provide details below to improve the information on PHYSICIANS MEDICAL CENTER, LLC.
| 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.