GADSDEN PULMONARY & SLEEP CLINIC, PC (NPI# 1639391162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639391162 |
| Entity Type | Organization |
| Organization Name | GADSDEN PULMONARY & SLEEP CLINIC, PC |
| Practice Address |
311 S 4th St Gadsden AL 35901-5212 |
| Practice Telephone | 2565474443 |
| Practice Fax Number | 2565474476 |
| Mailing Telephone | 2565474443 |
| Mailing Fax Number | 2565474476 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2015-05-27 |
| Authorized Official Name | MRS. KRISTA J AUTWELL (ADM. ASST.) |
| Authorized Official Telephone | 2565474443 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
00017313 | AL | Allopathic & Osteopathic Physicians |
| N | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
00017313 | AL | Allopathic & Osteopathic Physicians |
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
00017313 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | INDIVIDUAL NPI | 1609855063 | 01 |
| AL | ORGANIZATIONAL (GROUP) NATIONAL PROVIDER IDENTIFIER | 1639391162 | 01 |
| AL | BCBS PROVIDER NUMBER | 510-85402 | 01 |
| AL | 529904380 | 05 | |
| AL | 009925660 | 05 |
| Street Address |
311 S 4TH ST |
| City | GADSDEN |
| State | AL |
| Zip Code | 35901-5212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467416941 | Oluwole Sunday Akisanya | Internal Medicine | 311 S 4th St, Gadsden, AL 35901-5212 | 2006-04-13 |
| 1346880739 | Phaedra A Hill-lazenby | Nurse Practitioner | 311 S 4th St, Gadsden, AL 35901-5212 | 2020-01-14 |
| 1942849716 | Etagbo Eta M.d., P.C. | Internal Medicine | 311 S 4th St, Gadsden, AL 35901-5212 | 2019-12-27 |
| 1710437819 | Jennifer Patterson | Nurse Practitioner | 311 S 4th St, Gadsden, AL 35901-5212 | 2016-10-12 |
| 1487974630 | Etagbo Oqua Eta | Internal Medicine | 311 S 4th St, Gadsden, AL 35901-5212 | 2010-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972112878 | Rachel Hyatt | Counselor | 423 North 5th St, Gadsden, AL 35901 | 2020-07-27 |
| 1639651300 | Amy M Gorecki-kelley | Nurse Practitioner | 420 North Sixth Street Gadsden, Gadsden, AL 35901 | 2018-08-30 |
| 1659881829 | Fuller Medical Solutions, LLC | Durable Medical Equipment & Medical Supplies | 412 S 3rd St Ste A, Gadsden, AL 35901 | 2017-10-02 |
| 1861901308 | Dana Calhoun | Counselor | 215 Walnut St Ste 2, Gadsden, AL 35901 | 2017-09-27 |
| 1104271857 | Prohealth Hospice-gadsden, LLC | Hospice Care, Community Based | 1115b Rainbow Drive, Gadsden, AL 35901 | 2016-05-02 |
| 1568801678 | Roseland Developmental Homes, LLC | Community/Behavioral Health | 404 Jacksonville Street, Gadsden, AL 35901 | 2013-06-21 |
| 1770875460 | Aniska Professional and Educational Services | Clinic/Center | 130 Aniska Drive, Gadsden, AL 35901 | 2011-05-12 |
| 1700186772 | Sam P. Spina | Hearing Instrument Specialist | 510 S. 3rd Street, Gadsden, AL 35901 | 2010-10-25 |
| 1588982573 | John Robert Walker | Anesthesiology | 200 Broad St Ste 300, Gadsden, AL 35901 | 2010-05-14 |
| 1316278880 | Partners Medical Clinic LLC | Family Medicine | 431 South 5th Street, Gadsden, AL 35901 | 2010-01-24 |
| Find all providers in zip 35901 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| 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 |
|---|---|---|---|---|
| 1023348398 | Gadsden Lung Center, P.C. Inc | Internal Medicine | 1026 Goodyear Ave, Suite 302, Gadsden, AL 35903-1102 | 2010-01-07 |
| 1205084175 | Arianne Danielle Bennett-venner | Internal Medicine | 300 Medical Center Dr, Suite 200, Gadsden, AL 35903-1157 | 2008-09-04 |
| 1275730244 | Shahana Masood | Internal Medicine | 300 Medical Center Dr, Suite 200, Gadsden, AL 35903-1157 | 2007-07-02 |
| 1427259860 | Shah Clinic of Neal LLC | Internal Medicine | 1401 Rainbow Dr, Gadsden, AL 35901-5319 | 2007-05-31 |
| 1114016920 | Mazen Hakim | Internal Medicine | 1026 Goodyear Ave, Suite 302, Gadsden, AL 35903-1102 | 2006-10-11 |
| 1285697078 | Muhammad A. Kaleem | Internal Medicine | 300 Medical Center Dr, Suite 200, Gadsden, AL 35903-1157 | 2006-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033680723 | David Patton | Internal Medicine | 3340 E Briarcliff Rd, Mountain Brk, AL 35223-1307 | 2018-12-06 |
| 1245780972 | Victoria Rusanov | Internal Medicine | 1720 2nd Ave S # Tht-422, Birmingham, AL 35294-0004 | 2016-10-05 |
| 1396086914 | Alex David Russakoff | Internal Medicine | 4220 Gaines Mill Cir, Mountain Brk, AL 35213-1822 | 2013-03-06 |
| 1447518105 | Adrian Alton Cargill Jr. | Internal Medicine | 3368 Highway 280 Ste 209, Alexander City, AL 35010-3375 | 2012-05-01 |
| 1750552543 | Baldwin County Pulmonary and Sleep Physicians, PC | Internal Medicine | 1298 N Mckenzie St, Foley, AL 36535-3503 | 2008-03-19 |
| 1073783015 | Maria Guevara | Internal Medicine | 2016 Grove Park Way, Birmingham, AL 35242-2481 | 2008-03-05 |
| 1154524247 | Brian Dent Flanagan | Internal Medicine | 100 Pilot Medical Dr Ste 100, Birmingham, AL 35235 | 2007-06-07 |
| 1083779839 | Jean Anna Newsome | Internal Medicine | 2018 Medical Center Dr, Professional Office Bldg Suite 115, Birmingham, AL 35209 | 2006-12-22 |
| 1689738940 | Pulmonary Medicine Associates PC | Internal Medicine | 1022 1st Street No, Suite 401, Alabaster, AL 35007-8718 | 2006-12-21 |
| 1417025933 | James Edward Boyle | Internal Medicine | 1101 Somerville Rd Se, Decatur, AL 35601-3242 | 2006-12-01 |
| Find all providers with the same taxonomy | ||||
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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.