WILLIAM MATTHEW FALLIN (NPI# 1649477407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649477407 |
Entity Type | Individual |
Full Name | WILLIAM MATTHEW FALLIN |
Credential | P.A. |
Practice Address |
180 Medical Street Snead AL 35952 |
Mailing Address |
180 Medical St Snead AL 35952-6468 |
Practice Telephone | 2054667114 |
Practice Fax Number | 2054663350 |
Mailing Telephone | 2054667114 |
Enumeration Date | 2007-06-27 |
Last Update Date | 2014-09-22 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA-527 | AL | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AL | 541003888 | 05 | |
AL | 009910399 | 05 | |
AL | SNEAD MEDICARE GROUP # | F020 | 01 |
Street Address |
180 MEDICAL STREET |
City | SNEAD |
State | AL |
Zip Code | 35952 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023143484 | Bhc-blount & Etowah Counties | Family Medicine | 180 Medical Street, Snead, AL 35952 | 2007-02-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588839096 | Town of Altoona | Ambulance | 2844 Main Street, Altoona, AL 35952 | 2008-04-25 |
1881812857 | Klein Drug Shoppe, Inc | Pharmacy | 87490 Us Highway 278, Altoona, AL 35952 | 2007-04-23 |
1801937149 | Angie Vaughan | Pharmacist | 87490 Us Hwy 278, Altoona, AL 35952 | 2007-02-09 |
1851326540 | Kelly S Knowles | Physical Therapist | 200 Medical St, Snead, AL 35952 | 2006-07-11 |
1588615959 | Quality of Life Health Services, Inc | Clinic/Center | 4350 Cleveland Ave, Walnut Grove, AL 35952 | 2006-05-12 |
1104887181 | James Richard Anderson Sr. | Pharmacist | 7101 Etowah St, Altoona, AL 35952 | 2006-03-30 |
1083609606 | William Leonard Gibson | Emergency Medicine | 180 Medical St, Baptist Health Center - Snead, Snead, AL 35952 | 2005-09-20 |
1699080887 | James Richard Anderson Jr. | Pharmacist | 3850 Bud Umphrey Rd, Altoona, AL 35952-0328 | 2010-08-11 |
1528105152 | David L Skees | Dentist | 88223 Us Hwy 278, Snead, AL 35952-0627 | 2007-01-31 |
1396375267 | Gana Holdings, LLC | Nurse Practitioner | 180 Medical St, Snead, AL 35952-6468 | 2020-01-20 |
Find all providers in zip 35952 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821639154 | Grace Blane Mcmahan | Physician Assistant | 972 Montclair Rd Ste 100, Birmingham, AL 35213-1203 | 2019-10-08 |
1013558147 | Advanced Provider Solutions, LLC | Physician Assistant | 245 Cobb Rd, Dothan, AL 36301-7504 | 2019-09-30 |
1780247692 | Rachel Anne Stallman | Physician Assistant | 601 S 19th Street, Birmingham, AL 35294-0001 | 2019-04-16 |
1679031488 | Katie J Winfrey | Physician Assistant | 1419 Hamric Dr E Ste 101, Oxford, AL 36203-2174 | 2019-03-11 |
1235696105 | Audrey Rachel Williamson | Physician Assistant | 2862 Briarfield Ln, Mobile, AL 36693-4068 | 2019-02-26 |
1134617996 | Harley Michelle Oliver | Physician Assistant | 820 S. University Blvd Bldg 1, Suite 1b, Mobile, AL 36609 | 2018-04-27 |
1952806499 | Christy L Franklin | Physician Assistant | 4305 Dolly Ridge Ln, Vestavia, AL 35243-1834 | 2018-03-27 |
1538662994 | Morgan Goss | Physician Assistant | 700 Montgomery Hwy Ste 194, Vestavia Hills, AL 35216-1879 | 2018-03-13 |
1770090607 | Gary Andrew Gould | Physician Assistant | 28490 2nd St Ste B, Daphne, AL 36526 | 2017-12-31 |
1942748272 | Miranda Hornsby | Physician Assistant | 521 Montgomery Hwy Ste 117, Vestavia, AL 35216-1876 | 2017-02-07 |
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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.