WILMER MEDICAL CLINIC, LLC (NPI# 1649667577) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649667577 |
| Entity Type | Organization |
| Organization Name | WILMER MEDICAL CLINIC, LLC |
| Practice Address |
6353 2nd Street Wilmer AL 36587 |
| Mailing Address |
10075 Grand Bay Wilmer Rd S Grand Bay AL 36541-5003 |
| Practice Telephone | 2518651852 |
| Mailing Telephone | 2518651852 |
| Enumeration Date | 2015-04-17 |
| Last Update Date | 2015-10-26 |
| Authorized Official Name | LLOYD S STOKES (MANAGING PARTNER) |
| Authorized Official Telephone | 2518651852 |
| Authorized Official Credential | NP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
6353 2ND STREET |
| City | WILMER |
| State | AL |
| Zip Code | 36587 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790227213 | R & M Drugs Inc | Durable Medical Equipment & Medical Supplies | 13170 Moffett Rd, Wilmer, AL 36587-4410 | 2016-11-15 |
| 1598831422 | Kristina E Ray | Internal Medicine | 6353 2nd St, Wilmer, AL 36587-4453 | 2006-11-24 |
| 1750533105 | Jessica Eve Kelley | Counselor | 10455 Franklin Ln, Wilmer, AL 36587-9336 | 2008-10-16 |
| 1710517230 | Courtney Leann Lavender | Student in an Organized Health Care Education/Training Program | 6664 Glenwood Rd, Wilmer, AL 36587-9536 | 2020-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760940563 | Above Average Health and House Calls LLC | Nurse Practitioner | 989 Winning Colors Dr, Wilmer, TX 75172-2336 | 2019-03-11 |
| 1235672189 | Stacy Nicole Johnson | Contractor | 259 Green Meadows Rd, Wilmer, TX 75172-3336 | 2016-11-27 |
| 1669880589 | Country Crossings LLC. | Non-emergency Medical Transport (VAN) | 301 First St. Ste 229, Wilmer, TX 75172 | 2014-07-23 |
| 1760801963 | Medline Industries, Inc | Durable Medical Equipment & Medical Supplies | 1 Medline Drive, Wilmer, TX 75172-2107 | 2014-04-15 |
| 1295159861 | Randy Montrall Garner | Non-emergency Medical Transport (VAN) | 301 First St. # 229, Wilmer, TX 75172 | 2014-02-18 |
| 1083985261 | Amor Mas Amor, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 197 Shelly Rd, Wilmer, TX 75172-2316 | 2012-01-20 |
| 1700116290 | Robert Cleveland Muncrief IIi | Counselor | 200 Greene Road, Wilmer, TX 75172 | 2010-01-05 |
| 1396952321 | City of Wilmer | Ambulance | 220 1st St, Wilmer, TX 75172-1126 | 2007-05-17 |
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1598831422 | Kristina E Ray | Internal Medicine | 6353 2nd St, Wilmer, AL 36587-4453 | 2006-11-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093324287 | Prestige Telemedicine Group LLC | Internal Medicine | 303 Cumberland Rd, Fairhope, AL 36532-3442 | 2020-07-23 |
| 1447872999 | Robert C. Cain, M.d., LLC | Internal Medicine | 5381 1st Ave N, Birmingham, AL 35212-2401 | 2020-05-07 |
| 1306467337 | Ginger Alred, Md PC | Internal Medicine | 636 2nd St Ne Ste B, Alabaster, AL 35007-8817 | 2020-04-30 |
| 1831718535 | Healthpointe | Internal Medicine | 24020 John T Reid Pkwy, Scottsboro, AL 35769 | 2020-04-13 |
| 1881223162 | Pelham Internal Medicine LLC | Internal Medicine | 2156 Highway 52 East, Suite 100, Pelham, AL 35124 | 2020-04-07 |
| 1992339246 | Comprehensive Pediatrics and Internal Medicine, LLC | Internal Medicine | 430 Emery Dr Ste 200, Hoover, AL 35244-4595 | 2020-02-26 |
| 1922657147 | Julie Anna Wright | Internal Medicine | 100 Rice Mine Rd N Ste 100, Tuscaloosa, AL 35406-3905 | 2019-09-10 |
| 1346897550 | Leap Medical Services LLC | Internal Medicine | 22375 Troon Dr, Athens, AL 35613-8138 | 2019-08-22 |
| 1689146250 | Faith Internal Medicine PC | Internal Medicine | 755 55th Pl E, Tuscaloosa, AL 35405-4140 | 2018-12-20 |
| 1437625084 | Kathryn Northcutt Cunningham | Internal Medicine | 6434 County Road 95, Elberta, AL 36530-5728 | 2018-10-22 |
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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.