SEC LUNG LLC (NPI# 1659501906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659501906 |
| Entity Type | Organization |
| Organization Name | SEC LUNG LLC |
| Practice Address |
822 S Three Notch St Ste B Andalusia AL 36420-5310 |
| Practice Telephone | 8886815864 |
| Practice Fax Number | 3342226633 |
| Mailing Telephone | 8886815864 |
| Mailing Fax Number | 3342226633 |
| Enumeration Date | 2009-07-21 |
| Last Update Date | 2013-06-05 |
| Authorized Official Name | DR. ROBERT I GARVER JR. (OWNER) |
| Authorized Official Telephone | 8886815864 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians |
| Street Address |
822 S THREE NOTCH ST STE B |
| City | ANDALUSIA |
| State | AL |
| Zip Code | 36420-5310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518340777 | Kelly Hammett | Nurse Practitioner | 822 S Three Notch St, Suite B, Andalusia, AL 36420-5310 | 2015-07-07 |
| 1104252634 | Ashley Brooke Maloy Chapman | Pharmacist | 822 S Three Notch St, Andalusia, AL 36420-5310 | 2013-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487184289 | Amber Bryant Seay | Pharmacist | 1991 Mlk Expressway, Andalusia, AL 36420 | 2017-06-14 |
| 1780114587 | Jenifer Harper Stanford | Pharmacist | 1991 M.l. King Jr. Expressway, Andalusia, AL 36420 | 2017-06-14 |
| 1306379797 | Therapy South Andalusia LLC | Physical Therapist | 811 B West Bypass, Andalusia, AL 36420 | 2017-04-04 |
| 1205207685 | Christina Mullen | Hearing Instrument Specialist | 504b East Three Notch St, Andalusia, AL 36420 | 2015-10-12 |
| 1831526029 | Jana M. Mallder | Nurse Practitioner | 508 E Three Notch St # 100, Andalusia, AL 36420 | 2013-10-02 |
| 1902153232 | Alabama Cvs Pharmacy L L C | Durable Medical Equipment & Medical Supplies | 1204 Dr Mlk Expressway, Audalusia, AL 36420 | 2012-08-06 |
| 1457644320 | Christian Sanders Bentley | Pharmacist | 1017 River Falls Street, Andalusia, AL 36420 | 2011-05-25 |
| 1306152624 | James L Barton LLC | Optometrist | 500 Westgate Plaza, Andalusia, AL 36420 | 2010-08-24 |
| 1538337035 | Olive Tree Healthcare PC | Internal Medicine | 301 Medical Avenue, Suite B, Andalusia, AL 36420 | 2008-02-19 |
| 1528255601 | Vyas & Vyas PC (change) | Internal Medicine | 1212 East Three Notch Street, Andalusia, AL 36420 | 2007-10-02 |
| Find all providers in zip 36420 | ||||
| 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 |
|---|---|---|---|---|
| 1003055344 | Pulmonary Associates of Mobile, PC | Internal Medicine | 109 Medical Park Dr, Suite C, Andalusia, AL 36420-5323 | 2009-02-10 |
| 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.