DR. SUSAN E. BOSTICK


Address: 809 University Blvd E, Tuscaloosa, AL 35401-2029
Phone: 2057597800

DR. SUSAN E. BOSTICK (NPI# 1659582369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1659582369
Entity Type Individual
Full Name DR. SUSAN E. BOSTICK
Credential M.D.
Practice Address 809 University Blvd E
Tuscaloosa
AL 35401-2029
Mailing Address 801 University Blvd E
Tuscaloosa
AL 35401-2029
Practice Telephone 2057597800
Practice Fax Number 2053438029
Mailing Telephone 2057597800
Mailing Fax Number 2053438029
Enumeration Date 2007-05-24
Last Update Date 2013-04-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207R00000X Internal Medicine 119907 MS Allopathic & Osteopathic Physicians
N 207R00000X Internal Medicine 30835 AL Allopathic & Osteopathic Physicians
Y 207RX0202X Internal Medicine
Specialization: Medical Oncology
30835 AL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
AL 127494 05

Office Location

Street Address 809 UNIVERSITY BLVD E
City TUSCALOOSA
State AL
Zip Code 35401-2029

Providers in the same location

NPI Name Taxonomy Address Enumeration
1497751226 Helena T Buchalter Pathology 809 University Blvd E, Tuscaloosa, AL 35401-2029 2005-06-27
1548873045 Jerome Edwards Pharmacy Technician 809 University Blvd E, Tuscaloosa, AL 35401-2029 2020-08-25
1215552021 Lauren Kyzar Nurse Practitioner 809 University Blvd E, Tuscaloosa, AL 35401-2029 2020-06-08
1912532664 Clint Winfield Miller Nurse Anesthetist, Certified Registered 809 University Blvd E, Tuscaloosa, AL 35401-2029 2020-03-03
1124667332 James Lewis Fenley IIi Registered Nurse 809 University Blvd E, Tuscaloosa, AL 35401-2029 2020-01-06
1609418342 Joshua Wayne Bankston Nurse Practitioner 809 University Blvd E, Tuscaloosa, AL 35401-2029 2019-10-15
1821651589 Jenna L Gaut Nurse Practitioner 809 University Blvd E, Tuscaloosa, AL 35401-2029 2019-04-18
1881150738 Tyler Matthew Elmore Nurse Anesthetist, Certified Registered 809 University Blvd E, Tuscaloosa, AL 35401-2071 2019-02-15
1093282691 Courtney Hendrix Nurse Practitioner 809 University Blvd E, Tuscaloosa, AL 35401-2029 2018-11-01
1841766375 Haley Tipps Nurse Practitioner 809 University Blvd E, Tuscaloosa, AL 35401-2029 2018-10-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1942768031 Serenity and Hope LLC Clinic/Center 2703 7th Street, Tuscaloosa, AL 35401 2019-03-07
1356834428 Heather Glenn Macleod Social Worker 303 Hargrove Rd E Ste A, Tuscaloosa, AL 35401 2018-06-12
1154832921 Imc of Alabama Physical Therapist 5101 21st Street, Tuscaloosa, AL 35401 2017-10-19
1316466238 Parents Resource Institute for Drug Education (pride) of Tuscaloosa Community/Behavioral Health 620 14th Street, Suite E, Tuscaloosa, AL 35401 2017-09-12
1871967075 Jeri Zemke Specialist/Technologist 504 University Blvd, Tuscaloosa, AL 35401 2015-11-25
1356719033 Jimmy Dean Winters Nurse Practitioner Five Horizons Health Services, 2720 6th Street, Tuscaloosa, AL 35401 2015-09-11
1831505429 Jennifer Baggett Speech-Language Pathologist 603 Hackberry Lane, Tuscaloosa, AL 35401 2014-07-03
1184045684 Samantha Pasteur Massage Therapist 2601 12 St, Tuscaloosa, AL 35401 2013-12-31
1386089282 John Logan Bailey Pharmacist 809 University Boulevard, Dch Regional Medical Center, Tuscaloosa, AL 35401 2013-05-06
1104170539 Kristin C Townsend Technician, Other 500 -b Paul Bryant Drive East, Tuscaloosa, AL 35401 2012-11-07
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Taxonomy Information

Taxonomy Code 207RX0202X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Medical Oncology

Taxonomy Definition

An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1992771448 Ariel Anguiano Internal Medicine 801 University Blvd E, Tuscaloosa, AL 35401-2029 2006-02-24
1215955786 David Lee Hinton Internal Medicine 809 University Blvd E, Dch Cancer Treatment Center, Tuscaloosa, AL 35401-2029 2006-07-17
1033137518 John William Dubay Internal Medicine 809 University Blvd E, Dch Cancer Treatment Center, Tuscaloosa, AL 35401-2029 2006-07-17

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1023025434 Naveen Thomas Lobo Internal Medicine 1310 14th Ave Se, Decatur, AL 35601-4347 2006-08-01
1609890474 Elquis M. Castillo Internal Medicine 705 Goodyear Ave, Gadsden, AL 35903-1156 2006-07-26
1295773125 Laura Christopher Bunch Internal Medicine 4500 Montevallo Rd, Suite E101, Irondale, AL 35210-3129 2006-06-03
1700837614 Hassan M Fathallah-shaykh Internal Medicine University of Alabama At Birmingham, Fot 1020, 1530 3rd Ave S, Birmingham, AL 35294-0001 2006-05-15
1891756805 Karl Tracy Hagler Internal Medicine 101 Dr W H Blake Jr Dr, Muscle Shoals, AL 35661-2152 2006-03-29
1083693154 Marshall T Schreeder Internal Medicine 3601 Cci Dr Nw, Huntsville, AL 35805-2606 2006-01-17
1821084534 Dinesh C Parmar Internal Medicine 355 S 2nd St, Gadsden, AL 35901-5202 2005-09-27
1619960507 Patricia K Lillis Internal Medicine 2148 Walbash Dr, Montgomery, AL 36116-1383 2005-08-25
1861797920 Cancer Care Center PC Internal Medicine 1310 14th Ave Se, Decatur, AL 35601-4347 2011-01-21
1942512637 Sachin G Pai Internal Medicine 1660 Spring Hill Ave, Mobile, AL 36604-1405 2010-07-09
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Competitor

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City TUSCALOOSA
Zip Code 35401

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Dataset Information

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.

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