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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AL | 127494 | 05 |
Street Address |
809 UNIVERSITY BLVD E |
City | TUSCALOOSA |
State | AL |
Zip Code | 35401-2029 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 35401 |
Taxonomy Code | 207RX0202X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Medical Oncology |
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] |
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 |
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 |
Find all providers with the same taxonomy |
City | TUSCALOOSA |
Zip Code | 35401 |
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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.