DR. JULIAN JERROD JESUBATHAM (NPI# 1659682904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659682904 |
| Entity Type | Individual |
| Full Name | DR. JULIAN JERROD JESUBATHAM |
| Credential | MD |
| Practice Address |
200 Office Park Dr Gulf Shores AL 36542-3432 |
| Practice Telephone | 2519687379 |
| Practice Fax Number | 2519685960 |
| Mailing Telephone | 2519687379 |
| Mailing Fax Number | 2519685960 |
| Enumeration Date | 2010-07-01 |
| Last Update Date | 2020-09-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | MD.36071 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 244212 | 05 |
| Street Address |
200 OFFICE PARK DR |
| City | GULF SHORES |
| State | AL |
| Zip Code | 36542-3432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194263202 | Lindsey Mccormick | Family Medicine | 200 Office Park Dr, Gulf Shores, AL 36542-3432 | 2017-02-09 |
| 1871911818 | Diane R Teal | Nurse Practitioner | 200 Office Park Dr, Gulf Shores, AL 36542-3432 | 2014-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073169843 | Mary P Nasello | Technician | 11352 Kelly Ln., Gulf Shores, AL 36542 | 2019-08-16 |
| 1174184915 | Luce Dental Inc. | Clinic/Center | 2025 West 1st St, Gulf Shores, AL 36542 | 2019-06-24 |
| 1699222752 | Jamie M Hayes | Pharmacist | 1527 Gulf Shores Parkway, Gulf Shores, AL 36542 | 2016-09-07 |
| 1265854210 | Mary Edwards | Dentist | 105 West 14th Ave, Gulf Shores, AL 36542 | 2014-01-10 |
| 1629414594 | William Murray Hodge | Counselor | 1401 1st Street, Gulf Shores, AL 36542 | 2013-05-17 |
| 1669720405 | James V Shamburger, Dmd, PC | Dentist | 208 W 19th Ave, Gulf Shores, AL 36542 | 2012-08-28 |
| 1194093658 | Pamela O. Edwards | Dentist | 105 West 14th Avenue, Gulf Shores, AL 36542 | 2011-12-12 |
| 1700198132 | Alycia Marie Kapiotis | Nurse Practitioner | 7293 Roscoe Rd, Gulf Shores, AL 36542 | 2010-07-14 |
| 1699946855 | Dr. Lyle Keith Cooper | Chiropractor | 3325 Gulf Shores Parkway, Gulf Shores, AL 36542 | 2008-03-17 |
| 1780803387 | Lucy Hazebrook | Pharmacist | 1527 Highway 59 South, Gulf Shores, AL 36542 | 2007-04-24 |
| Find all providers in zip 36542 | ||||
| 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 |
|---|---|---|---|---|
| 1639125602 | Lee Enrico Eslava | Internal Medicine | 3620 Gulf Shores Pkwy, Suite 230, Gulf Shores, AL 36542-2847 | 2006-05-25 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | GULF SHORES |
| Zip Code | 36542 |
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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.