IVY CREEK OF ELMORE, LLC (NPI# 1669733895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669733895 |
| Entity Type | Organization |
| Organization Name | IVY CREEK OF ELMORE, LLC |
| Other Organization Name | IVY CREEK OF ELMORE HOSPITALIST |
| Practice Address |
500 Hospital Dr Wetumpka AL 36092-1625 |
| Practice Telephone | 3345674311 |
| Mailing Telephone | 3345674311 |
| Enumeration Date | 2012-06-05 |
| Last Update Date | 2012-06-05 |
| Authorized Official Name | MR. MICHAEL BRUCE (CEO) |
| Authorized Official Telephone | 3345674311 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208M00000X | Hospitalist | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| IVY CREEK OF ELMORE HOSPITALIST | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578060349 | Ivy Creek of Elmore, LLC | Clinic/Center | 4412 Hogan Rd, Deatsville, AL 36022-3400 | 2018-04-09 |
| 1619098977 | Ivy Creek of Elmore, LLC | Specialist | 201 S Washington Street., Autaugaville, AL 36003 | 2007-04-03 |
| 1508480633 | Ivy Creek of Elmore, LLC | Family Medicine | 525 Hospital Dr, Wetumpka, AL 36092-1626 | 2020-06-04 |
| 1558868323 | Ivy Creek of Elmore, LLC | Clinic/Center | 2256 Gilmer Ave, Tallassee, AL 36078-7114 | 2018-04-09 |
| 1720309982 | Ivy Creek of Elmore, LLC | Physical Medicine & Rehabilitation | 500 Hospital Dr, Suite A, Wetumpka, AL 36092-1625 | 2010-06-22 |
| 1154642684 | Ivy Creek of Elmore, LLC | Surgery | 500 Hospital Dr, Suite B, Wetumpka, AL 36092-1625 | 2010-06-18 |
| 1144547712 | Ivy Creek of Elmore, LLC | Anesthesiology | 500 Hospital Dr, Wetumpka, AL 36092-1625 | 2010-04-22 |
| 1255533642 | Ivy Creek of Elmore, LLC | Home Health | 500 Hospital Drive, Wetumpka, AL 36092-1625 | 2007-06-05 |
| 1093838880 | Ivy Creek of Elmore, LLC | Preferred Provider Organization | 74186 Tallassee Hwy, Wetumpka, AL 36092-5643 | 2007-04-09 |
| 1588795942 | Ivy Creek of Elmore, LLC | General Acute Care Hospital | 500 Hospital Dr, Wetumpka, AL 36092-1625 | 2007-03-08 |
| Street Address |
500 HOSPITAL DR |
| City | WETUMPKA |
| State | AL |
| Zip Code | 36092-1625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396342184 | Ivy Creek Specialty Care | Emergency Medicine | 500 Hospital Dr, Wetumpka, AL 36092-1625 | 2020-10-05 |
| 1467069070 | Ivy Creek Specialty Care | Anesthesiology | 500 Hospital Dr, Wetumpka, AL 36092-1625 | 2020-09-28 |
| 1275919698 | Marlene Wilson-lavalley | Nurse Practitioner | 500 Hospital Dr, Wetumpka, AL 36092-1625 | 2015-08-07 |
| 1396031092 | Ivy Creek of Elmore LLC | General Acute Care Hospital | 500 Hospital Dr, Wetumpka, AL 36092-1625 | 2011-06-22 |
| 1790093029 | Ivy Creek of Elmore LLC | General Acute Care Hospital | 500 Hospital Dr, Wetumpka, AL 36092-1625 | 2010-09-21 |
| 1720309982 | Ivy Creek of Elmore, LLC | Physical Medicine & Rehabilitation | 500 Hospital Dr, Suite A, Wetumpka, AL 36092-1625 | 2010-06-22 |
| 1154642684 | Ivy Creek of Elmore, LLC | Surgery | 500 Hospital Dr, Suite B, Wetumpka, AL 36092-1625 | 2010-06-18 |
| 1144547712 | Ivy Creek of Elmore, LLC | Anesthesiology | 500 Hospital Dr, Wetumpka, AL 36092-1625 | 2010-04-22 |
| 1205034428 | Ivycreek of Elmore LLC | Emergency Medical Technician, Basic | 500 Hospital Dr, Wetumpka, AL 36092-1625 | 2007-07-10 |
| 1588795942 | Ivy Creek of Elmore, LLC | General Acute Care Hospital | 500 Hospital Dr, Wetumpka, AL 36092-1625 | 2007-03-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578195525 | River Region Family Medicine, LLC | Family Medicine | 277 Huntress Street, Suite 100, Wetumpka, AL 36092 | 2020-02-07 |
| 1710548003 | 2la, LLC | Hearing Instrument Specialist | 4354 Us Highway 231, Suite A, Wetumpka, AL 36092 | 2019-06-26 |
| 1124549308 | Medi - Rides Transport LLC | Non-emergency Medical Transport (VAN) | 173 Hill Street, Suite 103, Wetumpka, AL 36092 | 2017-06-28 |
| 1538699129 | Joni Smart | Pharmacist | 4538 Us Hwy 231, Wetumpka, AL 36092 | 2017-06-15 |
| 1134396898 | Blue Ridge Chiropractic, LLC | Chiropractor | 2412 Us Hwy 231, Wetumpka, AL 36092 | 2008-05-13 |
| 1932243565 | Patricia Dianne White Mcclanahan | Psychologist | 8476 U S Hwy 231 Admh Division of Intellectual Disabili, Comprehensive Support Svcs Riv & V, Wetumpka, AL 36092 | 2007-02-16 |
| 1952472607 | Wetumpka Family Practice Pa | Family Medicine | 73970 Tallassee Hwy, Wetumpka, AL 36092 | 2006-11-13 |
| 1063429744 | Jim G Anderson | Chiropractor | 76299 Tallassee Hwy, Wetumpka, AL 36092 | 2006-08-02 |
| 1710908009 | Winn Dixie Stores Inc | Durable Medical Equipment & Medical Supplies | 5326 Hwy 231 South, Wetumpka, AL 36092 | 2006-07-21 |
| 1629011770 | Spencer J Coleman Sr. | Family Medicine | 73970 Tallassee Highway, Wetumpka, AL 36092 | 2006-06-14 |
| Find all providers in zip 36092 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235327503 | Wetumpka Hospitalists, P.C. | Hospitalist | 74186 Tallassee Hwy, Wetumpka, AL 36092-5643 | 2007-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104343581 | Summit Physician Group LLP | Hospitalist | 2700 Hospital Dr Ofc 1, Northport, AL 35476-3360 | 2017-08-25 |
| 1891226106 | Kelsey King | Hospitalist | 619 19th St S # Wpp915, Birmingham, AL 35249-0001 | 2017-03-27 |
| 1649727694 | Whatley Health Services, Inc. | Hospitalist | 508 Green Street, Greensboro, AL 36744-2316 | 2016-09-07 |
| 1174767974 | Norwood Neurology Inc | Hospitalist | 920 Castlemaine Ct, Birmingham, AL 35226-5916 | 2009-04-23 |
| 1467613729 | Xinyu Chen | Hospitalist | 8712 Marsh Ridge Dr, Montgomery, AL 36117-8509 | 2008-06-19 |
| 1043479124 | Felix R Dulanto | Hospitalist | 7625 Old Springville Rd, Trussville, AL 35173-1739 | 2008-06-04 |
| 1184809659 | Kenyetta Terrell | Hospitalist | Wp P915 619 19th Street South, Birmingham, AL 35249-8907 | 2008-01-03 |
| 1487694782 | Fort Payne Hospital Corporation | Hospitalist | 200 Medical Center Dr., Fort Payne, AL 35968 | 2006-06-07 |
| 1083663579 | Fort Payne Hospital Organization | Hospitalist | 200 Medical Centre Dr., Fort Payne, AL 35968 | 2006-05-10 |
| 1235116971 | Steven Craig Smith | Hospitalist | 995 9th Ave Sw, Suite 305, Bessemer, AL 35022-4527 | 2005-12-23 |
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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.