DIABETIC AND WOUND CARE MANAGEMENT SERVICES LLC (NPI# 1669785010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669785010 |
| Entity Type | Organization |
| Organization Name | DIABETIC AND WOUND CARE MANAGEMENT SERVICES LLC |
| Practice Address |
34011 Us Highway 280 Childersburg AL 35044-2128 |
| Mailing Address |
Po Box 349 Childersburg AL 35044-0349 |
| Practice Telephone | 2563783313 |
| Practice Fax Number | 2563783315 |
| Mailing Telephone | 2563783313 |
| Mailing Fax Number | 2563783315 |
| Enumeration Date | 2010-07-14 |
| Last Update Date | 2011-03-15 |
| Authorized Official Name | MICHAEL T BICE (PRESIDENT) |
| Authorized Official Telephone | 2563783313 |
| Authorized Official Credential | MBR |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Street Address |
34011 US HIGHWAY 280 |
| City | CHILDERSBURG |
| State | AL |
| Zip Code | 35044-2128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467470526 | Susan Deane Mccollum | Family Medicine | 34011 Us Highway 280, Childersburg, AL 35044-2128 | 2006-07-17 |
| 1235788373 | Orthosports Associates, LLC | Orthopaedic Surgery | 34011 Us Highway 280, Childersburg, AL 35044-2128 | 2019-09-11 |
| 1811430473 | Molly Andrews Ellis | Family Medicine | 34011 Us Highway 280, Childersburg, AL 35044-2128 | 2016-11-29 |
| 1356674741 | Mary Kathryn Reep Zicarelli | Registered Nurse | 34011 Us Highway 280, Childersburg, AL 35044-2128 | 2009-09-16 |
| 1013195254 | Childersburg Diagnostic Imaging, LLC | Physiological Laboratory | 34011 Us Highway 280, Childersburg, AL 35044-2128 | 2008-02-08 |
| 1982812079 | John Rogers Mcdaniel | Dentist | 34011 Us Highway 280, Childersburg, AL 35044-2128 | 2007-05-20 |
| 1053488544 | Coosa Eye Associates, P.C. | Optometrist | 34011 Us Highway 280, Childersburg, AL 35044-2128 | 2006-11-29 |
| 1609947993 | Jarod E Speer | Family Medicine | 34011 Us Highway 280, Suite A, Childersburg, AL 35044-2128 | 2006-11-10 |
| 1508936014 | P. Duncan Roy Jr. | Optometrist | 34011 Us Highway 280, Childersburg, AL 35044-2128 | 2006-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992935514 | Northland Hearing Centers, Inc. | Hearing Aid Equipment | 33605 Hwy 280, Childersburg, AL 35044 | 2009-07-16 |
| 1477735983 | Summer Raye Karns Heard | Audiologist | 33605 Us Highway 280, Childersburg, AL 35044 | 2007-11-27 |
| 1073649737 | Scott Appell Md PC | Orthopaedic Surgery | 34401 Hwy 280, Childersburg, AL 35044 | 2007-02-26 |
| 1952484081 | Management and Medical Services, LLC | Family Medicine | 34011 Highway 280 East, Childersburg, AL 35044 | 2006-10-23 |
| 1790881787 | Wendy White Cleveland | Pharmacist | 33404 Us Hwy 280, Childersburg, AL 35044 | 2006-09-16 |
| 1508962507 | Arnold Larry Kirkland Jr. | Pharmacist | 33404 Us Highway 280, Childersburg, AL 35044 | 2006-09-16 |
| 1831320340 | Terry R Walters | Audiologist-Hearing Aid Fitter | 33605 Hwy 280, Childersburg, AL 35044 | 2009-07-31 |
| 1720010754 | Freds Stores of Tennessee Inc | Pharmacy | 80 River Run Rd, Childersburg, AL 35044-1208 | 2006-07-07 |
| 1558679530 | Jim Peeples | Pharmacist | 80 River Run Rd, Childersburg, AL 35044-1208 | 2010-09-23 |
| 1255574729 | Birmingham Vamc | Clinic/Center | 151 9th Ave Nw, Childersburg, AL 35044-1231 | 2009-04-14 |
| Find all providers in zip 35044 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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|---|---|---|---|---|
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| 1497390447 | Dw Mcmillan Memorial Hospital | General Practice | 1311 Mcmillan Ave, Brewton, AL 36426-1324 | 2019-11-14 |
| 1871059212 | Southeast Medical Group LLC | General Practice | 1930 Edwards Lake Rd Ste 138b, Birmingham, AL 35235-3720 | 2019-02-11 |
| 1528561974 | Stephen David Thrasher | General Practice | 2215 California St Se, Huntsville, AL 35801-2706 | 2018-03-12 |
| 1487170031 | Premier Medical Housecall, LLC | General Practice | 173 Cahaba Valley Pkwy, Pelham, AL 35124-1144 | 2017-08-16 |
| 1336662287 | Center Point Medical LLC | General Practice | 151 Woodham Dr, Albertville, AL 35951-3301 | 2017-07-24 |
| 1558898874 | B Vitality Pllc | General Practice | 3425 Colonnade Pkwy Ste C, Birmingham, AL 35243-2356 | 2017-05-17 |
| 1710438502 | Homewood Family Wellcare LLC | General Practice | 1 Independence Plz Ste 410, Homewood, AL 35209-2648 | 2016-10-17 |
| 1750837068 | Michelle R. Grana, Do; PC | General Practice | 470 Providence Main St Nw Ste 302a, Huntsville, AL 35806-4843 | 2016-08-27 |
| 1073964979 | Taurin Pyongkap Lee | General Practice | 2713 Downing St, Huntsville, AL 35801 | 2016-06-22 |
| Find all providers with the same taxonomy | ||||
| City | CHILDERSBURG |
| Zip Code | 35044 |
Please comment or provide details below to improve the information on DIABETIC AND WOUND CARE MANAGEMENT SERVICES LLC.
| 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.