SOUTHEASTERN DIAGNOSTICS, LLC (NPI# 1689036477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689036477 |
| Entity Type | Organization |
| Organization Name | SOUTHEASTERN DIAGNOSTICS, LLC |
| Practice Address |
86261 Highway 9 Ashland AL 36251-7823 |
| Mailing Address |
109 Foothills Pkwy Suite 113 Chelsea AL 35043-8235 |
| Practice Telephone | 2056135255 |
| Mailing Telephone | 2056195255 |
| Mailing Fax Number | 2056189706 |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2016-03-22 |
| Authorized Official Name | MR. WILLIAM CARL WAINSCOTT II (CFO) |
| Authorized Official Telephone | 2056135255 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 246XS1301X |
Spec/Tech, Cardiovascular Specialization: Sonography |
Technologists, Technicians & Other Technical Service Providers | ||
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Street Address |
86261 HIGHWAY 9 |
| City | ASHLAND |
| State | AL |
| Zip Code | 36251-7823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073065645 | Rush Dental Clinic | Clinic/Center | 46 Tyson Rd, Ashland, AL 36251 | 2016-10-31 |
| 1871615526 | Clay County | Local Education Agency (LEA) | 121 2nd Ave N, Ashland, AL 36251 | 2007-04-04 |
| 1861520231 | Stanley Smith Sr. | Pharmacist | 83074 Hwy 9, Ashland, AL 36251 | 2007-02-28 |
| 1629133673 | Clay County Healthcare Authority | Pharmacy | 838255 Hwy 9, Ashland, AL 36251 | 2006-12-27 |
| 1861575334 | Clay County Hospital Home Care, LLC | Home Health | 83825 Highway 9, Ashland, AL 36251 | 2006-10-20 |
| 1952405946 | Charles Daniel Rush | Dentist | #46 Tyson Rd, Ashland, AL 36251 | 2006-09-11 |
| 1417964644 | Rodney Dale Rush | Pharmacist | 83871 Hwy 9, Ashland, AL 36251 | 2006-08-01 |
| 1801811799 | Charles Alan Ogles | Family Medicine | 83745 Hwy 9, Ashland, AL 36251 | 2006-07-13 |
| 1487635843 | George Lemuel Beale | Internal Medicine | 83430 Hwy 9, Ashland, AL 36251 | 2005-11-10 |
| 1528051133 | Charles David Hensleigh | Family Medicine | 83745 Highway 9, Ashland, AL 36251 | 2005-08-30 |
| Find all providers in zip 36251 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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|---|---|---|---|---|
| 1144625682 | John Harrison | General Practice | 4935 Robin Hood Dr, Ashland, KY 41101-6835 | 2014-10-27 |
| 1427323161 | Douglas Falkner | General Practice | 1639 Jackson Rd, Ashland, OR 97520-9617 | 2012-03-13 |
| 1124193743 | John William Stefovic | General Practice | 530 Centre Street, Ashland, PA 17921 | 2006-11-21 |
| 1134544497 | St. Luke's Physician Group Inc | General Practice | 530 Centre St, Ashland, PA 17921-1330 | 2014-02-24 |
| 1396936753 | Thomas H Zwick | General Practice | 1544 Winchester Ave, Suite 1005, Ashland, KY 41101 | 2007-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922624097 | Kyle Rolfe | General Practice | 1962 Schillinger Rd S, Mobile, AL 36695-4118 | 2020-06-24 |
| 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 | ||||
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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.