CARDIOLOGY ASSOCIATES OF MOBILE INC (NPI# 1689623076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689623076 |
| Entity Type | Organization |
| Organization Name | CARDIOLOGY ASSOCIATES OF MOBILE INC |
| Other Organization Name | CARDIOLOGY ASSOCIATES;EASTERN SHORE INTERNAL MEDICINE |
| Practice Address |
6701 Airport Blvd Ste D330 Mobile AL 36608-6758 |
| Mailing Address |
6701 Airport Blvd Suite D-330 Mobile AL 36608-6705 |
| Practice Telephone | 2516079797 |
| Practice Fax Number | 2516079761 |
| Mailing Telephone | (251) 607-9797 |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2018-06-16 |
| Authorized Official Name | DR. GERRY M PHILLIPS (PRESIDENT) |
| Authorized Official Telephone | 2516079797 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RA0001X |
Internal Medicine Specialization: Advanced Heart Failure and Transplant Cardiology |
Allopathic & Osteopathic Physicians | ||
| N | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
Allopathic & Osteopathic Physicians | ||
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
Allopathic & Osteopathic Physicians | ||
| N | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
Allopathic & Osteopathic Physicians | ||
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 528601520 | 05 | |
| MS | 9013669 | 05 |
| Other Name | Type Code |
|---|---|
| Cardiology Associates | Doing Business As Name - Organization |
| Cardiology Associates of Mobile Inc. | Former Legal Business Name - Organization |
| Cardiology Associates;Eastern Shore Internal Medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861666711 | Cardiology Associates of Mobile Inc | Internal Medicine | 6701 Airport Blvd, Suite D-330, Mobile, AL 36608-6705 | 2008-04-22 |
| Street Address |
6701 AIRPORT BLVD STE D330 |
| City | MOBILE |
| State | AL |
| Zip Code | 36608-6758 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629513023 | Kate Marshall Mount | Nurse Practitioner | 6701 Airport Blvd Ste D330, Mobile, AL 36608-6758 | 2016-12-21 |
| 1225480304 | Amy Courtney Cooksey | Physician Assistant | 6701 Airport Blvd Ste D330, Mobile, AL 36608-6758 | 2016-07-12 |
| 1316334865 | Laura Taylor | Nurse Practitioner | 6701 Airport Blvd Ste D330, Mobile, AL 36608-6758 | 2015-04-22 |
| 1982003885 | Kathleen Marie Pringle | Physician Assistant | 6701 Airport Blvd Ste D330, Mobile, AL 36608-6758 | 2014-08-15 |
| 1457791642 | Joy M. Gandy | Nurse Practitioner | 6701 Airport Blvd Ste D330, 6701 Airport Blvd Suite D-330, Mobile, AL 36608-6758 | 2013-07-02 |
| 1124385927 | Chad Warren Mcree | Internal Medicine | 6701 Airport Blvd Ste D330, Mobile, AL 36608-6758 | 2012-04-18 |
| 1043586514 | Lauren M Niemeyer | Nurse Practitioner | 6701 Airport Blvd Ste D330, Mobile, AL 36608-6758 | 2012-03-28 |
| 1871869990 | Jordan Michael Chaisson | Internal Medicine | 6701 Airport Blvd Ste D330, Mobile, AL 36608-6758 | 2012-03-23 |
| 1689960478 | Chance M Witt | Internal Medicine | 6701 Airport Blvd Ste D330, Mobile, AL 36608-6758 | 2011-06-21 |
| 1063719227 | Megan Mckown Ogburn | Physician Assistant | 6701 Airport Blvd Ste D330, Mobile, AL 36608-6758 | 2011-02-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475524 | Grantham Dental, Inc. | Dentist | 3620 Springhill Memorial Drive South, Mobile, AL 36608 | 2020-10-21 |
| 1114540879 | Dearrius Hines | Home Health Aide | 1370 Lucerne Dr, Mobile, AL 36608 | 2020-05-28 |
| 1558980409 | Rachel Stevens | Registered Nurse | 8507 Tanner Williams Rd, Mobile, AL 36608 | 2020-04-10 |
| 1073170700 | Usa Health Physician Billing Services LLC | Otolaryngology | 5721 Usa Drive North, Hahn 1119, Mobile, AL 36608 | 2019-05-29 |
| 1952885600 | Franklin Primary Health Center Inc. | Dentist | 990 Cody Rd North, Mobile, AL 36608 | 2018-09-19 |
| 1114410040 | Zackary Elkins | Optometrist | 105 W I65 Service Rd N, Mobile, AL 36608 | 2018-06-14 |
| 1023562865 | Covenant Hospice, Inc. | Internal Medicine | 6801 Airport Blvd., Main Tower, 11th Floor North, Mobile, AL 36608 | 2016-08-10 |
| 1730575416 | Rayven Likely | Student in an Organized Health Care Education/Training Program | 1014 Centerwood Dr, Mobile, AL 36608 | 2015-04-09 |
| 1598040461 | Robert S Harlin | Specialist | 75 Clarise Circle, Mobile, AL 36608 | 2011-10-11 |
| 1972884948 | Heidi Michelle Mcdermott | Physical Therapist | 5721 Usa Drive N, Hahn 2050, Mobile, AL 36608 | 2011-09-06 |
| Find all providers in zip 36608 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1700136728 | Farnoosh Rahimi | Internal Medicine | 2451 Fillingim St Bldg C, Mobile, AL 36617 | 2012-09-17 |
| 1831344217 | Dennis Raymond Thomas | Internal Medicine | 3101 Riviere Du Chien Loop E, Mobile, AL 36693-5408 | 2008-11-26 |
| 1841219789 | Russell F Kelly | Internal Medicine | 6701 Airport Blvd Ste C138, Mobile, AL 36608-3784 | 2006-07-19 |
| 1164462321 | Kenneth M Burnham | Internal Medicine | 3715 Dauphin St Ste 4400, Mobile, AL 36608-1727 | 2006-06-07 |
| 1023057197 | William James Hayes | Internal Medicine | 6600 Wall St, Mobile, AL 36695-4512 | 2006-06-05 |
| 1891742821 | Stephanie Diane Grosz | Internal Medicine | 600 Providence Park Dr E, Mobile, AL 36695-4616 | 2006-05-27 |
| 1730132556 | Mina Ayad Jacob | Internal Medicine | 1700 Spring Hill Ave Ste 100, Mobile, AL 36604-1416 | 2006-05-19 |
| 1588109599 | Citrin Cardiology PC | Internal Medicine | 6701 Airport Blvd, Suite C138, Mobile, AL 36608-3784 | 2016-12-29 |
| 1073973160 | University of South Alabama | Internal Medicine | 2451 Fillingim St, Bldg. C, Mobile, AL 36617-2238 | 2016-03-02 |
| 1124385927 | Chad Warren Mcree | Internal Medicine | 6701 Airport Blvd Ste D330, Mobile, AL 36608-6758 | 2012-04-18 |
| Find all providers in MOBILE | ||||
Please comment or provide details below to improve the information on CARDIOLOGY ASSOCIATES OF MOBILE INC.
| 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.