ELIZABETH CHILDRESS WESTERN (NPI# 1689903833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689903833 |
| Entity Type | Individual |
| Full Name | ELIZABETH CHILDRESS WESTERN |
| Credential | M.D. |
| Practice Address |
701 University Blvd E Suite 507 Tuscaloosa AL 35401-7432 |
| Practice Telephone | 2053303650 |
| Practice Fax Number | 2053303655 |
| Mailing Telephone | 2053303650 |
| Mailing Fax Number | 2053303655 |
| Enumeration Date | 2009-12-17 |
| Last Update Date | 2012-09-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 30931 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | MEDICARE-GROUP | 102G701388 | 01 |
| AL | MEDICAID-GROUP | 138413 | 01 |
| AL | MEDICARE-INDIV. | 102I081387 | 01 |
| AL | MEDICAID INDIV. | 138652 | 01 |
| AL | BC/BS OF AL | 511-27182 | 01 |
| Street Address |
701 UNIVERSITY BLVD E SUITE 507 |
| City | TUSCALOOSA |
| State | AL |
| Zip Code | 35401-7432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720088834 | Donald Charles Gross | Surgery | 701 University Blvd E, Suite 606, Tuscaloosa, AL 35401-2086 | 2005-07-29 |
| 1871019943 | Haley Townsend | Nurse Practitioner | 701 University Blvd E, Tuscaloosa, AL 35401-2086 | 2017-08-20 |
| 1437505138 | Jaime Petrosky | Physician Assistant | 701 University Blvd E, Suite 606, Tuscaloosa, AL 35401-2086 | 2016-05-11 |
| 1063868966 | Aletta Susan Brewer | Nurse Practitioner | 701 University Blvd E, Suite 211, Tuscaloosa, AL 35401-2086 | 2016-05-10 |
| 1114330008 | West Alabama Physician Associates LLC | Surgery | 701 University Blvd E, Suite 604, Tuscaloosa, AL 35401-2086 | 2014-06-09 |
| 1184036865 | West Alabama Physician Associates LLC | Internal Medicine | 701 University Blvd E, Suite 809, Tuscaloosa, AL 35401-2086 | 2014-05-29 |
| 1124372867 | Tuscaloosa Breast Center PC | Specialist | 701 University Blvd E, Suite 606, Tuscaloosa, AL 35401-2086 | 2012-11-02 |
| 1770831968 | Erin Flowers Smith | Pharmacist | 701 University Blvd E, Tuscaloosa, AL 35401-2086 | 2012-08-21 |
| 1437417086 | Capstone Surgical Associates, LLC | Surgery | 701 University Blvd E, Suite 602, Tuscaloosa, AL 35401-7406 | 2012-05-01 |
| 1952557498 | Jeremy Anderson Kelley | Nurse Practitioner | 701 University Blvd E, Suite 400, Tuscaloosa, AL 35401-2086 | 2008-08-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942768031 | Serenity and Hope LLC | Clinic/Center | 2703 7th Street, Tuscaloosa, AL 35401 | 2019-03-07 |
| 1356834428 | Heather Glenn Macleod | Social Worker | 303 Hargrove Rd E Ste A, Tuscaloosa, AL 35401 | 2018-06-12 |
| 1154832921 | Imc of Alabama | Physical Therapist | 5101 21st Street, Tuscaloosa, AL 35401 | 2017-10-19 |
| 1316466238 | Parents Resource Institute for Drug Education (pride) of Tuscaloosa | Community/Behavioral Health | 620 14th Street, Suite E, Tuscaloosa, AL 35401 | 2017-09-12 |
| 1871967075 | Jeri Zemke | Specialist/Technologist | 504 University Blvd, Tuscaloosa, AL 35401 | 2015-11-25 |
| 1356719033 | Jimmy Dean Winters | Nurse Practitioner | Five Horizons Health Services, 2720 6th Street, Tuscaloosa, AL 35401 | 2015-09-11 |
| 1831505429 | Jennifer Baggett | Speech-Language Pathologist | 603 Hackberry Lane, Tuscaloosa, AL 35401 | 2014-07-03 |
| 1184045684 | Samantha Pasteur | Massage Therapist | 2601 12 St, Tuscaloosa, AL 35401 | 2013-12-31 |
| 1386089282 | John Logan Bailey | Pharmacist | 809 University Boulevard, Dch Regional Medical Center, Tuscaloosa, AL 35401 | 2013-05-06 |
| 1104170539 | Kristin C Townsend | Technician, Other | 500 -b Paul Bryant Drive East, Tuscaloosa, AL 35401 | 2012-11-07 |
| Find all providers in zip 35401 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528544475 | Tuscaloosa Primary Care, LLC | Family Medicine | 100 Towncenter Blvd Ste 300, Tuscaloosa, AL 35406-1835 | 2018-07-13 |
| 1851822100 | American Family Care, Inc. | Family Medicine | 710 15th Street East, Tuscaloosa, AL 35401-0000 | 2017-03-27 |
| 1700279577 | Hort Md, PC | Family Medicine | 2224 15th St, Tuscaloosa, AL 35401-4611 | 2015-03-18 |
| 1386056026 | Remona Peterson | Family Medicine | 6521 Highway 69 S Ste M, Tuscaloosa, AL 35405 | 2014-05-29 |
| 1881039048 | West Alabama Physician Associates LLC | Family Medicine | 1120 Ruby Tyler Pkwy, Tuscaloosa, AL 35404-2959 | 2013-05-01 |
| 1659541563 | James Peter Whitley | Family Medicine | 2731 Mlk Jr. Blvd, Tuscaloosa, AL 35401 | 2008-03-06 |
| 1356493514 | Bobby E. Hill, M.d., P.C. | Family Medicine | 1647 Mcfarland Blvd N, Suite #1-c, Tuscaloosa, AL 35406-2248 | 2007-01-17 |
| 1295801579 | Steve R Lovelady | Family Medicine | 1490 N Bank Pkwy, Suite 290, Tuscaloosa, AL 35406-2430 | 2006-11-28 |
| 1912093287 | Charles Craig Hudson | Family Medicine | 1708 Duval St, Tuscaloosa, AL 35406-2037 | 2006-10-05 |
| 1316047285 | Taylorville Family Medicine, PC | Family Medicine | 7700 Highway 69 S, Suite C, Tuscaloosa, AL 35405-8783 | 2006-09-22 |
| Find all providers in TUSCALOOSA | ||||
| City | TUSCALOOSA |
| Zip Code | 35401 |
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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.