EASTERN SHORE CARE SERVICES (NPI# 1699068783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699068783 |
| Entity Type | Organization |
| Organization Name | EASTERN SHORE CARE SERVICES |
| Practice Address |
411 N Section St Fairhope AL 36532-2649 |
| Mailing Address |
2935 Thousand Oaks Dr Ste 294 San Antonio TX 78247-3563 |
| Practice Telephone | 2519289090 |
| Practice Fax Number | 2519900520 |
| Mailing Telephone | 2104941100 |
| Mailing Fax Number | 2519292500 |
| Enumeration Date | 2011-05-23 |
| Last Update Date | 2019-07-17 |
| Authorized Official Name | DR. WILLIAM R STAGGERS (PRESIDENT OWNER) |
| Authorized Official Telephone | 2519297850 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Street Address |
411 N SECTION ST |
| City | FAIRHOPE |
| State | AL |
| Zip Code | 36532-2649 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548262108 | Jeffrey Leigh Wallace | Preventive Medicine | 411 N Section St, Fairhope, AL 36532-2649 | 2005-08-12 |
| 1316464183 | Alabama Providence Healthcare Services | Family Medicine | 411 N Section St, Fairhope, AL 36532-2649 | 2017-08-23 |
| 1932547437 | Southern Eye Group of Alabama, LLC | Ophthalmology | 411 N Section St, Fairhope, AL 36532-2649 | 2013-06-06 |
| 1104011964 | Clearlyusa.com, L.L.C. | Audiologist-Hearing Aid Fitter | 411 N Section St, Fairhope, AL 36532-2649 | 2007-09-13 |
| 1164614137 | Eastern Shore Care Services, P.C. | Surgery | 411 N Section St, Fairhope, AL 36532-2649 | 2007-08-14 |
| 1114046026 | Bay Eyes Spectacular, Inc | Technician/Technologist | 411 N Section St, Fairhope, AL 36532-2649 | 2007-03-29 |
| 1700801370 | Mary E Johnsten | Physician Assistant | 411 N Section St, Fairhope, AL 36532 | 2006-07-13 |
| 1518919406 | Julia Centanni Ellison | Family Medicine | 411 N Section St, Fairhope, AL 36532-2649 | 2006-05-17 |
| 1649222670 | Kathryn M. Slaughter | Nurse Anesthetist, Certified Registered | 411 N Section St, Fairhope, AL 36532-2649 | 2006-05-17 |
| 1386615961 | James Daniel Wilder IIi | Optometrist | 411 N Section St, Fairhope, AL 36532-2634 | 2006-01-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376000729 | Abby Stockman | Marriage & Family Therapist | 372 S. Greeno Road, Fairhope, AL 36532 | 2019-02-21 |
| 1962973990 | Pain Consultants of Alabama | Non-Pharmacy Dispensing Site | 320 North Greeno Rd., Fairhope, AL 36532 | 2018-12-17 |
| 1881182236 | Interface Medical Consulting LLC | Family Medicine | 12141 Cri, Fairhope, AL 36532 | 2018-05-01 |
| 1063937167 | Julia W Stone, LLC | Counselor | 21180 Al State Hwy 181, Suite 2, Fairhope, AL 36532 | 2017-08-09 |
| 1568985349 | Eastern Shore Oral, Facial and Implant Surgery Center, P.C. | Clinic/Center | 24172 4th Street, Fairhope, AL 36532 | 2017-07-24 |
| 1205209509 | Comfort Care Coastal Hospice, LLC | Hospice Care, Community Based | 22502 U.S. Highway 98, Fairhope, AL 36532 | 2015-11-09 |
| 1609248632 | Sabrina Reeves | Physician Assistant | 77 Magnolia Ave, Fairhope, AL 36532 | 2015-10-29 |
| 1386025146 | Laura Lasecki Wimmer | Podiatrist | 23937 Us Highway 98 Ste 1, Fairhope, AL 36532 | 2015-06-17 |
| 1386024719 | Gulf Coast Homecare LLC Dba Firstlight Homecare of Mobile Eastern Shor | In Home Supportive Care | 924 Plantation Blvd., Suite C, Fairhope, AL 36532 | 2015-06-01 |
| 1386021525 | June Lassiter | Nurse Practitioner | 22823 Ecor Rouge Lane, Fairhope, AL 36532 | 2015-04-27 |
| Find all providers in zip 36532 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477621340 | Stephen R. Parden, LLC | Clinic/Center | 119 High Pines Rdg, Fairhope, AL 36532-6373 | 2006-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487270492 | East Alabama Ambulatory Surgery Center, LLC | Clinic/Center | 900 Camp Road, Auburn, AL 36849-0001 | 2020-06-25 |
| 1962057497 | Clearway Surgery Center of Mobile | Clinic/Center | 855 Downtowner Blvd Ste A, Mobile, AL 36609-5403 | 2019-08-01 |
| 1225698681 | Affinity Gastroenterology Asc LLC | Clinic/Center | 3686 Grandview Pkwy Ste 610, Birmingham, AL 35243-3406 | 2019-06-18 |
| 1669031886 | Surgical Clinic Solutions, LLC | Clinic/Center | 1021 Montgomery Hwy, Vestavia Hills, AL 35216-2805 | 2019-06-11 |
| 1508360181 | Nephrology Vascular Lab of Central Alabama Asc LLC | Clinic/Center | 1280 Columbiana Rd Ste 120, Vestavia Hills, AL 35216-1642 | 2018-03-20 |
| 1699139915 | Cutaneous Oncology & Surgery Center, LLC | Clinic/Center | 1940 Stonegate Dr Ste 140, Vestavia Hls, AL 35242-2541 | 2016-04-12 |
| 1104202613 | Invision Ophthalmology P.C. | Clinic/Center | 1800 Mcfarland Blvd E Ste 337, Tuscaloosa, AL 35404-5882 | 2015-08-06 |
| 1407298920 | Vein & Cosmetic Center of Prattville, LLC | Clinic/Center | 509 Pinnacle Pl, Prattville, AL 36066-6544 | 2013-07-25 |
| 1972805299 | St. Vincent's Outpatient Surgery Services LLC | Clinic/Center | 810 Saint Vincent's Drive, Birmingham, AL 35205-1601 | 2010-11-18 |
| 1730318353 | Gardendale Surgical Associates, LLC | Clinic/Center | 2213 Decatur Highway, Gardendale, AL 35071-2301 | 2009-07-02 |
| 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.