DR. TETYANA G. FALKENBERRY (NPI# 1710152582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710152582 |
| Entity Type | Individual |
| Full Name | DR. TETYANA G. FALKENBERRY |
| Other Name | TETYANA G. TACKETT |
| Credential | M.D. |
| Practice Address |
5621 Cottage Hill Rd Mobile AL 36609-4210 |
| Practice Telephone | 2516662439 |
| Practice Fax Number | 2516663055 |
| Mailing Telephone | 2516662439 |
| Mailing Fax Number | 2516663055 |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2019-06-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 30066 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100056760 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6701 Airport Blvd Ste A206, Mobile, AL 366083763 | 2516757433 | 2516753470 |
| Street Address |
5621 COTTAGE HILL RD |
| City | MOBILE |
| State | AL |
| Zip Code | 36609-4210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336112788 | James A Hassell | Family Medicine | 5621 Cottage Hill Rd, Mobile, AL 36609-4210 | 2006-02-08 |
| 1447799861 | Alabama Providence Healthcare Services | Family Medicine | 5621 Cottage Hill Rd, Mobile, AL 36609-4210 | 2017-02-17 |
| 1104278829 | Ali Riza Nazari | Family Medicine | 5621 Cottage Hill Rd, Mobile, AL 36609-4210 | 2016-07-06 |
| 1619306701 | Alabama Providence Healthcare Services | Internal Medicine | 5621 Cottage Hill Rd, Mobile, AL 36609-4210 | 2013-11-08 |
| 1497959613 | Providence Healthcare Services | Internal Medicine | 5621 Cottage Hill Rd, Mobile, AL 36609-4210 | 2007-06-12 |
| 1043375918 | Renata Alma Wix-harris | Family Medicine | 5621 Cottage Hill Rd, Mobile, AL 36609-4210 | 2006-12-22 |
| 1679589162 | Julia Ann Boyd | Nurse Practitioner | 5621 Cottage Hill Rd, Mobile, AL 36609-4210 | 2006-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821698309 | Bhg Lxxii, LLC | Clinic/Center | 4373 Dowtowner Loop South, Suite A, Mobile, AL 36609 | 2020-10-26 |
| 1760036008 | Jesse David Schultz | Chiropractor | 3501 Montlimar Plaza Drive, Mobile, AL 36609 | 2019-07-25 |
| 1982267241 | Raqueal L. Williams | Registered Nurse | 406 Larose Dr., Mobile, AL 36609 | 2019-04-22 |
| 1588131924 | Angela Roney | Counselor | 705 Oak Circle Dr. East, Mobile, AL 36609 | 2018-10-24 |
| 1134617996 | Harley Michelle Oliver | Physician Assistant | 820 S. University Blvd Bldg 1, Suite 1b, Mobile, AL 36609 | 2018-04-27 |
| 1912420126 | Rural Urgent Care LLC | Clinic/Center | 6280 Grelot Road, Mobile, AL 36609 | 2017-07-19 |
| 1598128407 | Trisha Mcmillon | Counselor | 3929 Airport Blvd Ste 1-214, Mobile, AL 36609 | 2016-03-30 |
| 1437523347 | Sonya White D.d.s. PC | Dentist | 6309 Piccadilly Square Dr., Mobile, AL 36609 | 2015-11-17 |
| 1386913374 | Janis Marie Fausser | Pharmacist | 5705 Cottagehill Rd, Mobile, AL 36609 | 2011-12-20 |
| 1245524263 | Emily Chisholm | Physical Therapist | 1515 University Blvd. S., Mobile, AL 36609 | 2011-06-07 |
| Find all providers in zip 36609 | ||||
| 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 |
|---|---|---|---|---|
| 1194105361 | Md Mobile Care, Inc | Family Medicine | 600 Clinic Drive Suite 2800, Mobile, AL 36688-0001 | 2015-06-03 |
| 1417349580 | Jasmine P Gaines | Family Medicine | 801 S University Blvd Ste D, Mobile, AL 36609-2949 | 2015-02-26 |
| 1871992834 | Focusal1010 | Family Medicine | 3165 Dauphin St, Mobile, AL 36606-4061 | 2014-08-15 |
| 1659665123 | William E Barber | Family Medicine | 1504 Springhill Ave, University of South Alabama, Department of Family Medicine, Rm 3414, Mobile, AL 36604-3273 | 2011-06-02 |
| 1598061517 | Affordable Medical Clinic of Alabama | Family Medicine | 4701 Airport Blvd, Suite 200, Mobile, AL 36608-3187 | 2011-02-09 |
| 1952617508 | Gmuc of Springhill LLC | Family Medicine | 4402 Old Shell Rd, Mobile, AL 36608-1912 | 2010-08-20 |
| 1356585301 | Keva Wontoria Collier | Family Medicine | 2889 Sollie Rd, 1321, Mobile, AL 36695-5532 | 2009-04-21 |
| 1912101981 | Providence Healthcare Services | Family Medicine | 6901 Airport Blvd, Mobile, AL 36608-3795 | 2007-06-13 |
| 1740484955 | Providence Healthcare Services | Family Medicine | 8833 Cottage Hill Rd, Mobile, AL 36695-8345 | 2007-06-12 |
| 1124222427 | Providence Healthcare Services | Family Medicine | 5100 Rangeline Road North, Mobile, AL 36619-9504 | 2007-06-12 |
| Find all providers in MOBILE | ||||
Please comment or provide details below to improve the information on DR. TETYANA G. FALKENBERRY.
| 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.