WYBENGA FAMILY HEALTHCARE, INC. (NPI# 1710998505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710998505 |
| Entity Type | Organization |
| Organization Name | WYBENGA FAMILY HEALTHCARE, INC. |
| Practice Address |
564 N Memorial Dr Prattville AL 36067-2132 |
| Mailing Address |
2257 Taylor Rd 200 Montgomery AL 36117-7790 |
| Practice Telephone | 3343582010 |
| Mailing Telephone | 3342709914 |
| Mailing Fax Number | 3342703195 |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2007-08-22 |
| Authorized Official Name | DR. MAARTEN A WYBENGA (OWNER) |
| Authorized Official Telephone | 3343582010 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
564 N MEMORIAL DR |
| City | PRATTVILLE |
| State | AL |
| Zip Code | 36067-2132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770861544 | Wendy Mcfarland Cavey | Nurse Practitioner | 564 N Memorial Dr, Prattville, AL 36067-2132 | 2011-07-28 |
| 1063644623 | Jennifer Hagan Mann | Nurse Practitioner | 564 N Memorial Dr, Prattville, AL 36067-2132 | 2009-08-17 |
| 1902987555 | Maarten A Wybenga | Family Medicine | 564 N Memorial Dr, Prattville, AL 36067-2132 | 2006-10-18 |
| 1093896540 | Amy Marie Wybenga | Registered Nurse | 564 N Memorial Dr, Prattville, AL 36067-2132 | 2006-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316352552 | Agape Me LLC | Case Manager/Care Coordinator | 353 Bent Tree Dr., Prattville, AL 36067 | 2014-06-26 |
| 1770868671 | Susan Elizabeth Swink | Pharmacist | 703 South Memorial Dr, Walgreens Pharmacy, Prattville, AL 36067 | 2011-10-12 |
| 1255501458 | Edwin R. Mullins | Dentist | 268 1st St., Prattville, AL 36067 | 2008-03-04 |
| 1598891046 | James Ronald Roberson Sr. | Dentist | 113 E Main, Prattville, AL 36067 | 2007-02-26 |
| 1326184029 | Prattville Primary Care LLC | Family Medicine | 461 E Main Street, Prattville, AL 36067 | 2007-01-29 |
| 1669591418 | Walter Eugene Parker | Family Medicine | 107 Quail Run, Prattville, AL 36067 | 2007-03-29 |
| 1376582049 | James Daniel Cartwright | Internal Medicine | 808 Durden Rd, Prattville, AL 36067-1533 | 2006-06-06 |
| 1386162816 | Logan Elizabeth Dodd | Speech-Language Pathologist | 815 Durden Rd, Prattville, AL 36067-1534 | 2017-09-05 |
| 1891182200 | Steve Weedon | Specialist/Technologist | 1218 Kingston Garden Rd, Prattville, AL 36067-1704 | 2015-04-23 |
| 1780042887 | James K Nichols Jr. | Nurse Anesthetist, Certified Registered | 101 Coleman Dr, Prattville, AL 36067-1766 | 2016-02-03 |
| Find all providers in zip 36067 | ||||
| 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 |
|---|---|---|---|---|
| 1588178735 | Medical Care Associates Prattville | Family Medicine | 102 Medical Center Dr Ste A, Prattville, AL 36066-7286 | 2017-11-27 |
| 1205340460 | Medical Care Associates Prattville | Family Medicine | 645 Mcqueen Smith Rd N Ste 302b, Prattville, AL 36066-7269 | 2017-11-27 |
| 1669763868 | Amanda Wilcox | Family Medicine | 1805 Station Dr, Prattville, AL 36066-5667 | 2011-04-22 |
| 1326184029 | Prattville Primary Care LLC | Family Medicine | 461 E Main Street, Prattville, AL 36067 | 2007-01-29 |
| 1437213345 | John Angus Maclennan | Family Medicine | 370 Selma Hwy, Prattville, AL 36067-1903 | 2006-12-22 |
| 1134140734 | James Carson Byrd | Family Medicine | 1807 Station Dr Ste C, Prattville, AL 36066-5592 | 2006-07-21 |
| 1689608747 | Danny P Ingram | Family Medicine | Po Drawer 681330, Prattville, AL 36068-1330 | 2006-07-11 |
| 1114959459 | Charles Wooldridge | Family Medicine | 1595 E Main St, Prattville, AL 36066-5509 | 2006-07-07 |
| 1730157561 | Sanjiv A Shah | Family Medicine | 124 S Memorial Dr, Prattville, AL 36067-3619 | 2006-03-09 |
| 1427044395 | Charles Garrison Cloutier | Family Medicine | 461 E Main St, Prattville, AL 36067-3409 | 2005-09-26 |
| Find all providers in PRATTVILLE | ||||
| City | PRATTVILLE |
| Zip Code | 36067 |
Please comment or provide details below to improve the information on WYBENGA FAMILY HEALTHCARE, 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.