INTERNAL MEDICINE ASSOCIATES OF MONTGOMERY PC (NPI# 1720106859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720106859 |
| Entity Type | Organization |
| Organization Name | INTERNAL MEDICINE ASSOCIATES OF MONTGOMERY PC |
| Practice Address |
6940 Winton Blount Blvd Montgomery AL 36117-3556 |
| Practice Telephone | 3342799211 |
| Practice Fax Number | 3342799925 |
| Mailing Telephone | 3342799211 |
| Mailing Fax Number | 3342799925 |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2017-01-09 |
| Authorized Official Name | MRS. CANDACE BRIDGES (OFFICE MANAGER) |
| Authorized Official Telephone | 3342799211 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | RAILROAD MEDICARE | CK4854 | 01 |
| AL | 528600110 | 05 |
| Street Address |
6940 WINTON BLOUNT BLVD |
| City | MONTGOMERY |
| State | AL |
| Zip Code | 36117-3556 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154307304 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 6940 Winton Blount Blvd, Montgomery, AL 36117-3556 | 2005-12-20 |
| 1013408723 | Kaitlyn Wells | Nurse Practitioner | 6940 Winton Blount Blvd, Montgomery, AL 36117-3556 | 2018-05-29 |
| 1316031677 | Kirby Parker | Internal Medicine | 6940 Winton Blount Blvd, Montgomery, AL 36117 | 2006-10-03 |
| 1972697464 | Dennis Thomas Woodling | Internal Medicine | 6940 Winton Blount Blvd, Montgomery, AL 36117 | 2006-10-02 |
| 1487748976 | Cobb R Barksdale IIi | Internal Medicine | 6940 Winton Blount Blvd, Montgomery, AL 36117 | 2006-10-02 |
| 1518051010 | Harold Walker Brown | Internal Medicine | 6940 Winton Blount Blvd, Montgomery, AL 36117 | 2006-10-02 |
| 1144314642 | William Jonathan Dailey | Internal Medicine | 6940 Winton Blount Blvd, Montgomery, AL 36117 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568061307 | Bhg Lxxiii, LLC | Clinic/Center | 1714 Platt Place, Montgomery, AL 36117 | 2020-10-22 |
| 1952945602 | East Montgomery Pediatrics LLC | Pediatrics | 337 St Lukes Drive, Montgomery, AL 36117 | 2019-11-05 |
| 1417421496 | Tiffany Webb | Specialist | 411 Twain Curve, E, Montgomey, AL 36117 | 2019-01-14 |
| 1013485374 | Montgomery Orthodontic Specialists | Dentist | 5833 Carmichael Road, Montgomery, AL 36117 | 2018-11-05 |
| 1770050791 | Blair Henderson Parks | Speech-Language Pathologist | 7088 University Court, Montgomery, AL 36117 | 2018-10-29 |
| 1629557822 | Evelyn F Crayton | Dietitian, Registered | 124 Elm Dr, Montgomery, AL 36117 | 2018-08-08 |
| 1194203414 | Coopers Mental Healh Consultations | Psychologist | 8743 Ridgestone Ct, Montgomery, AL 36117 | 2018-07-30 |
| 1063912301 | Gardenia Cove Mental Health PC | Psychiatry & Neurology | 6771 Taylor Circle, Montgomery, AL 36117 | 2018-02-13 |
| 1760900294 | Montgomery Auburn Homecare LLC | In Home Supportive Care | 2569 Bell Rd, Montgomery, AL 36117 | 2017-09-05 |
| 1336667120 | Alyssa Bryanna Swisher | Chiropractor | 2026 Berryhill Road, Montgomery, AL 36117 | 2017-09-01 |
| Find all providers in zip 36117 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922561745 | Kenneth Wayne Roach | Specialist | 15650 Walden Rd Apt 4302, Montgomery, TX 77356-1780 | 2019-04-09 |
| 1013428580 | Larry Dell Turner | Specialist | 600 S Court St Ste 312, Montgomery, AL 36104-4106 | 2017-10-23 |
| 1881042760 | Hairzone | Specialist | 3009 Mcgehee Rd, B, Montgomery, AL 36111-2202 | 2016-06-01 |
| 1043675051 | Robert Wareham | Specialist | 105 Forest Wind Cir, Montgomery, TX 77316-6846 | 2015-12-17 |
| 1497129159 | Annail Reese Fort | Specialist | 3009b Mcgehee Rd, Montgomery, AL 36111-2202 | 2015-11-18 |
| 1699155721 | Maryethel Nutt | Specialist | 53 Quarry Rd, Montgomery, NY 12549-2524 | 2015-06-03 |
| 1225421274 | Next Level Healthcare Consultants LLC | Specialist | 47 S Wind Dr, Montgomery, TX 77356-8232 | 2015-03-16 |
| 1710388483 | Yolanda Flynn | Specialist | 3957 Kimberly St, Montgomery, AL 36116-4515 | 2014-09-11 |
| 1366864647 | Rushmore Surgical Assistants | Specialist | 10906 Scenic Dr, Montgomery, TX 77356-5795 | 2014-01-06 |
| 1538503305 | Committed To Assisting Professionals | Specialist | 12002 Brightwood Dr, Montgomery, TX 77356-7920 | 2013-04-24 |
| Find all providers in MONTGOMERY | ||||
| City | MONTGOMERY |
| Zip Code | 36117 |
Please comment or provide details below to improve the information on INTERNAL MEDICINE ASSOCIATES OF MONTGOMERY PC.
| 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.