COOSA VALLEY - ARISTO ER, LLC (NPI# 1720524689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720524689 |
| Entity Type | Organization |
| Organization Name | COOSA VALLEY - ARISTO ER, LLC |
| Practice Address |
315 W Hickory St Sylacauga AL 35150-2913 |
| Mailing Address |
Po Box 830525 Dept Sf69 Birmingham AL 35283-0525 |
| Practice Telephone | 2564014000 |
| Enumeration Date | 2017-01-16 |
| Last Update Date | 2017-01-16 |
| Authorized Official Name | MR. CHARLES RICH STREET JR. (CEO/OWNER) |
| Authorized Official Telephone | 2053135202 |
| Is Organization Subpart | Y |
| Parent Organization Name | ARISTO ER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Alabama Business Registrations | Coosa Valley - Aristo ER, LLC | 2728 Rev. Abraham Woods Jr Blvd N, Birmingham, AL 35203 |
| Street Address |
315 W HICKORY ST |
| City | SYLACAUGA |
| State | AL |
| Zip Code | 35150-2913 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043215114 | Sandra B Martin | Specialist | 315 W Hickory St, Sylacauga, AL 35150-2913 | 2005-06-16 |
| 1891394912 | Roger D Morris Jr. | Pharmacist | 315 W Hickory St, Sylacauga, AL 35150-2913 | 2020-10-20 |
| 1265091771 | Marilee Agnes Platzek | Nurse Practitioner | 315 W Hickory St, Sylacauga, AL 35150-2913 | 2019-06-08 |
| 1215490065 | Melanie English Moore | Dietitian, Registered | 315 W Hickory St, Sylacauga, AL 35150-2913 | 2019-04-09 |
| 1831676485 | Sylacauga Health Care Authority | Anesthesiology | 315 W Hickory St, Sylacauga, AL 35150-2913 | 2018-07-26 |
| 1275029845 | Angelica Scoggins | Nurse Practitioner | 315 W Hickory St, Sylacauga, AL 35150-2913 | 2018-07-07 |
| 1013401132 | Coosa Valley Healthcare Center LLC | Skilled Nursing Facility | 315 W Hickory St, Sylacauga, AL 35150-2913 | 2018-06-21 |
| 1720507635 | Nes Tennessee Inc | Emergency Medicine | 315 W Hickory St, Sylacauga, AL 35150-2913 | 2017-09-12 |
| 1700323151 | James David Miller | Nurse Practitioner | 315 W Hickory St, Sylacauga, AL 35150-2913 | 2017-01-24 |
| 1770940132 | Tracey Allen | Pharmacist | 315 W Hickory St, Sylacauga, AL 35150-2913 | 2016-01-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245830934 | Casey Delane Sumner | Pharmacist | 1930 Pleasant Ridge Loop, Sylacauga, AL 35150 | 2020-10-30 |
| 1043870231 | Rehab and Wellness Clinic, LLC | Pain Medicine | 234 North Broadway, Sylacauga, AL 35150 | 2019-06-19 |
| 1366999195 | Tasia Bates Bradford | Nurse Practitioner | 209 W Spring St Ste 102, Sylacauga, AL 35150 | 2016-09-09 |
| 1083831804 | Coosa Valley Urology, P.C. | Specialist | 16 South Douglas Avenue, Sylacauga, AL 35150 | 2007-04-20 |
| 1689720641 | John Sidney Mcpeters | Dentist | 1604 Talladega Hwy, Dr John S Mcpeters, Sylacauga, AL 35150 | 2007-01-25 |
| 1972652386 | David Paul Currie | Dentist | 499 W 3rd St, Sylacauga, AL 35150 | 2007-01-09 |
| 1336221647 | Thomas M Kines | Optometrist | 493 W 3rd Street, Sylacauga, AL 35150 | 2006-10-19 |
| 1275623639 | Charles E. Singleton | Surgery | 208 West Spring Street, Suite 300, Sylacauga, AL 35150 | 2006-10-13 |
| 1881794410 | Said Y Salman | Durable Medical Equipment & Medical Supplies | 122 N Broadway Ave, Sylacauga, AL 35150 | 2006-09-24 |
| 1952416141 | Bruno's Supermarkets, LLC. | Durable Medical Equipment & Medical Supplies | 1301 West Ft Williams, Sylacauga, AL 35150 | 2006-08-20 |
| Find all providers in zip 35150 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720507635 | Nes Tennessee Inc | Emergency Medicine | 315 W Hickory St, Sylacauga, AL 35150-2913 | 2017-09-12 |
| 1609086255 | Southern Medical Group Inc | Emergency Medicine | 315 W Hickory St, Sylacauga, AL 35150-2913 | 2007-05-23 |
| 1164447389 | David K Williamson | Emergency Medicine | 315 W Hickory St, Sylacauga, AL 35150-2913 | 2006-07-12 |
| 1881621274 | William Braden Pittman | Emergency Medicine | 315 W Hickory St, Sylacauga, AL 35150-2913 | 2006-06-28 |
| 1598792665 | Ronald Pearson | Emergency Medicine | 315 W Hickory St, Sylacauga, AL 35150-2913 | 2006-06-26 |
| 1649235649 | Anthony Andrew Cibulski | Emergency Medicine | 315 W Hickory St, Sylacauga, AL 35150-2913 | 2006-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740802115 | Jonathan Patrick Oakie | Emergency Medicine | 134 Grand Haven Dr, Tuscumbia, AL 35674-9133 | 2020-05-08 |
| 1639692767 | Northwest Alabama Emergency Medicine LLC | Emergency Medicine | 1751 Veterans Dr, Florence, AL 35630-4928 | 2017-07-20 |
| 1245768316 | Ashton Elisabeth Kilgore | Emergency Medicine | 618 20th St South Suite 251, Birmingham, AL 35249-4756 | 2017-06-01 |
| 1568998169 | Hannah Obayangban | Emergency Medicine | 801 Princeton Ave Sw Ste 101, Birmingham, AL 35211-1306 | 2017-05-03 |
| 1255872594 | Harris Lake Emergency Physicians LLC | Emergency Medicine | 1032 South Main Street, Wedowee, AL 36278 | 2017-03-20 |
| 1720492242 | Christopher John Phillips | Emergency Medicine | 1201 7th Street Se, Decatur, AL 35601 | 2014-06-12 |
| 1497175236 | Paul Nicholas Lee Jr. | Emergency Medicine | 1626 Parkmoor Ct, Mobile, AL 36695-4385 | 2014-04-20 |
| 1831518943 | Rene Thomas Schexnaildre Jr. | Emergency Medicine | 7191 Cahaba Valley Rd Ste 108, Birmingham, AL 35242-6461 | 2014-04-16 |
| 1073930251 | Rachel Michelle Giyanani | Emergency Medicine | 100 Washington St Ne, Huntsville, AL 35801-4860 | 2014-03-25 |
| 1063836765 | Mohamed Hassan | Emergency Medicine | 5569 Grove Blvd, Hoover, AL 35226 | 2014-02-15 |
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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.