GARDENDALE SURGICAL ASSOCIATES, LLC (NPI# 1730318353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730318353 |
| Entity Type | Organization |
| Organization Name | GARDENDALE SURGICAL ASSOCIATES, LLC |
| Practice Address |
2213 Decatur Highway Gardendale AL 35071-2301 |
| Mailing Address |
2213 Decatur Highway Gardendale AL 35071 |
| Practice Telephone | 2054186021 |
| Practice Fax Number | 2054186025 |
| Mailing Telephone | 2054186021 |
| Mailing Fax Number | 2054186025 |
| Enumeration Date | 2009-07-02 |
| Last Update Date | 2019-03-25 |
| Authorized Official Name | MS. JENETHA D MORAN (OFFICER / AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 9727633893 |
| 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 |
2213 DECATUR HIGHWAY |
| City | GARDENDALE |
| State | AL |
| Zip Code | 35071-2301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144705682 | Ragan Overby | Nurse Practitioner | 960 Mount Olive Parkway, Gardendale, AL 35071 | 2018-10-01 |
| 1336632561 | Gardendale Oral Surgery, P.C. | Dentist | 919 Sharit Ave Ste 201, Gardendale, AL 35071 | 2018-06-12 |
| 1639696859 | Hillary Neal Davis | Nurse Practitioner | 313 Fieldstown Rd Ste 103, Gardendale, AL 35071 | 2017-08-28 |
| 1306218367 | Gardendale Health Mart Pharmacy LLC | Pharmacy | 835 Odum Rd Ste 101, Gardendale, AL 35071 | 2015-10-29 |
| 1164891610 | Cherry Kelly | Pharmacist | 890 Odum Road, Gardendale, AL 35071 | 2015-09-15 |
| 1023420809 | Paul Mcdonald | Nurse Practitioner | 2334 Us Highway 31, Gardendale, AL 35071 | 2014-05-28 |
| 1285056671 | Andrea Brown | Physical Therapy Assistant | 420 Dean Lane, Gardendale, AL 35071 | 2014-01-20 |
| 1720328784 | Genesis Rehabilation | Skilled Nursing Facility | 420 Dean Drive, Gardendale, ALABAMA 35071 | 2013-02-27 |
| 1609036003 | Sarah Peters Cribbs | Internal Medicine | 210 Fieldstown Rd, Gardendale, AL 35071 | 2008-06-10 |
| 1548313422 | Brookwood Urgent Care, L.L.C. | Family Medicine | 2117 Decatur Highway, Suite 131, Gardendale, AL 35071 | 2007-01-22 |
| Find all providers in zip 35071 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| 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 |
| 1336375930 | Jackson Surgery Center, LLC | Clinic/Center | 1725 Park Pl, Montgomery, AL 36106-1138 | 2009-06-09 |
| Find all providers with the same taxonomy | ||||
| City | GARDENDALE |
| Zip Code | 35071 |
Please comment or provide details below to improve the information on GARDENDALE SURGICAL ASSOCIATES, LLC.
| 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.