ADAM ROSS NORTICK (NPI# 1740277607) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740277607 |
| Entity Type | Individual |
| Full Name | ADAM ROSS NORTICK |
| Credential | MD |
| Practice Address |
339 Walker Chapel Plz Ste 115 Fultondale AL 35068-3402 |
| Mailing Address |
732 Montgomery Hwy # 304 Vestavia Hills AL 35216-1800 |
| Practice Telephone | 2056036820 |
| Practice Fax Number | 2055339941 |
| Mailing Telephone | 2056036820 |
| Mailing Fax Number | 2055339941 |
| Enumeration Date | 2005-10-05 |
| Last Update Date | 2018-02-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
16195 | AL | Allopathic & Osteopathic Physicians |
| N | 207PE0005X |
Emergency Medicine Specialization: Undersea and Hyperbaric Medicine |
16195 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA | AN165808 | 01 | |
| AL | MEDICAL LICENSE | 16195 | 01 |
| Street Address |
339 WALKER CHAPEL PLZ STE 115 |
| City | FULTONDALE |
| State | AL |
| Zip Code | 35068-3402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154962264 | Emily Burns | Nurse Practitioner | 339 Walker Chapel Plz Ste 115, Fultondale, AL 35068-3402 | 2019-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831406925 | Tracy Carter | Pharmacist | 1713 Us Hwy 31 North, Fultondale, AL 35068 | 2010-09-10 |
| 1013238518 | Daphne Delay Dickinson | Pharmacist | 1713 Decatur Hwy, Rite Aid Pharmacy, Fultondale, AL 35068 | 2010-06-18 |
| 1033443775 | Hematology & Oncology Associates of Alabama | Internal Medicine | 339 Walker Chapel Plaza, Suite 109, Fultondale, AL 35068 | 2009-09-29 |
| 1578735510 | Liza Craven Williams | Pharmacist | 1721 Highway 31 North, Fultondale, AL 35068 | 2008-03-31 |
| 1972787687 | Therapy South LLC - Fultondale | Physical Therapist | 3471 Lowery Parkway, Suite 107, Fultondale, AL 35068 | 2007-12-18 |
| 1285820936 | Justin T Cooke | Family Medicine | 3477 Lowery Pkwy Ste 137, Fultondale, AL 35068 | 2007-09-17 |
| 1013098185 | K. Scot Aiken | Pharmacist | 1721 Hwy. 31 North, Fultondale, AL 35068 | 2006-10-17 |
| 1588767214 | Alabama Cvs Pharmacy, L.L.C. | Pharmacy | 1535 Decatur Hwy, Fultondale, AL 35068 | 2006-09-07 |
| 1477574762 | Winn Dixie Stores Inc | Durable Medical Equipment & Medical Supplies | 1721 Us Hwy 31 N, Fultondale, AL 35068 | 2006-07-21 |
| 1821017781 | Family Comfort Hospice LLC | Hospice Care, Community Based | 341 Walker Chapel Plaza, Suite 105, Fultondale, AL 35068 | 2006-07-19 |
| Find all providers in zip 35068 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740642180 | Derek Hunt | Emergency Medicine | 709 Sugar Bend Cir Sw, Madison, AL 35756-5311 | 2016-03-24 |
| 1740595362 | Thomas Kenyon Rose | Emergency Medicine | 130 Aniska Dr, Gadsden, AL 35901-9133 | 2010-08-09 |
| 1871706960 | Eric Wallace | Emergency Medicine | Paula Bldg 230, 728 Richard Arrington Blvd, Birmingham, AL 35294-0001 | 2007-05-07 |
| 1275610602 | Nilam Chiman Patel | Emergency Medicine | 2427 Glasscott Pt, Hoover, AL 35226-6323 | 2006-11-01 |
| 1306922380 | Russell Lee Page II | Emergency Medicine | 25273 Fifth Ave, Florala, AL 36422 | 2006-10-31 |
| 1518981174 | Simmons Ambulance Service | Emergency Medicine | 1956 Sawyer Dr, Monroeville, AL 36460-7984 | 2006-07-27 |
| 1205803327 | D'livro Lemat Beauchamp | Emergency Medicine | 4705 Woodmere Blvd, Montgomery, AL 36106-3078 | 2006-03-07 |
| 1750980819 | Ivy Creek Specialty Care | Emergency Medicine | 201 Mariarden Rd, Dadeville, AL 36853-6244 | 2020-10-20 |
| 1396342184 | Ivy Creek Specialty Care | Emergency Medicine | 500 Hospital Dr, Wetumpka, AL 36092-1625 | 2020-10-05 |
| 1740748821 | Fort Payne Hbp LLC | Emergency Medicine | 200 Medical Center Dr Sw, Fort Payne, AL 35968-3458 | 2019-03-07 |
| Find all providers with the same taxonomy | ||||
| City | FULTONDALE |
| Zip Code | 35068 |
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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.