AZALEA OB/GYN, PC (NPI# 1740383983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740383983 |
| Entity Type | Organization |
| Organization Name | AZALEA OB/GYN, PC |
| Practice Address |
523 Gandy St Ne Suite F Russellville AL 35653-1961 |
| Practice Telephone | 2563313988 |
| Practice Fax Number | 2563313987 |
| Mailing Telephone | 2563313988 |
| Mailing Fax Number | 2563313987 |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. DAPHNE LYNN JONES (MD/PRESIDENT) |
| Authorized Official Telephone | 2563313988 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 00027647 | AL | Allopathic & Osteopathic Physicians |
| Street Address |
523 GANDY ST NE SUITE F |
| City | RUSSELLVILLE |
| State | AL |
| Zip Code | 35653-1961 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245296060 | William B. Wilkinson, Md PC | Specialist | 523 Gandy St Ne, Suite E, Russellville, AL 35653-1961 | 2006-04-21 |
| 1265794598 | Health Care for Life Al, LLC | Podiatrist | 523 Gandy St Ne, Ste A, Russellville, AL 35653-1961 | 2012-06-12 |
| 1528377983 | Russellville Physician Practices LLC | Surgery | 523 Gandy St Ne, Suite E, Russellville, AL 35653-1961 | 2010-10-04 |
| 1649442369 | Russellville Physician Practices LLC | Obstetrics & Gynecology | 523 Gandy St Ne, Suite F, Russellville, AL 35653-1961 | 2008-04-02 |
| 1780766824 | Stuart M Greenberg | Optometrist | 523 Gandy St Ne, Suite A, Russellville, AL 35653-1961 | 2006-10-19 |
| 1548342660 | Sidney Greenberg | Optometrist | 523 Gandy St Ne, Ste. A, Russellville, AL 35653-1947 | 2006-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902384720 | Randy Wade Gooch | Pharmacist | 13675 Us-43, Russellville, AL 35653 | 2018-08-02 |
| 1700301470 | Carole Ann Montgomery | Pharmacist | Walmart Pharmacy, 13675 Us-43, Russellville, AL 35653 | 2017-08-03 |
| 1548632755 | Amanda Carrie Franks | Health Educator | 265 Skyline Dr, Russellville, AL 35653 | 2015-10-27 |
| 1023411220 | Wesley Charles Mayfield | Pharmacist | 14001 Hwy 43 Suite 13, Russellville, AL 35653 | 2014-10-01 |
| 1831322841 | Family Health Care Clinic, Inc. | Clinic/Center | 318 Coffee Ave Ne, Russellville, AL 35653 | 2009-08-25 |
| 1538371075 | Eyedocs On Wheels PC | Optometrist | 15255 Hwy 43, Russellville, AL 35653 | 2007-05-04 |
| 1063634574 | Russellville Physician Practices LLC | Orthopaedic Surgery | 715 Gandy Street Ne, Suite B, Russellville, AL 35653 | 2007-05-03 |
| 1750404141 | Alabama Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 14695 Hwy 43, Russellville, AL 35653 | 2007-04-09 |
| 1629111703 | Franklin County Health Dept Offsite Epsdt | Public Health or Welfare | 801 Highway 48, Russellville, AL 35653 | 2007-02-15 |
| 1750457941 | Southern Rural Health Care Consortium, Inc. | Clinic/Center | 318 Coffee Avenue, Russellville, AL 35653 | 2006-11-28 |
| Find all providers in zip 35653 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477500668 | Bluegrass Womens Health, Pllc | Obstetrics & Gynecology | 1621 Nashville St, Suite 101, Russellville, KY 42276-8871 | 2006-05-31 |
| 1881675965 | Daphne L Jones | Obstetrics & Gynecology | 523 Gandy St Ne Ste F, Russellville, AL 35653-1961 | 2005-11-07 |
| 1942439377 | Suzanna Chatterjee | Obstetrics & Gynecology | 105 Skyline Dr, Russellville, AR 72801-3363 | 2009-07-07 |
| 1588807135 | Cristina M Clark | Obstetrics & Gynecology | 105 Skyline Dr, Russellville, AR 72801-3363 | 2009-04-13 |
| 1649442369 | Russellville Physician Practices LLC | Obstetrics & Gynecology | 523 Gandy St Ne, Suite F, Russellville, AL 35653-1961 | 2008-04-02 |
| 1376734640 | A Woman's Place | Obstetrics & Gynecology | 1623 Nashville St, Suite 202, Russellville, KY 42276-8889 | 2007-08-05 |
| 1720109796 | David Gregory Nelson | Obstetrics & Gynecology | 105 Skyline Dr, Russellville, AR 72801-3363 | 2007-04-03 |
| 1245263631 | Logan Memorial Hospital | Obstetrics & Gynecology | 1623 Nashville St, Suite 105, Russellville, KY 42276-8889 | 2006-07-08 |
| 1871559955 | Michael Wayne Escue | Obstetrics & Gynecology | 105 Skyline Dr, Russellville, AR 72801-3363 | 2006-04-26 |
| 1154387249 | Vickie Henderson | Obstetrics & Gynecology | 105 Skyline Dr, Russellville, AR 72801-3363 | 2006-04-26 |
| Find all providers in RUSSELLVILLE | ||||
| City | RUSSELLVILLE |
| Zip Code | 35653 |
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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.