EAMC THE WOUND TREATMENT CENTER (NPI# 1750434452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750434452 |
| Entity Type | Organization |
| Organization Name | EAMC THE WOUND TREATMENT CENTER |
| Practice Address |
2000 Pepperell Pkwy Opelika AL 36801-5452 |
| Practice Telephone | 3345282319 |
| Practice Fax Number | 3345282320 |
| Mailing Telephone | 3345282319 |
| Mailing Fax Number | 3345282320 |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. CHRISTOPHER M CLARK (DIRECTOR - ONCOLOGY SVC & WOUND CTR) |
| Authorized Official Telephone | 3345282309 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0011X |
Preventive Medicine Specialization: Undersea and Hyperbaric Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BLUE CROSS - BLUE SHIELD | 010029 | 01 |
| Street Address |
2000 PEPPERELL PKWY |
| City | OPELIKA |
| State | AL |
| Zip Code | 36801-5452 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467452532 | John F Cabelka II | Radiology | 2000 Pepperell Pkwy, Radiation Oncology, Opelika, AL 36801-5452 | 2005-07-29 |
| 1437766185 | Katy Angelina Medford | Specialist/Technologist | 2000 Pepperell Pkwy, Opelika, AL 36801 | 2020-09-27 |
| 1093321473 | Kelsey Nicole Carter | Registered Nurse | 2000 Pepperell Pkwy, Opelika, AL 36801-5452 | 2020-09-21 |
| 1881209500 | Monty D Ledbetter | Nurse Practitioner | 2000 Pepperell Pkwy, Opelika, AL 36801-5452 | 2020-09-10 |
| 1568071652 | Emily Sandlin Norris | Family Medicine | 2000 Pepperell Pkwy, Opelika, AL 36801-5452 | 2020-07-24 |
| 1881219285 | Sarah Vest Cogle | Pharmacist | 2000 Pepperell Pkwy, Opelika, AL 36801-5452 | 2020-06-11 |
| 1336769892 | Alexa Pratt | Registered Nurse | 2000 Pepperell Pkwy, Opelika, AL 36801-5452 | 2020-04-24 |
| 1629602339 | Joseph Earl Kaczynski | Nurse Practitioner | 2000 Pepperell Pkwy, Opelika, AL 36801-5452 | 2020-03-03 |
| 1982235065 | Kimberly De Vincentis Jones | Nurse Anesthetist, Certified Registered | 2000 Pepperell Pkwy, Opelika, AL 36801-5452 | 2020-01-28 |
| 1912541806 | Darlene Wilson | Nurse Practitioner | 2000 Pepperell Pkwy, Opelika, AL 36801-5452 | 2019-11-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407400963 | Paul Simon | Physical Therapist | 3051 Frederick Rd Suite 4, Opelika, AL 36801 | 2019-08-01 |
| 1932662434 | East Alabama Apothecary LLC | Pharmacy | 2501 Village Professional Drive, Suite 2031, Opelika, AL 36801 | 2019-04-11 |
| 1316399108 | Jessica Audrey Haynie | Nurse Practitioner | 2609 Village Prof. Dr., Suite 3, Opelika, AL 36801 | 2016-07-06 |
| 1639574916 | Melissa Shah Kerber | Dentist | 2015 Interstate Drive, Opelika, AL 36801 | 2014-10-28 |
| 1588096200 | Carla Lynn Hudson | Nurse Practitioner | 2420 Village Professional Drive, Opelika, AL 36801 | 2013-08-05 |
| 1528404878 | Baowu Wang | Psychiatry & Neurology | 2506 Lambert Drive, Opelika, AL 36801 | 2013-05-14 |
| 1144566266 | Caremed Inc. | Durable Medical Equipment & Medical Supplies | 702 N Railroad Ave., Opelika, AL 36801 | 2012-12-18 |
| 1659635472 | Meshia Kerry-ann Wallace | Internal Medicine | 2412 Village Professional Dr S, Opelika, AL 36801 | 2012-06-26 |
| 1558651570 | Amanda Mamie Reimer | Psychiatry & Neurology | 2570 Village Professional Park, Opelika, AL 36801 | 2011-04-11 |
| 1356640569 | Mary Neal Gipson | Marriage & Family Therapist | 218 S. 8th St., Opeika, AL 36801 | 2011-03-28 |
| Find all providers in zip 36801 | ||||
| Taxonomy Code | 2083P0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Undersea and Hyperbaric Medicine |
| A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns and bone infections. This specialist also serves as consultant to other physicians in all aspects of hyperbaric chamber operations and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669928867 | American Hyperbaric Center | Preventive Medicine | 8871 Rand Ave, Unit B, Daphne, AL 36526-9138 | 2016-08-28 |
| 1821351669 | University of Alabama At Birmingham | Preventive Medicine | Uab Russell Clinic, 1813 6th Ave N, Suite M120, Birmingham, AL 35249-0001 | 2012-06-18 |
| 1578861688 | Wiregrass Wound Care LLC | Preventive Medicine | 1908 Fairview Ave, Dothan, AL 36301-3008 | 2011-03-14 |
| 1699750398 | Charles B Smith | Preventive Medicine | 411n Section St 101, Fairhope, AL 36532-2649 | 2005-12-14 |
| 1548262108 | Jeffrey Leigh Wallace | Preventive Medicine | 411 N Section St, Fairhope, AL 36532-2649 | 2005-08-12 |
| 1568088862 | Hyperbaric & Woundcare Inc | Preventive Medicine | 511 Brantley St, Opp, AL 36467-1702 | 2020-06-23 |
| 1083913776 | Jonathon Pendergrass, M.d. | Preventive Medicine | 6801 Airport Blvd, Wcc/hbo, Mobile, AL 36608-3709 | 2011-03-21 |
| 1114198892 | Lovely Wound Care, LLC | Preventive Medicine | 701 University Blvd E, 2nd Floor, Tuscaloosa, AL 35401-2086 | 2008-03-20 |
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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.