ALABAMA GAME CHANGERS (NPI# 1770195737) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770195737 |
| Entity Type | Organization |
| Organization Name | ALABAMA GAME CHANGERS |
| Practice Address |
2111 Parkway Office Cir Ste 150 Hoover AL 35244-2920 |
| Practice Telephone | 2059148733 |
| Mailing Telephone | 2059148733 |
| Enumeration Date | 2020-08-20 |
| Last Update Date | 2020-08-20 |
| Authorized Official Name | ANGELA P FLETCHER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2059148733 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities | ||
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ALABAMA GAME CHANGERS | 2111 Parkway Office Cir Ste 150, Hoover, AL 35244-2920 |
| Street Address |
2111 PARKWAY OFFICE CIR STE 150 |
| City | HOOVER |
| State | AL |
| Zip Code | 35244-2920 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720691991 | Husam Jebril | Pharmacist | 5445 Park Side Road, Hoover, AL 35244 | 2020-08-27 |
| 1588272546 | Tyana Thomas | Behavior Technician | 1820 Southpark Dr, Hoover, Al 35244, Hoover, AL 35244 | 2020-07-16 |
| 1912520115 | Magic City Physical Therapy | Home Health | 1217 Willow Leaf Circle, Birmingham, AL 35244 | 2020-05-21 |
| 1851941660 | Carehere LLC | Family Medicine | Carehere Clinic- Mercedes Hoover, 130 Riverchase Parkway East, Hoover, AL 35244 | 2019-09-13 |
| 1033690888 | Danielle Waldrep Rich | Speech-Language Pathologist | 605 Russet Lake Drive, Hoover, AL 35244 | 2018-08-28 |
| 1699253559 | Lauren M Martinez | Social Worker | 2524 Valleydale Rd. Suite 100, Birmingham, AL 35244 | 2018-08-02 |
| 1982110284 | Regenerative Medical Institute for Pain & Neuropathy, LLC | Plastic Surgery | 1849 Data Dr Ste 1, Hoover, AL 35244 | 2017-12-21 |
| 1891217014 | Kristen Michelle Woods | Counselor | 3825 Lorna Rd Ste 240, Birmingham, AL 35244 | 2017-07-10 |
| 1255868170 | Home Sweet Home Senior Care | Home Health | 1 Chase Corporate Drive, Suite 400, Birmingham, AL 35244 | 2017-05-23 |
| 1801347455 | Megan Sarah St John | Nurse Practitioner | 2321 Alabama Highway 150, Birmingham, AL 35244 | 2016-10-19 |
| Find all providers in zip 35244 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518303494 | Gina Mittenzwei Labovitz | Pediatrics | 5000 Southlake Park Ste 250, Hoover, AL 35244-3265 | 2013-05-17 |
| 1538303888 | Julia Mcmath Stewart | Pediatrics | 5295 Preserve Pkwy Ste 100, Hoover, AL 35244-4702 | 2009-04-29 |
| 1932125101 | Caesar John Cortopassi | Pediatrics | 5295 Preserve Parkway, Suite 100, Hoover, AL 35244 | 2006-07-14 |
| 1811959679 | Amy E Mccollum | Pediatrics | 5295 Preserve Pkwy, Suite 100, Hoover, AL 35244-4701 | 2006-04-05 |
| 1952303711 | Amy Jarvis Albert | Pediatrics | 5330 Stadium Trace Pkwy, Ste. 150, Hoover, AL 35244-4538 | 2005-08-11 |
| 1215423686 | Focus Md 1015 LLC | Pediatrics | 5330 Stadium Trace Pkwy Ste 150, Hoover, AL 35244-4528 | 2018-07-09 |
| 1699919944 | Daniel Thomas Carter | Pediatrics | 5295 Preserve Pkwy, Suite 100, Hoover, AL 35244-4701 | 2009-04-29 |
| 1124105762 | The Children's Hospital of Alabama | Pediatrics | 5295 Preserve Parkway, Suite 100, Hoover, AL 35244-4702 | 2006-11-01 |
| 1255350963 | John Nick Petelos | Pediatrics | 5295 Preserve Parkway, Suite 100, Hoover, AL 35244 | 2006-07-19 |
| 1558380279 | Toren James Anderson | Pediatrics | 5295 Preserve Parkway, Suite 100, Hoover, AL 35244 | 2006-07-19 |
| Find all providers in HOOVER | ||||
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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.