MEDICOM LLC (NPI# 1790849867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790849867 |
| Entity Type | Organization |
| Organization Name | MEDICOM LLC |
| Other Organization Name | ARAB CLINIC |
| Practice Address |
137 S Main St Arab AL 35016-1354 |
| Practice Telephone | 2569312035 |
| Practice Fax Number | 2569310634 |
| Mailing Telephone | 2569312035 |
| Mailing Fax Number | 2569310634 |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MARIANNE ELRICK (OFFICE MANAGER) |
| Authorized Official Telephone | 2569312035 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| Arab Clinic | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891820502 | Medicom LLC | Durable Medical Equipment & Medical Supplies | 1122 Coney Island Ave, 201, Brooklyn, NY 11230-2345 | 2007-02-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | MEDICOM LLC | 1090 Coney Island Avenue, Brooklyn, Ny 11230 |
| Street Address |
137 S MAIN ST |
| City | ARAB |
| State | AL |
| Zip Code | 35016-1354 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487278529 | Mary Ann Randel | Nurse Practitioner | 1420 North Brindlee Avenue, Suite A-1, Arab, AL 35016 | 2020-06-04 |
| 1649481458 | Jerry Wayne Webb | Dentist | 633 Cullman Rd, Arab, AL 35016 | 2007-05-24 |
| 1588726376 | The Porch Clinic PC | Internal Medicine | 1518 N Brindlee Mtn Pky, Arab, AL 35016 | 2006-12-15 |
| 1689776296 | Robert Dean Taylor | Family Medicine | 154 South Main Street, Arab, AL 35016 | 2006-09-03 |
| 1902914492 | David Lawayne Law | Dentist | 320 North Main Street, Arab, AL 35016 | 2006-08-26 |
| 1861041337 | New Directions Counseling, LLC | Marriage & Family Therapist | 236 8th Ave Ne, Arab, AL 35016-1006 | 2019-09-08 |
| 1578591137 | City of Arab (ambulance Service) | Ambulance | 740 N Main St, Arab, AL 35016-1020 | 2006-06-30 |
| 1346205473 | Andy C Mann | Chiropractor | 619 N Brindlee Mountain Pkwy, Arab, AL 35016-1055 | 2006-04-20 |
| 1659623338 | Denton Dental PC | Dentist | 1178 N Brindlee Mtn Pkwy, Arab, AL 35016-1063 | 2012-10-05 |
| 1407139025 | David Kyle Landers | Chiropractor | 1146 N Brindlee Mountain Pkwy, Arab, AL 35016-1063 | 2011-09-20 |
| Find all providers in zip 35016 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487278529 | Mary Ann Randel | Nurse Practitioner | 1420 North Brindlee Avenue, Suite A-1, Arab, AL 35016 | 2020-06-04 |
| 1669954343 | Taylor Hinkle | Nurse Practitioner | 1420 N Brindlee Mountain Pkwy Ste A-1, Arab, AL 35016-5431 | 2018-08-30 |
| 1265931992 | Lauren Walls | Nurse Practitioner | 1420 N Brindlee Mountain Pkwy, Arab, AL 35016-5431 | 2018-02-08 |
| 1811387947 | Kimberly M Flowers | Nurse Practitioner | 20 S Main St, Arab, AL 35016-1378 | 2015-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679174320 | Sweet Home Telehealth LLC | Nurse Practitioner | 3 Sudworth Dr Sw, Huntsville, AL 35824-4099 | 2020-11-07 |
| 1851991954 | Terry Brock | Nurse Practitioner | 4232 Cahaba Dr, Vestavia, AL 35243-1600 | 2020-10-28 |
| 1568062784 | Stephanie Terese Godwin | Nurse Practitioner | 391 Ashcraft Ln, Atmore, AL 36502-4225 | 2020-10-27 |
| 1588264725 | Sabine Susanne Lamont | Nurse Practitioner | 41 Eminence Way, Suite A, Pell City, AL 35128-2338 | 2020-10-27 |
| 1386243574 | Carl Andrew Ballard | Nurse Practitioner | 2635 Johnson Bottom Rd, Detroit, AL 35552-2731 | 2020-10-20 |
| 1023616661 | Yaira Maldonado | Nurse Practitioner | 191 Lee Road 207, Phenix City, AL 36870-8240 | 2020-10-15 |
| 1295333409 | Olivia Palmer | Nurse Practitioner | 770 W Market St, Athens, AL 35611 | 2020-10-12 |
| 1720685050 | Sean Jackson | Nurse Practitioner | 217 Tradewinds Cir, Alabaster, AL 35007-3019 | 2020-10-09 |
| 1104423235 | Rita Wiggins Branch | Nurse Practitioner | 12350 Flint Dr, Moundville, AL 35474-6246 | 2020-10-01 |
| 1538776778 | Mary Katherine Brandler | Nurse Practitioner | 1171 King Arthur Ct, Alabaster, AL 35007-3000 | 2020-09-30 |
| Find all providers with the same taxonomy | ||||
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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.