SETON MEDICAL MANAGEMENT INC. (NPI# 1811073554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811073554 |
| Entity Type | Organization |
| Organization Name | SETON MEDICAL MANAGEMENT INC. |
| Other Organization Name | PROVIDENCE MEDICAL OFFICE PHARMACY |
| Practice Address |
6701 Airport Blvd Suite B124 Mobile AL 36608-6705 |
| Practice Telephone | 2516332860 |
| Practice Fax Number | 2516313166 |
| Mailing Telephone | 2516332860 |
| Mailing Fax Number | 2516313166 |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2014-05-02 |
| Authorized Official Name | DR. JAMES L. WALKER (PRESIDENT) |
| Authorized Official Telephone | 2516338880 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | Pharmacy Service Providers |
| Other Name | Type Code |
|---|---|
| Providence Medical Office Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265861009 | Seton Medical Management Inc. | Preventive Medicine | 18 Rambo Dr, Saraland, AL 36571-2147 | 2013-11-02 |
| 1679958136 | Seton Medical Management Inc. | Surgery | 6701 Airport Blvd, Suite B222, Mobile, AL 36608-6705 | 2015-07-27 |
| 1518344498 | Seton Medical Management Inc. | Surgery | 6701 Airport Blvd, Suite B329, Mobile, AL 36608-6705 | 2015-04-30 |
| 1871994475 | Seton Medical Management Inc. | Surgery | 6701 Airport Blvd, Suite B222, Mobile, AL 36608-6705 | 2014-09-15 |
| 1689075954 | Seton Medical Management Inc. | Radiology | 6701 Airport Blvd, Suite A-t06, Mobile, AL 36608-6705 | 2014-09-05 |
| 1295135911 | Seton Medical Management Inc. | Surgery | 6701 Airport Blvd, Suite B217, Mobile, AL 36608-6705 | 2014-08-29 |
| 1497184592 | Seton Medical Management Inc. | Preventive Medicine | 5100 Rangeline Road N, Mobile, AL 36619-9504 | 2013-11-08 |
| 1205265303 | Seton Medical Management Inc. | Clinic/Center | 6701 Airport Blvd, Suite A-t01, Mobile, AL 36608-6705 | 2013-11-08 |
| 1013346113 | Seton Medical Management Inc. | Nurse Practitioner | 6701 Airport Blvd, Suite C132, Mobile, AL 36608-6705 | 2013-11-08 |
| 1841629946 | Seton Medical Management Inc. | Surgery | 6701 Airport Blvd, Suite D143, Mobile, AL 36608-6705 | 2013-11-08 |
| Street Address |
6701 AIRPORT BLVD SUITE B124 |
| City | MOBILE |
| State | AL |
| Zip Code | 36608-6705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053313312 | Richard O Nenstiel | Physician Assistant | 6701 Airport Blvd, Suite D146, Mobile, AL 36608 | 2005-06-01 |
| 1508392432 | University of South Alabama Health Care Authority | Internal Medicine | 6701 Airport Blvd, A101, Mobile, AL 36608-6705 | 2017-05-11 |
| 1093241671 | Alabama Providence Healthcare Services | Otolaryngology | 6701 Airport Blvd, Suite B123, Mobile, AL 36608-6705 | 2017-05-03 |
| 1588109599 | Citrin Cardiology PC | Internal Medicine | 6701 Airport Blvd, Suite C138, Mobile, AL 36608-3784 | 2016-12-29 |
| 1629511753 | Alabama Providence Healthcare Services | Specialist | 6701 Airport Blvd, Ste B215, Mobile, AL 36608-6705 | 2016-11-21 |
| 1891245692 | Alabama Providence Healthcare Services | Specialist | 6701 Airport Blvd, Suite D143, Mobile, AL 36608-6705 | 2016-10-05 |
| 1386191740 | Leah Ambrose | Physician Assistant | 6701 Airport Blvd, Suite C138, Mobile, AL 36608-6705 | 2016-09-02 |
| 1386093953 | Terra Lynn Parnell | Nurse Practitioner | 6701 Airport Blvd, Suite D-330, Mobile, AL 36608 | 2016-06-06 |
| 1649634395 | Alabama Providence Healthcare Services | Specialist | 6701 Airport Blvd, Suite A-t06, Mobile, AL 36608-6705 | 2016-04-08 |
| 1558725200 | Alabama Providence Healthcare Services | Specialist | 6701 Airport Blvd, Suite B329, Mobile, AL 36608-6705 | 2016-04-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475524 | Grantham Dental, Inc. | Dentist | 3620 Springhill Memorial Drive South, Mobile, AL 36608 | 2020-10-21 |
| 1114540879 | Dearrius Hines | Home Health Aide | 1370 Lucerne Dr, Mobile, AL 36608 | 2020-05-28 |
| 1558980409 | Rachel Stevens | Registered Nurse | 8507 Tanner Williams Rd, Mobile, AL 36608 | 2020-04-10 |
| 1073170700 | Usa Health Physician Billing Services LLC | Otolaryngology | 5721 Usa Drive North, Hahn 1119, Mobile, AL 36608 | 2019-05-29 |
| 1952885600 | Franklin Primary Health Center Inc. | Dentist | 990 Cody Rd North, Mobile, AL 36608 | 2018-09-19 |
| 1114410040 | Zackary Elkins | Optometrist | 105 W I65 Service Rd N, Mobile, AL 36608 | 2018-06-14 |
| 1023562865 | Covenant Hospice, Inc. | Internal Medicine | 6801 Airport Blvd., Main Tower, 11th Floor North, Mobile, AL 36608 | 2016-08-10 |
| 1730575416 | Rayven Likely | Student in an Organized Health Care Education/Training Program | 1014 Centerwood Dr, Mobile, AL 36608 | 2015-04-09 |
| 1598040461 | Robert S Harlin | Specialist | 75 Clarise Circle, Mobile, AL 36608 | 2011-10-11 |
| 1972884948 | Heidi Michelle Mcdermott | Physical Therapist | 5721 Usa Drive N, Hahn 2050, Mobile, AL 36608 | 2011-09-06 |
| Find all providers in zip 36608 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700483484 | Abigail Cooke | Pharmacist | 5636 Vista Bonita Dr N, Mobile, AL 36609-2522 | 2020-10-05 |
| 1659988566 | Joshua Manning | Pharmacist | 459 Dauphin St Apt B, Mobile, AL 36602-2413 | 2020-09-24 |
| 1134765795 | Andrew Price Howard IIi | Pharmacist | 7710 Clifton Way, Mobile, AL 36619-3654 | 2019-11-19 |
| 1669033478 | Rachel Walker | Pharmacist | 2889 Sollie Rd Apt 1012, Mobile, AL 36695-5553 | 2019-06-23 |
| 1962987420 | Asra Bashir | Pharmacist | 101 East Interstate 65 Service Rd S, Mobile, AL 36606 | 2018-10-01 |
| 1093223349 | Heide Ann Felber | Pharmacist | 2866 Dauphin St Ste H, Mobile, AL 36606-2482 | 2018-01-19 |
| 1881103661 | Brianne Pate | Pharmacist | 3715 Dauphin St Ste 1e, Mobile, AL 36608-1783 | 2017-09-25 |
| 1144767922 | Carl Richie | Pharmacist | 5751 Parkmont Cir S, Mobile, AL 36608-4348 | 2017-01-31 |
| 1528424520 | Richard Charles Fordham | Pharmacist | 3065 Dauphin St, Mobile, AL 36606-4040 | 2016-01-06 |
| 1245604230 | Kendra Cathleen Pierce | Pharmacist | 740 Schillinger Rd N, Mobile, AL 36608-5240 | 2015-11-14 |
| Find all providers in MOBILE | ||||
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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.