ALABAMA PAIN CENTER, LLC (NPI# 1831265776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831265776 |
| Entity Type | Organization |
| Organization Name | ALABAMA PAIN CENTER, LLC |
| Practice Address |
600 Whitesport Drive Suite A Huntsville AL 35801 |
| Practice Telephone | 2568822003 |
| Practice Fax Number | 2567054630 |
| Mailing Telephone | 2568822003 |
| Mailing Fax Number | 2567054630 |
| Enumeration Date | 2006-11-24 |
| Last Update Date | 2012-08-15 |
| Authorized Official Name | DR. KENNETH DEAN WILLIS (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 2568822003 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
895 | AL | Behavioral Health & Social Service Providers |
| N | 363L00000X | Nurse Practitioner | 1-075145 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
12320 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 529908240 | 05 |
| Street Address |
600 WHITESPORT DRIVE SUITE A |
| City | HUNTSVILLE |
| State | AL |
| Zip Code | 35801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639340904 | Alabama Pain Center LLC | Psychologist | 600 Whitesport Drive, Huntsville, AL 35801-6495 | 2008-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003422742 | Elena Mihaela Kruse | Nurse Practitioner | 415 Echurch St, Nw Suite 4, Huntsville, AL 35801 | 2020-09-18 |
| 1225657661 | Ashley Danielle Ford | Student in an Organized Health Care Education/Training Program | 301 Governors Drive Se, Huntsville, AL 35801 | 2020-04-15 |
| 1407417702 | Sasha J White | Specialist | 410 Governors Dr. Sw, Huntsville, AL 35801 | 2019-06-26 |
| 1003472978 | Gina Marie Delgado | Nurse Practitioner | Huntsville Hospital Cvicu, 101 Sivley Rd., Huntsville, AL 35801 | 2019-05-15 |
| 1366909863 | Lisa Starkey Suggs | Nurse Practitioner | 3500 Memorial Parkway S.w., Huntsville, AL 35801 | 2019-02-21 |
| 1902373277 | Kelly S Fisher LLC | Counselor | 300 Clinton Avenue, Suite 22 A, Huntsville, AL 35801 | 2018-10-25 |
| 1073097911 | Brittani B Hamrick | Psychologist | 203 Eastside Sq Ste C9, Huntsville, AL 35801 | 2018-09-17 |
| 1548748312 | Jane O. Orton, Licsw, LLC | Social Worker | 120 Holmes Ave Ne, Huntsville, AL 35801 | 2018-08-02 |
| 1184100661 | Regroup Psychological Services | Psychologist | 2006 Franklin St. Se, Suite 110, Huntsville, AL 35801 | 2018-07-17 |
| 1366968398 | Bennett Brent Smith | Physician Assistant | 825 Adams St. Se, Huntsville, AL 35801 | 2017-08-22 |
| Find all providers in zip 35801 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730548264 | Tennessee Valley Pain Consultants, PC | Anesthesiology | 201 Governors Dr Sw Ste 400, Huntsville, AL 35801-5183 | 2016-02-11 |
| 1780060079 | Physynergy, LLC | Anesthesiology | 119 Longwood Dr Sw, Huntsville, AL 35801-4522 | 2015-08-10 |
| 1134465560 | Physynergy, LLC | Anesthesiology | 1 Hospital Dr Sw, Huntsville, AL 35801-6455 | 2012-12-12 |
| 1952437345 | Victor Allen Chin | Anesthesiology | 4715 Whitesburg Dr Se, Huntsville, AL 35802-1632 | 2007-02-27 |
| 1962564476 | James Dewey Thacker Jr. | Anesthesiology | 185 Chateau Drive, Suite 302, Huntsville, AL 35801-6012 | 2006-12-14 |
| 1053486704 | Kenneth Dean Willis | Anesthesiology | 3007 Memorial Pkwy Sw, Huntsville, AL 35801-5393 | 2006-11-21 |
| 1104804418 | Thomas J Kraus | Anesthesiology | 201 Governors Dr Sw Ste 400, Huntsville, AL 35801-5183 | 2006-01-06 |
| 1760472708 | Ronald L Collins | Anesthesiology | 201 Governors Dr Sw Ste 400, Huntsville, AL 35801-5183 | 2005-10-21 |
| 1912996059 | Roddie R Gantt | Anesthesiology | 201 Governors Dr Sw Ste 400, Huntsville, AL 35801-5183 | 2005-10-20 |
| 1851380984 | Morris L Scherlis | Anesthesiology | 201 Governors Dr Sw Ste 400, Huntsville, AL 35801-5183 | 2005-10-20 |
| Find all providers in HUNTSVILLE | ||||
| City | HUNTSVILLE |
| Zip Code | 35801 |
Please comment or provide details below to improve the information on ALABAMA PAIN CENTER, LLC.
| 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.