CEDAR STREET PRIMARY CARE INC. (NPI# 1912486937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912486937 |
| Entity Type | Organization |
| Organization Name | CEDAR STREET PRIMARY CARE INC. |
| Practice Address |
220 Cedar St Nw Hartselle AL 35640 |
| Mailing Address |
220 Cedar St Nw Hartselle AL 35640-2404 |
| Practice Telephone | 2567732260 |
| Mailing Telephone | 2567732260 |
| Enumeration Date | 2018-08-09 |
| Last Update Date | 2018-08-21 |
| Authorized Official Name | JEB STUART HORNSBY (PRESIDENT) |
| Authorized Official Telephone | 2567732260 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 29015 | AL | Allopathic & Osteopathic Physicians |
| Street Address |
220 CEDAR ST NW |
| City | HARTSELLE |
| State | AL |
| Zip Code | 35640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063608727 | Jeb Stuart Hornsby | Family Medicine | 220 Cedar St Nw, Hartselle, AL 35640 | 2007-09-17 |
| 1740645076 | Jessica Owens Smith | Nurse Practitioner | 220 Cedar St Nw, Hartselle, AL 35640-2404 | 2015-12-31 |
| 1255754321 | Lori Henry | Nurse Practitioner | 220 Cedar St Nw, Hartselle, AL 35640 | 2014-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649786849 | Gilchrist Pharmacy, Inc. | Pharmacy | 615 Mynatt Street, Suite F, Hartselle, AL 35640 | 2017-12-26 |
| 1164747028 | Karry Lee Williams | Pharmacist | 1201 Hwy 31, Hartselle, AL 35640 | 2010-04-05 |
| 1750557518 | Bhavna Gowda | Family Medicine | 301-a Pine Street Nw, Hartselle, AL 35640 | 2008-05-01 |
| 1922208057 | Hartselle Family Medicine | Family Medicine | 615 Mynatt St, Suite E, Hartselle, AL 35640 | 2007-07-18 |
| 1548468655 | Sarah Elaine Styers | Internal Medicine | 1006 Hill Street, Hartselle, AL 35640 | 2007-07-10 |
| 1841356359 | Michael Rowe Strickland | Pharmacist | 401 Corsbie Streetnw, Hartselle, AL 35640 | 2006-12-29 |
| 1871694794 | David Bryant Sittason | Dentist | 819 Hwy 31 Nw Suite A, Hartselle, AL 35640 | 2006-09-25 |
| 1578665618 | Wallace J Michalski | Family Medicine | 1211 Hwy 31 Nw, Hartselle, AL 35640 | 2006-09-01 |
| 1235123407 | Jay Thomas Pohl | Family Medicine | 615 Mynatt Street, Suite E, Hartselle, AL 35640 | 2005-09-02 |
| 1811437163 | Lifework Therapy Services, LLC | Physical Therapist | 913 Highway 31 Sw, Hartselle, AL 35640 | 2017-03-06 |
| Find all providers in zip 35640 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437798733 | Haley W Stuart | Family Medicine | 615 Mynatt St Sw Ste E, Hartselle, AL 35640-2878 | 2020-01-03 |
| 1053608968 | Decatur General Hospital | Family Medicine | 1211 Highway 31 Nw, Hartselle, AL 35640-4420 | 2011-06-30 |
| 1750557518 | Bhavna Gowda | Family Medicine | 301-a Pine Street Nw, Hartselle, AL 35640 | 2008-05-01 |
| 1063608727 | Jeb Stuart Hornsby | Family Medicine | 220 Cedar St Nw, Hartselle, AL 35640 | 2007-09-17 |
| 1922208057 | Hartselle Family Medicine | Family Medicine | 615 Mynatt St, Suite E, Hartselle, AL 35640 | 2007-07-18 |
| 1750503041 | Neil Cameron Yeager | Family Medicine | 1635 Highway 31 Nw Ste C, Hartselle, AL 35640-4426 | 2007-05-03 |
| 1578665618 | Wallace J Michalski | Family Medicine | 1211 Hwy 31 Nw, Hartselle, AL 35640 | 2006-09-01 |
| 1710936547 | Hartselle Primary Care, P.C. | Family Medicine | 1635 Highway 31 Nw, Ste B, Hartselle, AL 35640-4426 | 2006-05-09 |
| 1578524369 | Kenneth E Mashburn | Family Medicine | 1006 Hill St Sw, Hartselle, AL 35640-2802 | 2006-03-31 |
| 1255326229 | Wilbourne R Crouch | Family Medicine | 301 Pine St Nw, Suite B, Hartselle, AL 35640-2338 | 2005-09-15 |
| Find all providers in HARTSELLE | ||||
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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.