JERRY DILLARD MD (NPI# 1942668397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942668397 |
| Entity Type | Organization |
| Organization Name | JERRY DILLARD MD |
| Practice Address |
206 W Dallas Ave Selma AL 36701-6531 |
| Practice Telephone | 3348757406 |
| Mailing Telephone | 3348757406 |
| Enumeration Date | 2016-01-31 |
| Last Update Date | 2016-01-31 |
| Authorized Official Name | DR. JERRY DEAN DILLARD (OWNER) |
| Authorized Official Telephone | 3348757406 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
ACSC3813 | AL | Ambulatory Health Care Facilities |
| Street Address |
206 W DALLAS AVE |
| City | SELMA |
| State | AL |
| Zip Code | 36701-6531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114491057 | Monica Boswell Moore | Nurse Practitioner | 1015 Medical Center Parkway, Selma, AL 36701 | 2019-01-14 |
| 1649784430 | Lightfoot Chiropractic Clinic, LLC | Chiropractor | 2117 Broad Street, Selma, AL 36701 | 2017-12-01 |
| 1356883284 | Vatausha Howard | Counselor | 1017 Medical Center Parkway, Selma, AL 36701 | 2016-11-09 |
| 1366993230 | Homestead Hospice of Cahaba | Hospice, Inpatient | 3005 Citizens Parkway, Selma, AL 36701 | 2016-10-17 |
| 1497018675 | Lashana Faye Jones | Technician | 2423 A North Broad St, Selma, AL 36701 | 2012-06-21 |
| 1528222809 | Eric M. Roussell Sr. | Pharmacist | 1300 Highland Avenue, Selma, AL 36701 | 2008-07-15 |
| 1144499302 | Cecil William Fuller Sr. | Dentist | 203 Dallas Ave, Selma, AL 36701 | 2008-02-21 |
| 1184813396 | Alliance Pharmacy LLC | Pharmacy | 133 1half Broad St, Selma, AL 36701 | 2007-10-24 |
| 1376740373 | Selma City | Local Education Agency (LEA) | 2194 Broad Street, Selma, AL 36701 | 2007-07-02 |
| 1245356229 | Georgia W Rhodes | Audiologist | 2906 Citizens Pkwy, Selma, AL 36701 | 2007-03-22 |
| Find all providers in zip 36701 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508306242 | Selma Medical Weight Loss and Spa | Clinic/Center | 4 Office Park Cir, Selma, AL 36701-6538 | 2017-02-28 |
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| 1922629898 | Snatchednspirit LLC | Clinic/Center | 3993 Cottage Hill Rd Apt 19c3993, Mobile, AL 36609-8418 | 2020-05-02 |
| 1508403031 | Veyep | Clinic/Center | 2100 Devereux Cir Ste 201, Vestavia, AL 35243-2562 | 2019-12-03 |
| 1215591243 | Alamed Injury Clinics | Clinic/Center | 7070 Aaron Aronov Dr Ste M, Fairfield, AL 35064-1809 | 2019-04-25 |
| 1114581147 | Alamed Surgical Centers | Clinic/Center | 7070 Aaron Aronov Dr Ste O, Fairfield, AL 35064-1809 | 2019-04-25 |
| 1215428529 | Ob-gyn Associates of Anniston LLC | Clinic/Center | 901 Leighton Ave Ste 102, Anniston, AL 36207-5703 | 2018-05-22 |
| 1154833689 | Monica Handy Crawford, Md, LLC | Clinic/Center | 801 Noble St Ste 1022, Anniston, AL 36201-5698 | 2017-10-24 |
| 1538619465 | Intrinsic Balance Chiropractic and Health Services | Clinic/Center | 3760 Highway 53, Ste L, Huntsville, AL 35806-4726 | 2016-10-04 |
| 1346660487 | Dr Doctor Disc Injury and Spinal Care Clinic PC | Clinic/Center | 1117 7th Ave W, Birmingham, AL 35204-3408 | 2014-04-16 |
| 1366794208 | The Adult Medical Specialist, PC | Clinic/Center | 81 Market Pl, Montgomery, AL 36117-4908 | 2012-10-02 |
| 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.