ETAGBO ETA M.D., P.C. (NPI# 1942849716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1942849716 |
Entity Type | Organization |
Organization Name | ETAGBO ETA M.D., P.C. |
Practice Address |
311 S 4th St Gadsden AL 35901-5212 |
Practice Telephone | 2562034713 |
Mailing Telephone | 2562034713 |
Enumeration Date | 2019-12-27 |
Last Update Date | 2020-04-10 |
Authorized Official Name | ETAGBO ETA (OWNER) |
Authorized Official Telephone | 2562034713 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Etagbo ETA MD PC | Doing Business As Name - Organization |
Street Address |
311 S 4TH ST |
City | GADSDEN |
State | AL |
Zip Code | 35901-5212 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467416941 | Oluwole Sunday Akisanya | Internal Medicine | 311 S 4th St, Gadsden, AL 35901-5212 | 2006-04-13 |
1346880739 | Phaedra A Hill-lazenby | Nurse Practitioner | 311 S 4th St, Gadsden, AL 35901-5212 | 2020-01-14 |
1710437819 | Jennifer Patterson | Nurse Practitioner | 311 S 4th St, Gadsden, AL 35901-5212 | 2016-10-12 |
1487974630 | Etagbo Oqua Eta | Internal Medicine | 311 S 4th St, Gadsden, AL 35901-5212 | 2010-06-09 |
1639391162 | Gadsden Pulmonary & Sleep Clinic, PC | Internal Medicine | 311 S 4th St, Gadsden, AL 35901-5212 | 2007-05-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972112878 | Rachel Hyatt | Counselor | 423 North 5th St, Gadsden, AL 35901 | 2020-07-27 |
1639651300 | Amy M Gorecki-kelley | Nurse Practitioner | 420 North Sixth Street Gadsden, Gadsden, AL 35901 | 2018-08-30 |
1659881829 | Fuller Medical Solutions, LLC | Durable Medical Equipment & Medical Supplies | 412 S 3rd St Ste A, Gadsden, AL 35901 | 2017-10-02 |
1861901308 | Dana Calhoun | Counselor | 215 Walnut St Ste 2, Gadsden, AL 35901 | 2017-09-27 |
1104271857 | Prohealth Hospice-gadsden, LLC | Hospice Care, Community Based | 1115b Rainbow Drive, Gadsden, AL 35901 | 2016-05-02 |
1568801678 | Roseland Developmental Homes, LLC | Community/Behavioral Health | 404 Jacksonville Street, Gadsden, AL 35901 | 2013-06-21 |
1770875460 | Aniska Professional and Educational Services | Clinic/Center | 130 Aniska Drive, Gadsden, AL 35901 | 2011-05-12 |
1700186772 | Sam P. Spina | Hearing Instrument Specialist | 510 S. 3rd Street, Gadsden, AL 35901 | 2010-10-25 |
1588982573 | John Robert Walker | Anesthesiology | 200 Broad St Ste 300, Gadsden, AL 35901 | 2010-05-14 |
1316278880 | Partners Medical Clinic LLC | Family Medicine | 431 South 5th Street, Gadsden, AL 35901 | 2010-01-24 |
Find all providers in zip 35901 |
Taxonomy Code | 207RN0300X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Nephrology |
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629264510 | Rameshkumar Athippalayam Chellamuthu | Internal Medicine | 1026 Goodyear Ave Ste 302b, Gadsden, AL 35903-1102 | 2007-09-24 |
1548244098 | Edward Fangcheng Hwang | Internal Medicine | 427 S 3rd St, Gadsden, AL 35901-5210 | 2005-11-29 |
1093168437 | Lifehealth, P.C. | Internal Medicine | 1026 Goodyear Ave Ste 302b, Gadsden, AL 35903-1102 | 2016-07-21 |
1275870123 | Gadsden Nephrology LLC | Internal Medicine | 425 S 3rd St, Gadsden, AL 35901-5210 | 2013-01-12 |
1073649570 | Edward F. Hwang, M.d. | Internal Medicine | 427 S 3rd St, Gadsden, AL 35901-5210 | 2007-02-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154742278 | James Askew | Internal Medicine | 7708 Mountbatten Rd Ne, Tuscaloosa, AL 35406-1146 | 2013-12-16 |
1548690571 | Sloan Kidney Services LLC | Internal Medicine | 104 Lowes Blvd, Rainbow City, AL 35906-3132 | 2013-11-12 |
1407192172 | Nephrology Medical Associates of Georgia, LLC | Internal Medicine | 3570 Grandview Pkwy Ste 2, Birmingham, AL 35243-2064 | 2012-12-27 |
1851649669 | Saad Mohammed Shariff | Internal Medicine | 1900 University Blvd, Tht 643, Birmingham, AL 35294 | 2012-08-28 |
1851690069 | Lifeline Vascular Birmingham, Inc | Internal Medicine | 201 London Pkwy, Suite 500, Birmingham, AL 35211-6304 | 2011-03-28 |
1750511432 | Uninibile O Odama | Internal Medicine | 210 North Street W, Suite D, Landmark Nephrology and Hypertension Clinic, Talladega, AL 35160 | 2009-07-16 |
1154587897 | Mamatha Gandhi | Internal Medicine | 3570 Grandview Pkwy Ste 101, Birmingham, AL 35243-2065 | 2008-08-01 |
1902078405 | Azita Takeshian Md PC | Internal Medicine | 100 Pilot Medical Dr Ste 275, Birmingham, AL 35235-3475 | 2008-03-25 |
1457564601 | Roman A Shingarev | Internal Medicine | 61919th St S, Birmingham, AL 35249-0001 | 2007-05-07 |
1093896466 | Eastern Nephrology, PC | Internal Medicine | 1524 Huffman Road, Birmingham, AL 35215 | 2006-10-18 |
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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.