GULF COAST INTERVENTIONAL SPINE & JOINT SPECIALISTS LLC (NPI# 1952783748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952783748 |
| Entity Type | Organization |
| Organization Name | GULF COAST INTERVENTIONAL SPINE & JOINT SPECIALISTS LLC |
| Practice Address |
1557 Spring Hill Ave Mobile AL 36604-3218 |
| Mailing Address |
Po Box 7525 Mobile AL 36670-0525 |
| Practice Telephone | 2514784900 |
| Practice Fax Number | 2514706221 |
| Mailing Telephone | 2514784900 |
| Mailing Fax Number | 2514706221 |
| Enumeration Date | 2015-06-29 |
| Last Update Date | 2020-04-20 |
| Authorized Official Name | TAO CHEN (PHYSICIAN/OWNER) |
| Authorized Official Telephone | 2514784900 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
MD.29601 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 120883 | 05 |
| Street Address |
1557 SPRING HILL AVE |
| City | MOBILE |
| State | AL |
| Zip Code | 36604-3218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437217437 | Eduardo Carlos Baranano | Ophthalmology | 1557 Spring Hill Ave, Mobile, AL 36604-3218 | 2006-12-04 |
| 1043751928 | Eddie Neal | Prosthetist | 1557 Spring Hill Ave, Suite A, Mobile, AL 36604-3218 | 2017-03-13 |
| 1316130743 | Tao Chen | Physical Medicine & Rehabilitation | 1557 Spring Hill Ave, Mobile, AL 36604-3218 | 2007-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013551449 | John F Kilpatrick | Social Worker | 1156 Springhill Avenue, Mobile, AL 36604 | 2019-10-29 |
| 1477036986 | Rachel Schneider | Specialist/Technologist | 1601 Center St Ste B, Mobile, AL 36604 | 2018-09-11 |
| 1891218194 | Transitional Care LLC | Nurse Practitioner | 1725 Springhill Avenue, Mobile, AL 36604 | 2017-07-19 |
| 1427404722 | Precision Orthotics & Prosthetics,llc | Durable Medical Equipment & Medical Supplies | 1557 Springhill Avenue, Mobile, AL 36604 | 2016-05-05 |
| 1851737746 | Robert P. Kobelja | Psychiatry & Neurology | 1601 Center St Ste 2s, Mobile, AL 36604 | 2013-05-17 |
| 1619233970 | Lisa Brown Bailey | Nurse Practitioner | 1700 Center Street--, Division of Neonatology, Mobile, AL 36604 | 2012-04-11 |
| 1023341773 | Rebecca Blankenhorn | Audiologist | 1610 Center St., Suite A, Mobile, AL 36604 | 2009-09-14 |
| 1700062684 | William-glenn Langley Hollingsworth | Counselor | 1156 Springhill Ave, Mobile, AL 36604 | 2008-01-10 |
| 1972715415 | Allison May Chung | Pharmacist | 1504 Springhill Dr, Rm 5225, Mobile, AL 36604 | 2007-05-04 |
| 1265504716 | Geriatric Specialists LLC | Internal Medicine | 1059 Palmetto St, Mobile, AL 36604 | 2006-11-13 |
| Find all providers in zip 36604 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568835445 | Kopp Medical LLC | Physical Medicine & Rehabilitation | 820 S. University Blvd Bldg 1 Ste 1b, Mobile, AL 36609-7859 | 2015-11-02 |
| 1063719425 | Mobility Metabolism & Wellness, P.C. | Physical Medicine & Rehabilitation | 4357 Midmost Dr, Mobile, AL 36609-5505 | 2011-02-22 |
| 1316130743 | Tao Chen | Physical Medicine & Rehabilitation | 1557 Spring Hill Ave, Mobile, AL 36604-3218 | 2007-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861965568 | Gulf Coast Pain Consultants Pllc | Physical Medicine & Rehabilitation | 135 Medical Park Dr Ste 2b, Andalusia, AL 36420-5352 | 2019-01-04 |
| 1710240791 | Jordan Garman | Physical Medicine & Rehabilitation | Jt 941, 619 19th St South Attention: Dr Jordan Garman, Birmingham, AL 35249-5656 | 2012-06-24 |
| 1770893943 | Center for Physical Medicine & Pain Management | Physical Medicine & Rehabilitation | 2227 Taylor Rd, Montgomery, AL 36117-3439 | 2010-10-20 |
| 1730372350 | Gary Keogh, Md, LLC | Physical Medicine & Rehabilitation | 3715 Highway 280 431 N, Phenix City, AL 36867 | 2007-08-27 |
| 1528180403 | Mark Awoniyi | Physical Medicine & Rehabilitation | 2046 Beltline Rd Sw, Decatur, AL 35601-5549 | 2007-04-04 |
| 1891743654 | Shelinder Aggarwal | Physical Medicine & Rehabilitation | 808b Turner St Sw, Huntsville, AL 35801-5115 | 2006-05-04 |
| 1780656959 | Rachelle B Janush | Physical Medicine & Rehabilitation | 350 Taylor Rd, Suite #2500, Montgomery, AL 36117-3571 | 2006-02-02 |
| 1790779577 | Gary J Keogh | Physical Medicine & Rehabilitation | 3715 Highway 280-431 North, Phenix City, AL 36867 | 2005-09-07 |
| 1699268672 | Wellnessconnect Healthcare and Preventive Medicine, LLC | Physical Medicine & Rehabilitation | 2011 Gallatin St Sw, Huntsville, AL 35801-4510 | 2018-06-13 |
| 1326435835 | Alexander Patrick Cotter | Physical Medicine & Rehabilitation | 10 Old Montgomery Hwy Ste 200, Homewood, AL 35209-6797 | 2015-04-22 |
| 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.