HARRISON MATTHEW FUQUA (NPI# 1972152791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972152791 |
| Entity Type | Individual |
| Full Name | HARRISON MATTHEW FUQUA |
| Credential | MD |
| Practice Address |
4371 Narrow Lane Rd Ste 100 Montgomery AL 36116-2975 |
| Practice Telephone | 3346133680 |
| Practice Fax Number | 3346133685 |
| Mailing Telephone | 3346133680 |
| Mailing Fax Number | 3346133685 |
| Enumeration Date | 2019-09-04 |
| Last Update Date | 2019-09-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | L.5049R | AL | Student, Health Care |
| Street Address |
4371 NARROW LANE RD STE 100 |
| City | MONTGOMERY |
| State | AL |
| Zip Code | 36116-2975 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386915627 | Nicole Elaine Davis | Pharmacist | 4371 Narrow Lane Rd Ste 100, Montgomery, AL 36116-2975 | 2012-01-18 |
| 1558977249 | Savannah Nicole Johnson | Student in an Organized Health Care Education/Training Program | 4371 Narrow Lane Rd Ste 100, Montgomery, AL 36116-2975 | 2020-09-18 |
| 1003420464 | Clinton Taylor Kilcrease | Student in an Organized Health Care Education/Training Program | 4371 Narrow Lane Rd Ste 100, Montgomery, AL 36116-2975 | 2020-09-03 |
| 1538772256 | Dharini Chandrasekar | Student in an Organized Health Care Education/Training Program | 4371 Narrow Lane Rd Ste 100, Montgomery, AL 36116-2975 | 2020-08-24 |
| 1528670585 | Casten R Fischer | Student in an Organized Health Care Education/Training Program | 4371 Narrow Lane Rd Ste 100, Montgomery, AL 36116-2975 | 2020-08-20 |
| 1093327199 | Katie Shiver Googe | Student in an Organized Health Care Education/Training Program | 4371 Narrow Lane Rd Ste 100, Montgomery, AL 36116-2975 | 2020-08-19 |
| 1497304299 | Luke Andrew Foshee | Student in an Organized Health Care Education/Training Program | 4371 Narrow Lane Rd Ste 100, Montgomery, AL 36116-2975 | 2019-09-05 |
| 1770132698 | Ayesha Niazy | Student in an Organized Health Care Education/Training Program | 4371 Narrow Lane Rd Ste 100, Montgomery, AL 36116-2975 | 2019-09-04 |
| 1982259065 | Lyndsay Ewing | Student in an Organized Health Care Education/Training Program | 4371 Narrow Lane Rd Ste 100, Montgomery, AL 36116-2975 | 2019-08-06 |
| 1073168191 | Christopher W Daniel | Student in an Organized Health Care Education/Training Program | 4371 Narrow Lane Rd Ste 100, Montgomery, AL 36116-2975 | 2019-08-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275153892 | Sayyeda Ann Uz Zahra | Student in an Organized Health Care Education/Training Program | 2055 East South Blvd. Suite 202, Uab Montgomery, Montgomery, AL 36116 | 2020-04-23 |
| 1861958241 | Tameka Lene' Myles | Nurse Practitioner | 2905 East South Boulevard, Montgomery, AL 36116 | 2019-02-11 |
| 1750869814 | Nina Yvette Massey | Family Medicine | Baptist South Uab Multi Specialty Clinic, 2119 E. South Blvd, Montgomery, AL 36116 | 2018-08-01 |
| 1336635697 | Briana Lynn Adair | Speech-Language Pathologist | 2185 Normandie Rd., Montgomery, AL 36116 | 2018-07-10 |
| 1790201770 | Rinka Ravi Pahwani | Student in an Organized Health Care Education/Training Program | 4371 Narrow Lane Road, Suite 100, Montgomery, AL 36116 | 2017-08-21 |
| 1982052015 | Kevin J Jones | Pharmacist | 4385 Narrow Lane Rd, Montgomery, AL 36116 | 2016-05-31 |
| 1891153284 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 8035 Vaughn Road, Montgomery, AL 36116 | 2016-02-01 |
| 1871917583 | E Dental | Dentist | 6956 Vaughn Rd, Montgomery, AL 36116 | 2014-02-17 |
| 1033545199 | Jennings Professional Services LLC | Home Health | 2921 Martin Lane, Montgomery, AL 36116 | 2013-09-20 |
| 1750721973 | Joseph Alan Taylor | Counselor | 8104 Seaton Place, Montgomery, AL 36116 | 2013-07-02 |
| Find all providers in zip 36116 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366054496 | Marc Simon | Student in an Organized Health Care Education/Training Program | 7866 Taylor Park Rd Apt G, Montgomery, AL 36117-4769 | 2020-08-19 |
| 1275153892 | Sayyeda Ann Uz Zahra | Student in an Organized Health Care Education/Training Program | 2055 East South Blvd. Suite 202, Uab Montgomery, Montgomery, AL 36116 | 2020-04-23 |
| 1154941839 | Asma Aqib | Student in an Organized Health Care Education/Training Program | Internal Medicine Residenc Program, 2055 E South Blvd, Suite 200, University of Alabama, Sc, Montgomery, AL 36116-2002 | 2020-04-22 |
| 1942839592 | Alexandra Morgan Holmes | Student in an Organized Health Care Education/Training Program | 61 Richardson Ct, Montgomery, NY 12549-1981 | 2020-04-06 |
| 1285268540 | Sterling Escoto | Student in an Organized Health Care Education/Training Program | 221 Beaver Dam Rd, Montgomery, NY 12549-2849 | 2020-02-26 |
| 1861022378 | Andrei Leonid Znamenski | Student in an Organized Health Care Education/Training Program | 3403 Milan Dr, Montgomery, AL 36109-3711 | 2020-01-23 |
| 1265062772 | Zuri Amanda Foster | Student in an Organized Health Care Education/Training Program | 6427 Alred Ct, Montgomery, AL 36117-4745 | 2020-01-23 |
| 1194355602 | Latarius Oliver | Student in an Organized Health Care Education/Training Program | 607 Moonlight Ct, Montgomery, AL 36117-3974 | 2020-01-23 |
| 1699305110 | Christopher Landon Baker | Student in an Organized Health Care Education/Training Program | 3043 Pinehaardt Dr, Montgomery, AL 36109-2160 | 2020-01-23 |
| 1730719246 | Bhumika Patel | Student in an Organized Health Care Education/Training Program | 5837 Monticello Dr, Montgomery, AL 36117-1987 | 2020-01-23 |
| Find all providers in MONTGOMERY | ||||
| City | MONTGOMERY |
| Zip Code | 36116 |
Please comment or provide details below to improve the information on HARRISON MATTHEW FUQUA.
| 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.