NORTHWEST ALABAMA CANCER CENTER RADIOLOGICAL SERVICES INC (NPI# 1972553204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972553204 |
| Entity Type | Organization |
| Organization Name | NORTHWEST ALABAMA CANCER CENTER RADIOLOGICAL SERVICES INC |
| Practice Address |
302 W Dr Hicks Blvd Ste. B Florence AL 35630-6160 |
| Mailing Address |
101 Dr W H Blake Jr Dr Muscle Shoals AL 35661-2152 |
| Practice Telephone | 2567672733 |
| Practice Fax Number | 2567672717 |
| Mailing Telephone | 2563811001 |
| Mailing Fax Number | 2563813604 |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2012-05-22 |
| Authorized Official Name | DR. J. PATRICK DAUGHERTY (PRESIDENT) |
| Authorized Official Telephone | 2567644200 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085N0904X |
Radiology Specialization: Nuclear Radiology |
1359 | AL | Allopathic & Osteopathic Physicians |
| Street Address |
302 W DR HICKS BLVD STE. B |
| City | FLORENCE |
| State | AL |
| Zip Code | 35630-6160 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356889273 | Crystal Keeton | Nurse Practitioner | 302 W Dr Hicks Blvd, Florence, AL 35630 | 2017-02-11 |
| 1891136644 | Jennifer Marquita Carter | Internal Medicine | 302 W Dr Hicks Blvd, Florence, AL 35630 | 2013-07-09 |
| 1376696831 | Karen S Mann-brown | Nurse Practitioner | 302 W Dr Hicks Blvd, Florence, AL 35630-6160 | 2007-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346880531 | Rachel E Belue | Counselor | 409 N. Court Street, Florence, AL 35630 | 2020-01-15 |
| 1154857746 | Danish Henry | Internal Medicine | North Alabama Medical Center, 1701 Veterans Dr, Florence, AL 35630 | 2017-05-03 |
| 1396118261 | Three Oaks Pharmacy LLC | Pharmacy | 861 Cox Creek Parkway, Florence, AL 35630 | 2015-11-02 |
| 1235501891 | Wellness Walk-in Clinic, LLC | Nurse Practitioner | 2612 Hough Road, Florence, AL 35630 | 2015-10-22 |
| 1972995207 | Elyse Angel | Pharmacist | 109 East Dr Hicks Blvd, Florence, AL 35630 | 2015-02-24 |
| 1750772380 | Whitlee Laina Kelley | Case Manager/Care Coordinator | 112 Titan Drive, Florence, AL 35630 | 2015-02-18 |
| 1942612155 | Hillary Jean Delarosa | Internal Medicine | 162 Titan Drive, Florence, AL 35630 | 2014-05-22 |
| 1952723678 | Sharron M Boatwright | Nurse Practitioner | 1949 Florence Boulevard, Occupational Health Center LLC, Florence, AL 35630 | 2014-01-15 |
| 1194160523 | Caryn Barnett | Physical Therapist | 412 S. Court Street, Suite 403, Florence, AL 35630 | 2013-04-29 |
| 1396074662 | Heather White Bryant | Counselor | 118 East Mobile St, Suite 106, Florence, AL 35630 | 2009-12-16 |
| Find all providers in zip 35630 | ||||
| Taxonomy Code | 2085N0904X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Nuclear Radiology |
| A radiologist who is involved in the analysis and imaging of radionuclides and radiolabeled substances in vitro and in vivo for diagnosis and the administration of radionuclides and radiolabeled substances for the treatment of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801882527 | John S Mccown | Radiology | 506 E Cheves St, Florence, SC 29506-2616 | 2005-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457508244 | Medvision, L.L.C. | Radiology | 2525 Bell Rd, Montgomery, AL 36117-4369 | 2008-08-22 |
| 1679539902 | Charles Gary Tomberlin | Radiology | 848 S 3 Notch St, Andalusia, AL 36420-5320 | 2006-04-25 |
| 1336187582 | Gary Marc Levine | Radiology | 100 Memorial Hospital Dr, Suite 1e, Mobile, AL 36608 | 2006-06-02 |
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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.