SOUTHHUNTSVILLE NEPHROLOGY AND INTERNAL MEDICINE ASSOCIATES (NPI# 1972980951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972980951 |
| Entity Type | Organization |
| Organization Name | SOUTHHUNTSVILLE NEPHROLOGY AND INTERNAL MEDICINE ASSOCIATES |
| Other Organization Name | SOUTH HUNTSVILLE NEPHROLOGY AND INTERNAL MEDICINE CLINIC |
| Practice Address |
333 Whitesport Dr Sw Ste 300 Huntsville AL 35801-3455 |
| Practice Telephone | 2568852478 |
| Enumeration Date | 2015-04-29 |
| Last Update Date | 2015-09-30 |
| Authorized Official Name | DR. EBIMA CLIFFORD OKUNDAYE (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 9738855457 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
33431 | AL | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| South Huntsville Nephrology and Internal Medicine Clinic | Other Name - Individual/Organization |
| Street Address |
333 WHITESPORT DR SW STE 300 |
| City | HUNTSVILLE |
| State | AL |
| Zip Code | 35801-3455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003422742 | Elena Mihaela Kruse | Nurse Practitioner | 415 Echurch St, Nw Suite 4, Huntsville, AL 35801 | 2020-09-18 |
| 1225657661 | Ashley Danielle Ford | Student in an Organized Health Care Education/Training Program | 301 Governors Drive Se, Huntsville, AL 35801 | 2020-04-15 |
| 1407417702 | Sasha J White | Specialist | 410 Governors Dr. Sw, Huntsville, AL 35801 | 2019-06-26 |
| 1003472978 | Gina Marie Delgado | Nurse Practitioner | Huntsville Hospital Cvicu, 101 Sivley Rd., Huntsville, AL 35801 | 2019-05-15 |
| 1366909863 | Lisa Starkey Suggs | Nurse Practitioner | 3500 Memorial Parkway S.w., Huntsville, AL 35801 | 2019-02-21 |
| 1902373277 | Kelly S Fisher LLC | Counselor | 300 Clinton Avenue, Suite 22 A, Huntsville, AL 35801 | 2018-10-25 |
| 1073097911 | Brittani B Hamrick | Psychologist | 203 Eastside Sq Ste C9, Huntsville, AL 35801 | 2018-09-17 |
| 1548748312 | Jane O. Orton, Licsw, LLC | Social Worker | 120 Holmes Ave Ne, Huntsville, AL 35801 | 2018-08-02 |
| 1184100661 | Regroup Psychological Services | Psychologist | 2006 Franklin St. Se, Suite 110, Huntsville, AL 35801 | 2018-07-17 |
| 1366968398 | Bennett Brent Smith | Physician Assistant | 825 Adams St. Se, Huntsville, AL 35801 | 2017-08-22 |
| Find all providers in zip 35801 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184282840 | St Luke Integrative Medical Center Inc | Clinic/Center | 415e Church St Nw Ste 4, Huntsville, AL 35801-5577 | 2019-05-29 |
| 1619430733 | Wecare Tlc- Poa Huntsville | Clinic/Center | 7738 Madison Blvd Ste A, Huntsville, AL 35806-3660 | 2019-04-08 |
| 1972050946 | Futuristikidz Residential Facility | Clinic/Center | 683 Fm 980rd., Huntsville, TX 77320 | 2016-09-07 |
| 1164976825 | Regenesis | Clinic/Center | 300 Randolph Ave Se, Huntsville, AL 35801-4118 | 2016-08-11 |
| 1568535649 | United Cerebral Palsy of Huntsville and Tennessee Valley, Inc. | Clinic/Center | 2075 Max Luther Dr Nw, Huntsville, AL 35810-3859 | 2006-11-16 |
| 1932286986 | Utmb Regional and Maternal Child Health Program | Clinic/Center | 1217 Avenue M, Huntsville, TX 77340-4607 | 2006-11-01 |
| 1003385279 | Inspirational Counseling LLC | Clinic/Center | 4100 Market St Ste 100, Huntsville, AL 35808-3007 | 2018-11-17 |
| 1063825941 | Healthworks Medical Group of Alabama P C | Clinic/Center | 1 Cottonvalley Dr Nw, Huntsville, AL 35810-6045 | 2014-06-09 |
| 1265765358 | Houston Physicians Medical Association Pllc | Clinic/Center | 112 Medical Park Ln, Huntsville, TX 77340-4971 | 2009-09-08 |
| 1952315681 | The Valley Foundation | Clinic/Center | 301 Governors Dr Sw, Huntsville, AL 35801-5123 | 2006-07-28 |
| Find all providers in HUNTSVILLE | ||||
| City | HUNTSVILLE |
| Zip Code | 35801 |
Please comment or provide details below to improve the information on SOUTHHUNTSVILLE NEPHROLOGY AND INTERNAL MEDICINE ASSOCIATES.
| 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.