ST. VINCENT'S GARDENDALE CLINIC, LLC (NPI# 1992051379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992051379 |
| Entity Type | Organization |
| Organization Name | ST. VINCENT'S GARDENDALE CLINIC, LLC |
| Practice Address |
2217 Decatur Highway Suite 101 Gardendale AL 35071-2301 |
| Mailing Address |
50 Medical Park Drive East Building 46, Suite 310 Birmingham AL 35235-3401 |
| Practice Telephone | 2054181200 |
| Practice Fax Number | 2054181271 |
| Mailing Telephone | 2058686215 |
| Mailing Fax Number | 2058686320 |
| Enumeration Date | 2012-08-03 |
| Last Update Date | 2017-09-06 |
| Authorized Official Name | BRANDON WILLIAMS (CFO) |
| Authorized Official Telephone | 2059302592 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
2217 DECATUR HIGHWAY SUITE 101 |
| City | GARDENDALE |
| State | AL |
| Zip Code | 35071-2301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144705682 | Ragan Overby | Nurse Practitioner | 960 Mount Olive Parkway, Gardendale, AL 35071 | 2018-10-01 |
| 1336632561 | Gardendale Oral Surgery, P.C. | Dentist | 919 Sharit Ave Ste 201, Gardendale, AL 35071 | 2018-06-12 |
| 1639696859 | Hillary Neal Davis | Nurse Practitioner | 313 Fieldstown Rd Ste 103, Gardendale, AL 35071 | 2017-08-28 |
| 1306218367 | Gardendale Health Mart Pharmacy LLC | Pharmacy | 835 Odum Rd Ste 101, Gardendale, AL 35071 | 2015-10-29 |
| 1164891610 | Cherry Kelly | Pharmacist | 890 Odum Road, Gardendale, AL 35071 | 2015-09-15 |
| 1023420809 | Paul Mcdonald | Nurse Practitioner | 2334 Us Highway 31, Gardendale, AL 35071 | 2014-05-28 |
| 1285056671 | Andrea Brown | Physical Therapy Assistant | 420 Dean Lane, Gardendale, AL 35071 | 2014-01-20 |
| 1720328784 | Genesis Rehabilation | Skilled Nursing Facility | 420 Dean Drive, Gardendale, ALABAMA 35071 | 2013-02-27 |
| 1609036003 | Sarah Peters Cribbs | Internal Medicine | 210 Fieldstown Rd, Gardendale, AL 35071 | 2008-06-10 |
| 1548313422 | Brookwood Urgent Care, L.L.C. | Family Medicine | 2117 Decatur Highway, Suite 131, Gardendale, AL 35071 | 2007-01-22 |
| Find all providers in zip 35071 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497167118 | Joseph Brewer | Family Medicine | 2217 Decatur Hwy Ste 101, Gardendale, AL 35071-2301 | 2014-05-29 |
| 1548313422 | Brookwood Urgent Care, L.L.C. | Family Medicine | 2117 Decatur Highway, Suite 131, Gardendale, AL 35071 | 2007-01-22 |
| 1083785117 | Robert W Mitchell | Family Medicine | 2650 Decatur Hwy, Gardendale, AL 35071-2116 | 2006-11-12 |
| 1770673402 | Frank J Doganiero Jr. | Family Medicine | 2244 North Rd Ste 102, Gardendale, AL 35071-2206 | 2006-10-13 |
| 1245294339 | Bhc - Gardendale | Family Medicine | 758 Main St, Gardendale, AL 35071-2696 | 2006-04-14 |
| 1295211795 | Kristi Mckeever Lunceford | Family Medicine | 2215 Decatur Hwy Ste 101, Gardendale, AL 35071-2384 | 2018-07-17 |
| 1184061699 | Sirisha Chada | Family Medicine | 2217 Decatur Hwy, Gardendale, AL 35071-2301 | 2013-05-24 |
| 1215255344 | William Dean Sides | Family Medicine | 430 Fieldstown Rd Ste 104, Gardendale, AL 35071-2485 | 2010-05-13 |
| 1487767216 | Terry V Kinnebrew | Family Medicine | 758 Main St, Gardendale, AL 35071-2696 | 2006-08-16 |
| 1952414781 | Sharon D. Gray | Family Medicine | 430 Fieldstown Rd Ste 104, Gardendale, AL 35071-2485 | 2006-08-16 |
| Find all providers in GARDENDALE | ||||
| City | GARDENDALE |
| Zip Code | 35071 |
Please comment or provide details below to improve the information on ST. VINCENT'S GARDENDALE CLINIC, LLC.
| 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.