Kelley Taylor (NPI# 1124241336, PAC ID# 0648449124) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PATHOLOGY.
| Nation Provider ID (NPI) | 1124241336 |
| PAC ID by PECOS | 0648449124 |
| Professional Enrollment ID | I20120118000189 |
| Full Name | Kelley Taylor |
| Organization Legal Name | THE EAST ALABAMA HEALTHCARE AUTHORITY |
| Address |
2412 Village Professional Dr S Opelika AL 36801-4742 |
| Phone Number | 3345286670 |
| Gender | F |
| Medical School | UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE |
| Graduation Year | 2002 |
| Primary Specialty | PATHOLOGY |
| Group Practice PAC ID | 3072403237 |
| Number of Group Practice Members | 53 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 010029 | EAST ALABAMA MEDICAL CENTER AND SNF |
| Address | Phone | Organization |
|---|---|---|
| 2000 Pepperell Pkwy, Opelika, AL 36801-5452 | THE EAST ALABAMA HEALTHCARE AUTHORITY | |
| 2412 Village Professional Dr S, Opelika, AL 36801-4742 | 3345286670 | THE EAST ALABAMA HEALTHCARE AUTHORITY |
| 2420 Village Professional Dr S, Opelika, AL 36801-4742 | 3345287270 | THE EAST ALABAMA HEALTHCARE AUTHORITY |
| 2422 Village Professional S Dr, Opelika, AL 36801-4742 | 3345286800 | THE EAST ALABAMA HEALTHCARE AUTHORITY |
| Organization Legal Name | THE EAST ALABAMA HEALTHCARE AUTHORITY |
| Physicians | 55 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Meshia K Wallace | Pulmonary Disease | The East Alabama Healthcare Authority | 2422 Village Professional S Dr, Opelika, AL 36801-4742 |
| Joseph P Monley | Emergency Medicine | The East Alabama Healthcare Authority | 2000 Waverly Pkwy, Opelika, AL 36801-4739 |
| Frederick Mansur Aziz | Physical Medicine and Rehabilitation | The East Alabama Healthcare Authority | 2000 Pepperell Pkwy, Opelika, AL 36801-5452 |
| Eric R Senn | Emergency Medicine | The East Alabama Healthcare Authority | 2000 Pepperell Pkwy, Opelika, AL 36801-5452 |
| Michael Nicholas Barbaree | Emergency Medicine | The East Alabama Healthcare Authority | 2000 Pepperell Pkwy, Opelika, AL 36801-5452 |
| Russell P Herrington | Emergency Medicine | The East Alabama Healthcare Authority | 2000 Pepperell Pkwy, Opelika, AL 36801-5452 |
| Donthamsetty A Rao | Pathology | The East Alabama Healthcare Authority | 2000 Pepperell Pkwy, Opelika, AL 36801-5452 |
| Ricky L Ledkins | Emergency Medicine | The East Alabama Healthcare Authority | 2000 Pepperell Pkwy, Opelika, AL 36801-5452 |
| William Forrest Bonner | Nurse Practitioner | The East Alabama Healthcare Authority | 2000 Pepperell Pkwy, Opelika, AL 36801-5452 |
| Hunter S Lett | Family Medicine | The East Alabama Healthcare Authority | 2000 Pepperell Pkwy, Opelika, AL 36801-5452 |
| Street Address |
2412 VILLAGE PROFESSIONAL DR S |
| City | OPELIKA |
| State | AL |
| Zip | 36801-4742 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jose A Leon | Internal Medicine | The East Alabama Healthcare Authority | 2412 Village Professional Dr S, Opelika, AL 36801-4742 |
| Carla L Hudson | Nurse Practitioner | The East Alabama Healthcare Authority | 2412 Village Professional Dr S, Opelika, AL 36801-4742 |
| Katrin M Klemm | Pathology | The East Alabama Healthcare Authority | 2412 Village Professional Dr S, Opelika, AL 36801-4742 |
| Kressida Cain Benson | Pathology | The East Alabama Healthcare Authority | 2412 Village Professional Dr S, Opelika, AL 36801-4742 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Martin Roach | Family Medicine | 7667 Alabama Hwy 51, Suite B, Opelika, AL 36801 | |
| Moses M Jones | Family Medicine | Auburn Urgent Care, Inc | 2638 Enterprise Dr, Opelika, AL 36801-1512 |
| Kevin L Jackson | Internal Medicine | 2430 Village Professional Dr, Opelika, AL 36801-2378 | |
| Sandra J Whitaker | Nurse Practitioner | East Alabama Physicians, LLC | 2740 Village Professional Dr, Opelika, AL 36801-2379 |
| Jennifer Ann Hadley | Psychiatry | East Alabama Physicians, LLC | 2740 Village Professional Dr, Opelika, AL 36801-2379 |
| Jennifer Smith | Psychiatry | East Alabama Physicians, LLC | 2740 Village Professional Dr, Opelika, AL 36801-2379 |
| David Estep | Psychiatry | East Alabama Physicians, LLC | 2740 Village Professional Dr, Opelika, AL 36801-2379 |
| Peter J Lusche | Psychiatry | East Alabama Physicians, LLC | 2740 Village Professional Dr, Opelika, AL 36801-2379 |
| Sai K Nandamuru | Psychiatry | East Alabama Physicians, LLC | 2740 Village Professional Dr, Opelika, AL 36801-2379 |
| Erica Kierce | Nurse Practitioner | East Alabama Physicians, LLC | 2740 Village Professional Dr, Opelika, AL 36801-2379 |
| Find all physicians in zip 36801 | |||
| City | OPELIKA |
| Zip Code | 36801 |
| Specialty | PATHOLOGY |
| City + Specialty | OPELIKA + PATHOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.