Larry B Thead (NPI# 1033177829, PAC ID# 2961490065) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1033177829 |
| PAC ID by PECOS | 2961490065 |
| Professional Enrollment ID | I20040505001761 |
| Full Name | Larry B Thead |
| Organization Legal Name | IMC-DIAGNOSTIC AND MEDICAL CLINIC PC |
| Address |
95 Shell Rd Saraland AL 36571-2202 |
| Phone Number | 2516754733 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE |
| Graduation Year | 1979 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 2860399623 |
| Number of Group Practice Members | 104 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 010113 | MOBILE INFIRMARY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1700 Springhill Ave, Suite 100, Mobile, AL 36604-1416 | 2514351200 | IMC-DIAGNOSTIC AND MEDICAL CLINIC PC |
| 95 Shell Rd, Saraland, AL 36571-2202 | 2516754733 | IMC-DIAGNOSTIC AND MEDICAL CLINIC PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 58% | |
| MIPS_EC_111_overall | Pneumococcal Vaccination Status for Older Adults | 73% | |
| MIPS_EC_113_overall | Colorectal Cancer Screening | 52% | |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 96% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Organization Legal Name | IMC-DIAGNOSTIC AND MEDICAL CLINIC PC |
| Physicians | 107 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jose Nahun Galeas Soriano | Hematology/oncology | Imc-diagnostic and Medical Clinic PC | 188 Hospital Dr, Suite 303, Fairhope, AL 36532-2018 |
| Harrison B Pearl | Neurology | Imc-diagnostic and Medical Clinic PC | 1720 Spring Hill Ave, Suite 300, Mobile, AL 36604-1410 |
| Zaid Alnoah | Gastroenterology | Imc-diagnostic and Medical Clinic PC | 1700 Springhill Ave, Suite 100, Mobile, AL 36604-1416 |
| Deanna L Thomas | Nurse Practitioner | Imc-diagnostic and Medical Clinic PC | 831 C Hillcrest Rd, Mobile, AL 36695-3909 |
| Kevin K Varden | Internal Medicine | Imc-diagnostic and Medical Clinic PC | 7101 Hwy 90, Suite 104, Daphne, AL 36526-9517 |
| Damian J Collins | Internal Medicine | Imc-diagnostic and Medical Clinic PC | 95 Shell Rd, Saraland, AL 36571-2202 |
| Maher J Sahawneh | Pulmonary Disease | Imc-diagnostic and Medical Clinic PC | 297 S Jackson St B, Grove Hill, AL 36451-3231 |
| Roger M Alvarado | Internal Medicine | Imc-diagnostic and Medical Clinic PC | 2000 Mcmillan Ave, Bay Minette, AL 36507-4134 |
| Stephen T Simpson Jr. | Emergency Medicine | Imc-diagnostic and Medical Clinic PC | 95 Shell Rd, Saraland, AL 36571-2202 |
| Scott Q Carver | Family Medicine | Imc-diagnostic and Medical Clinic PC | 95 Shell Rd, Saraland, AL 36571-2202 |
| Street Address |
95 SHELL RD |
| City | SARALAND |
| State | AL |
| Zip | 36571-2202 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Damian J Collins | Internal Medicine | Imc-diagnostic and Medical Clinic PC | 95 Shell Rd, Saraland, AL 36571-2202 |
| Stephen T Simpson Jr. | Emergency Medicine | Imc-diagnostic and Medical Clinic PC | 95 Shell Rd, Saraland, AL 36571-2202 |
| Scott Q Carver | Family Medicine | Imc-diagnostic and Medical Clinic PC | 95 Shell Rd, Saraland, AL 36571-2202 |
| Jason R West | Family Medicine | Imc-diagnostic and Medical Clinic PC | 95 Shell Rd, Saraland, AL 36571-2202 |
| Richard J Valentine | Family Medicine | Imc-diagnostic and Medical Clinic PC | 95 Shell Rd, Saraland, AL 36571-2202 |
| Samuel B Hooks Iii | Gastroenterology | Imc-diagnostic and Medical Clinic PC | 95 Shell Rd, Saraland, AL 36571-2202 |
| Daren A Scroggie | Rheumatology | Imc-diagnostic and Medical Clinic PC | 95 Shell Rd, Saraland, AL 36571-2202 |
| Jacob B Webster | Internal Medicine | Imc-diagnostic and Medical Clinic PC | 95 Shell Rd, Saraland, AL 36571-2202 |
| William H Hewitt | Neurology | Imc-diagnostic and Medical Clinic PC | 95 Shell Rd, Saraland, AL 36571-2202 |
| John G Vanderwood | Family Medicine | Imc-diagnostic and Medical Clinic PC | 95 Shell Rd, Saraland, AL 36571-2202 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian Risser | Physical Therapy | Saraland Physical Therapy Services Inc | 205 Hwy 43 N, Saraland, AL 36571-2126 |
| Aimee M Maxwell | Physical Therapy | Saraland Physical Therapy Services Inc | 205 Hwy 43 N, Saraland, AL 36571-2126 |
| Amanda Lord | Nurse Practitioner | Alabama Providence Healthcare Services | 18 C M Rambo Dr, Saraland, AL 36571-2147 |
| Christopher J Gamard | Internal Medicine | Imc-diagnostic and Medical Clinic PC | 95 Shell Rd, Saraland, AL 36571-2202 |
| Brian Scott Hollensworth | Neurology | Imc-diagnostic and Medical Clinic PC | 95 Shell Rd, Saraland, AL 36571-2202 |
| Amanda J Toris | Nurse Practitioner | Imc-diagnostic and Medical Clinic PC | 95 Shell Rd, Saraland, AL 36571-2202 |
| Donessa A Fraser | Family Medicine | Imc-diagnostic and Medical Clinic PC | 95 Shell Rd, Saraland, AL 36571-2202 |
| Fredrick S Orleans | Gastroenterology | Imc-diagnostic and Medical Clinic PC | 95 Shell Rd, Saraland, AL 36571-2202 |
| Stephen A Davis | Internal Medicine | Imc-diagnostic and Medical Clinic PC | 95 Shell Rd, Saraland, AL 36571-2202 |
| Patricia Burch | Internal Medicine | Imc-diagnostic and Medical Clinic PC | 95 Shell Rd, Saraland, AL 36571-2202 |
| Find all physicians in zip 36571 | |||
| City | SARALAND |
| Zip Code | 36571 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | SARALAND + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Larry B Thead.
| 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.