Siddharth R Shah (NPI# 1194770461, PAC ID# 5092723338) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1194770461 |
PAC ID by PECOS | 5092723338 |
Professional Enrollment ID | I20060329000314 |
Full Name | Siddharth R Shah |
Organization Legal Name | FULTONDALE URGENT CARE CENTERS, LLC |
Address |
339 Walker Chapel Plz Suite 115 Fultondale AL 35068-3402 |
Phone Number | 2058412844 |
Gender | M |
Credential | MD |
Graduation Year | 2000 |
Primary Specialty | FAMILY MEDICINE |
Group Practice PAC ID | 7214068881 |
Number of Group Practice Members | 6 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
010104 | GRANDVIEW MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
339 Walker Chapel Plz, Suite 115, Fultondale, AL 35068-3402 | 2058412844 | FULTONDALE URGENT CARE CENTERS, LLC |
2244 N Rd, Gardendale, AL 35071-2206 | 2056315671 | NORWOOD CLINIC INC |
2038 Springdale Ln, Tarrant, AL 35217-2028 | 2058417665 | NORWOOD CLINIC INC |
Organization Legal Name | FULTONDALE URGENT CARE CENTERS, LLC |
Physicians | 3 |
Name | Specialty | Organization | Address |
---|---|---|---|
Deidra A Bolton | Nurse Practitioner | Fultondale Urgent Care Centers, LLC | 339 Walker Chapel Plz, Suite 115, Fultondale, AL 35068-3402 |
James Posey | General Practice | Fultondale Urgent Care Centers, LLC | 339 Walker Chapel Plz, Suite 115, Fultondale, AL 35068-3402 |
Street Address |
339 WALKER CHAPEL PLZ SUITE 115 |
City | FULTONDALE |
State | AL |
Zip | 35068-3402 |
Name | Specialty | Organization | Address |
---|---|---|---|
Larry D Alford Jr. | Internal Medicine | Norwood Clinic Inc | 339 Walker Chapel Plz, Suite 115, Fultondale, AL 35068-3402 |
Raleigh B Kent Iii | General Surgery | Norwood Clinic Inc | 339 Walker Chapel Plz, Suite 115, Fultondale, AL 35068-3402 |
Deidra A Bolton | Nurse Practitioner | Fultondale Urgent Care Centers, LLC | 339 Walker Chapel Plz, Suite 115, Fultondale, AL 35068-3402 |
James Posey | General Practice | Fultondale Urgent Care Centers, LLC | 339 Walker Chapel Plz, Suite 115, Fultondale, AL 35068-3402 |
Name | Specialty | Organization | Address |
---|---|---|---|
Andrew M Dewitt | General Surgery | Norwood Clinic Inc | 339 Walker Chapel Plaza, Suite 109, Fultondale, AL 35068 |
Ann Michele Hill | Dermatology | Total Skin and Beauty Dermatology Center, PC | 339 Walker Chapel Plaza, Suite 109, Fultondale, AL 35068 |
Sara Hopper | Nurse Practitioner | Total Skin and Beauty Dermatology Center, PC | 339 Walker Chapel Plaza, Suite 109, Fultondale, AL 35068 |
Angela P Dominique | Podiatry | 3524 Decatur Hwy 301, Fultondale, AL 35068-1366 | |
Mason Mcannally | Physical Therapy | Therapy South Fultondale | 3471 Lowery Pkwy, Suite 107, Fultondale, AL 35068-1681 |
Allison Jones | Physical Therapy | Therapy South Fultondale | 3471 Lowery Pkwy, Suite 107, Fultondale, AL 35068-1681 |
Christine L Moore | Physical Therapy | Therapy South Fultondale | 3471 Lowery Pkwy, Suite 107, Fultondale, AL 35068-1681 |
Haley Dean | Occupational Therapy | Therapy South Fultondale | 3471 Lowery Pkwy, Suite 107, Fultondale, AL 35068-1681 |
Emma Crumpton | Physical Therapy | Therapy South Fultondale | 3471 Lowery Pkwy, Suite 107, Fultondale, AL 35068-1681 |
Rachael Jones | Physical Therapy | Therapy South Fultondale | 3471 Lowery Pkwy, Suite 107, Fultondale, AL 35068-1681 |
Find all physicians in zip 35068 |
City | FULTONDALE |
Zip Code | 35068 |
Specialty | FAMILY MEDICINE |
City + Specialty | FULTONDALE + FAMILY MEDICINE |
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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.