Samuel Ray Marcrom (NPI# 1093127425, PAC ID# 7315232303) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is RADIATION ONCOLOGY.
| Nation Provider ID (NPI) | 1093127425 |
| PAC ID by PECOS | 7315232303 |
| Professional Enrollment ID | I20190814000671 |
| Full Name | Samuel Ray Marcrom |
| Organization Legal Name | CENTRAL ALABAMA RADIATION ONCOLOGY |
| Address |
4143 Carmichael Rd Montgomery AL 36106-2803 |
| Phone Number | 3343952200 |
| Gender | M |
| Medical School | UNIVERSITY OF TENNESSEE COLLEGE OF MEDICINE |
| Graduation Year | 2014 |
| Primary Specialty | RADIATION ONCOLOGY |
| Group Practice PAC ID | 0345404471 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 010023 | BAPTIST MEDICAL CENTER SOUTH |
| 010024 | JACKSON HOSPITAL & CLINIC INC |
| Address | Phone | Organization |
|---|---|---|
| 4143 Carmichael Rd, Montgomery, AL 36106-2803 | 3343952200 | CENTRAL ALABAMA RADIATION ONCOLOGY |
| 1023 Medical Ctr Pkwy, Suite 110, Selma, AL 36701-7737 | 3348729300 | CENTRAL ALABAMA RADIATION ONCOLOGY |
| Organization Legal Name | CENTRAL ALABAMA RADIATION ONCOLOGY |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alexander C Whitley | Radiation Oncology | Central Alabama Radiation Oncology | 585 Jasmine Trl, Prattville, AL 36066-3657 |
| Ashley Harris Stough | Nurse Practitioner | Central Alabama Radiation Oncology | 4143 Carmichael Rd, Montgomery, AL 36106-2803 |
| Michael Lewis Ingram | Radiation Oncology | Central Alabama Radiation Oncology | 4143 Carmichael Rd, Montgomery, AL 36106-2803 |
| Robert Lee Franklin | Radiation Oncology | Central Alabama Radiation Oncology | 585 Jasmine Trl, Prattville, AL 36066-3657 |
| William W. Helvie | Radiation Oncology | Central Alabama Radiation Oncology | 1023 Medical Ctr Pkwy, Suite 110, Selma, AL 36701-7737 |
| David Vega | Radiation Oncology | Central Alabama Radiation Oncology | 4143 Carmichael Rd, Montgomery, AL 36106-2801 |
| Street Address |
4143 CARMICHAEL RD |
| City | MONTGOMERY |
| State | AL |
| Zip | 36106-2803 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashley Harris Stough | Nurse Practitioner | Central Alabama Radiation Oncology | 4143 Carmichael Rd, Montgomery, AL 36106-2803 |
| Michael Lewis Ingram | Radiation Oncology | Central Alabama Radiation Oncology | 4143 Carmichael Rd, Montgomery, AL 36106-2803 |
| David Vega | Radiation Oncology | Central Alabama Radiation Oncology | 4143 Carmichael Rd, Montgomery, AL 36106-2801 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Glenn D Bedsole | Infectious Disease | 1801 Pine St, Montgomery, AL 36106-0165 | |
| Richard A Stehl | Family Practice | 1801 Pine St, Montgomery, AL 36106-0165 | |
| Wesley H Barry Jr. | General Surgery | Jackson Hospital and Clinic, Inc. | 1722 Pine St, Suite 904, Montgomery, AL 36106-1104 |
| Alfred J Newman Jr. | Urology | 1722 Pine St, Suite 903, Montgomery, AL 36106-1104 | |
| Nannette Laraine Mcdaniel | Family Practice | Adams Family Practice PC | 1323 B Mulberry St, Montgomery, AL 36106-1106 |
| Jacquelin Ratunil Chua | Rheumatology | Jackson Hospital and Clinic, Inc. | 1722 Pine St, Suite 801, Montgomery, AL 36106-1108 |
| Shyam Padmanabhan | Cardiovascular Disease (cardiology) | Jackson Hospital and Clinic, Inc. | 1725 Pine St, Montgomery, AL 36106-1109 |
| Eric S Cunningham | Internal Medicine | Jackson Hospital and Clinic, Inc. | 1725 Pine St, Montgomery, AL 36106-1109 |
| Rikka Asuncion Banayat | Internal Medicine | Jackson Hospital and Clinic, Inc. | 1725 Pine St, Montgomery, AL 36106-1109 |
| Christopher O Ike | Cardiovascular Disease (cardiology) | Jackson Hospital and Clinic, Inc. | 1725 Pine St, Montgomery, AL 36106-1109 |
| Find all physicians in zip 36106 | |||
| City | MONTGOMERY |
| Zip Code | 36106 |
| Specialty | RADIATION ONCOLOGY |
| City + Specialty | MONTGOMERY + RADIATION ONCOLOGY |
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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.