Mr Jonathan Peter Southworth, DO | |
1 West Lakeshore Drive, Suite 100, Birmingham, AL 35209-7271 | |
(205) 930-2950 | |
(205) 930-2957 |
Full Name | Mr Jonathan Peter Southworth |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 1 West Lakeshore Drive, Birmingham, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831161611 | NPI | - | NPPES |
051555035 | Medicaid | AL | |
000060008 | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | DO780 (Alabama) | Primary |
Entity Name | Emergency Physician Associates, P.a. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467478628 PECOS PAC ID: 7113823246 Enrollment ID: O20031210000240 |
Entity Name | Paragon Contracting Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225071459 PECOS PAC ID: 3971417825 Enrollment ID: O20050218000756 |
Entity Name | Attentus Moulton, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124062286 PECOS PAC ID: 6406895382 Enrollment ID: O20050517000324 |
Mailing Address | Practice Location Address |
---|---|
Mr Jonathan Peter Southworth, DO 1 West Lakeshore Drive, Suite 100, Birmingham, AL 35209-7271 Ph: (205) 930-2950 | Mr Jonathan Peter Southworth, DO 1 West Lakeshore Drive, Suite 100, Birmingham, AL 35209-7271 Ph: (205) 930-2950 |
Jill Marsh, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1717 6th Ave S, Birmingham, AL 35233 Phone: 800-822-8816 | |
Jack Cannon Whites, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 616 South 9th Street, Birmingham, AL 35233 Phone: 205-326-3100 Fax: 205-716-3044 | |
Dr. Kathryn D Kartus, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3900 Seven Bark Cir, Birmingham, AL 35243 Phone: 205-967-6676 | |
Melissa Jane Puntkattalee, Family Medicine Medicare: Medicare Enrolled Practice Location: 5720 1st Ave S, Birmingham, AL 35212 Phone: 205-380-9455 Fax: 205-380-9459 | |
Dr. Nova Law, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 944 18th St S, Suite C, Birmingham, AL 35205 Phone: 205-870-4343 Fax: 205-870-0299 | |
Sarah Kane, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1308 Tuscaloosa Ave Sw, Birmingham, AL 35211 Phone: 205-679-6325 Fax: 205-783-8600 | |
John Joseph Davis, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5577 Chalkville Rd, Birmingham, AL 35235 Phone: 205-853-3533 Fax: 205-856-3808 |