| Dch Provider Services, Llc | |
|
809 University Blvd E Tuscaloosa AL 35401 | |
| (205) 333-4528 | |
| Not Available |
| Full Name | Dch Provider Services, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 809 University Blvd E, Tuscaloosa, Alabama |
| Authorized Official Name and Position | Daniel Clay Conville (DIRECTOR, PHYSICIAN SERVICES) |
| Authorized Official Contact | 2053334528 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dch Provider Services, Llc 809 University Blvd E Tuscaloosa AL 35401 Ph: (205) 333-4528 | Dch Provider Services, Llc 809 University Blvd E Tuscaloosa AL 35401 Ph: (205) 333-4528 |
| NPI Number | 1982103974 |
|---|---|
| Provider Enumeration Date | 02/06/2018 |
| Last Update Date | 03/17/2018 |
| Medicare PECOS PAC ID | 6800150517 |
|---|---|
| Medicare Enrollment ID | O20180504001564 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982103974 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Gary Randell Newsom |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992723019 PECOS PAC ID: 1052216785 Enrollment ID: I20031205000079 |
| Provider Name | Charles Melbern Wilcox |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1740297027 PECOS PAC ID: 1052205481 Enrollment ID: I20040209000499 |
| Provider Name | Abhinandan Raj |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1477657070 PECOS PAC ID: 4688659659 Enrollment ID: I20040623000417 |
| Provider Name | David A Smith |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598706046 PECOS PAC ID: 1153307855 Enrollment ID: I20040624001275 |
| Provider Name | Christopher Jon Sneckenberger |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578510145 PECOS PAC ID: 8921088436 Enrollment ID: I20040724000089 |
| Provider Name | James H Bankston |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831130459 PECOS PAC ID: 9436111234 Enrollment ID: I20041103000686 |
| Provider Name | Lovdie A Lewis |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1407810013 PECOS PAC ID: 9234193434 Enrollment ID: I20041117000583 |
| Provider Name | Jeffrey K Anderson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1598729105 PECOS PAC ID: 8123082336 Enrollment ID: I20041117000660 |
| Provider Name | Jerill K Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063483378 PECOS PAC ID: 6800847997 Enrollment ID: I20050207000268 |
| Provider Name | Amit K Shah |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1275503948 PECOS PAC ID: 0840241964 Enrollment ID: I20050207000486 |
| Provider Name | Sanjay K Singh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952403362 PECOS PAC ID: 2961416870 Enrollment ID: I20060131000322 |
| Provider Name | Dana S Norris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356433064 PECOS PAC ID: 5991716870 Enrollment ID: I20060505000842 |
| Provider Name | Jason R Bearden |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598714750 PECOS PAC ID: 6800814328 Enrollment ID: I20060606000224 |
| Provider Name | George P Hemstreet |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1851400485 PECOS PAC ID: 3476591009 Enrollment ID: I20070621000149 |
| Provider Name | Edward A Carraway |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1114139300 PECOS PAC ID: 7719079862 Enrollment ID: I20070822000471 |
| Provider Name | Cameron S Paisley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649328253 PECOS PAC ID: 0446342018 Enrollment ID: I20070828000122 |
| Provider Name | Rao Meka |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1275608853 PECOS PAC ID: 1658472485 Enrollment ID: I20080416000279 |
| Provider Name | Anand Pandey |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1740274133 PECOS PAC ID: 2860556453 Enrollment ID: I20090128000399 |
| Provider Name | Robert D Hamiter |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326089913 PECOS PAC ID: 9739080441 Enrollment ID: I20100607000454 |
| Provider Name | Bernard J Veillon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225079783 PECOS PAC ID: 8224939947 Enrollment ID: I20100721000021 |
| Provider Name | Russell A Scholl |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003863598 PECOS PAC ID: 6406757111 Enrollment ID: I20100727000531 |
| Provider Name | Jerry A Lushington |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659328227 PECOS PAC ID: 3072414788 Enrollment ID: I20100805000132 |
| Provider Name | Howard Holley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659312171 PECOS PAC ID: 4183525892 Enrollment ID: I20100818000663 |
| Provider Name | Hugh M Borak |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740245927 PECOS PAC ID: 3476454182 Enrollment ID: I20100818000680 |
| Provider Name | Mathew M Merritt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417998071 PECOS PAC ID: 2163323874 Enrollment ID: I20100824000171 |
| Provider Name | Deryck A Joseph |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1679515159 PECOS PAC ID: 9830213651 Enrollment ID: I20100901000028 |
| Provider Name | Margaret C Guarisco |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023065687 PECOS PAC ID: 5193626802 Enrollment ID: I20100921000036 |
| Provider Name | Elizabeth Dyre Caldwell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396785929 PECOS PAC ID: 1658272364 Enrollment ID: I20100922000627 |
| Provider Name | Warren H Holley |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1194719567 PECOS PAC ID: 8527254267 Enrollment ID: I20101122000028 |
| Provider Name | David Rivers Shulman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013234830 PECOS PAC ID: 4587838974 Enrollment ID: I20111121000790 |
| Provider Name | Jason H Stuckey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710195516 PECOS PAC ID: 7719154897 Enrollment ID: I20120112000170 |
| Provider Name | James B Proctor |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1275746992 PECOS PAC ID: 3274771233 Enrollment ID: I20130603000387 |
| Provider Name | Pedro N Capote |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740540871 PECOS PAC ID: 2365680667 Enrollment ID: I20130612000256 |
| Provider Name | Robert Brinson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1487741237 PECOS PAC ID: 0547498032 Enrollment ID: I20140107001258 |
| Provider Name | Stephanie Wynn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205113552 PECOS PAC ID: 4082838537 Enrollment ID: I20140624001252 |
| Provider Name | Louis W Lucas |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346465549 PECOS PAC ID: 8921166273 Enrollment ID: I20140711002276 |
| Provider Name | Tandra R Gordon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740571215 PECOS PAC ID: 0143464404 Enrollment ID: I20141016001926 |
| Provider Name | Vijaya Dhanireddy Boyella |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1932263993 PECOS PAC ID: 4284737362 Enrollment ID: I20160510001539 |
| Provider Name | Richard E Chernecky |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1437210341 PECOS PAC ID: 2961551353 Enrollment ID: I20180522001871 |
| Provider Name | Russell Carter |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1912976085 PECOS PAC ID: 6002957883 Enrollment ID: I20180522002513 |
| Provider Name | James C Lamousin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043227606 PECOS PAC ID: 8022000215 Enrollment ID: I20180809000658 |
| Provider Name | Christine Bruno |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1982770707 PECOS PAC ID: 4688612120 Enrollment ID: I20180821003392 |
| Provider Name | Gregory R Renck |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275645400 PECOS PAC ID: 2668557455 Enrollment ID: I20180919003048 |
| Provider Name | Dakota Acton-jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790167864 PECOS PAC ID: 1153638192 Enrollment ID: I20181017002326 |
| Provider Name | Elizabeth J Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952758666 PECOS PAC ID: 8224313820 Enrollment ID: I20190507000725 |
| Provider Name | William E Brohawn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164480109 PECOS PAC ID: 4587559752 Enrollment ID: I20190821004910 |
| Provider Name | Sheree Evette Walker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598928624 PECOS PAC ID: 3779898325 Enrollment ID: I20200108002500 |
| Provider Name | Asim Rana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124559059 PECOS PAC ID: 3779856133 Enrollment ID: I20200908002858 |
| Provider Name | Randi H Hatton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578153391 PECOS PAC ID: 3678980810 Enrollment ID: I20210406000266 |
| Provider Name | Vishal J Dahya |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1538571195 PECOS PAC ID: 8921220823 Enrollment ID: I20211108002882 |
| Provider Name | Charles Eric Carruth |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770841223 PECOS PAC ID: 0547557134 Enrollment ID: I20220815002546 |
West Alabama Physician Associates Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 701 University Blvd E Ste 211, Tuscaloosa, AL 35401 Phone: 205-333-4965 | |
Steve Lovelady Md Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1490 N Bank Pkwy Ste 290, Tuscaloosa, AL 35406 Phone: 205-523-7001 | |
Alabama Hospital Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 809 University Blvd E, Tuscaloosa, AL 35401 Phone: 205-344-9019 Fax: 205-344-9036 | |
Whatley Health Services, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2731 Martin Luther King Blvd, Tuscaloosa, AL 35401 Phone: 205-349-3250 Fax: 205-752-1517 | |
Mentorup Life Lab & Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 535 Jack Warner Pkwy Ne Ste G2, Tuscaloosa, AL 35404 Phone: 205-771-2261 | |