Eastern Hospital Medicine Pc | |
50 Medical Park East Dr Birmingham AL 35235 | |
(205) 838-3000 | |
(205) 874-8333 |
Full Name | Eastern Hospital Medicine Pc |
---|---|
Speciality | Internal Medicine |
Location | 50 Medical Park East Dr, Birmingham, Alabama |
Authorized Official Name and Position | Lee T Wimberly (OWNER) |
Authorized Official Contact | 2058748300 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Eastern Hospital Medicine Pc Po Box 830674 Msc#716 Birmingham AL 35283-0674 Ph: (205) 874-8300 | Eastern Hospital Medicine Pc 50 Medical Park East Dr Birmingham AL 35235 Ph: (205) 838-3000 |
NPI Number | 1104859123 |
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Provider Enumeration Date | 07/10/2006 |
Last Update Date | 05/02/2014 |
Medicare PECOS PAC ID | 8325044597 |
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Medicare Enrollment ID | O20061011000241 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104859123 | NPI | - | NPPES |
DF1683 | Other | MEDICARE RAILROAD | |
529930180 | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Prince C Uzoije |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1811923014 PECOS PAC ID: 6204811383 Enrollment ID: I20040622001410 |
Provider Name | Bruce M Pava |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1821083569 PECOS PAC ID: 1153391917 Enrollment ID: I20040728001597 |
Provider Name | Lori A Lynn |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1972517472 PECOS PAC ID: 4880667203 Enrollment ID: I20040814000149 |
Provider Name | Robin B Abel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528360534 PECOS PAC ID: 5890756159 Enrollment ID: I20041020001229 |
Provider Name | John H Wagner |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1487634085 PECOS PAC ID: 9133180334 Enrollment ID: I20041021000272 |
Provider Name | Lee T Wimberly |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1033142054 PECOS PAC ID: 8325098726 Enrollment ID: I20050124000813 |
Provider Name | Margaret D Turner |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1669486767 PECOS PAC ID: 3173538774 Enrollment ID: I20060220000176 |
Provider Name | Alison L Daggett |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1548284193 PECOS PAC ID: 1254229149 Enrollment ID: I20061219000204 |
Provider Name | Wanda Hicks |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033206545 PECOS PAC ID: 3274633292 Enrollment ID: I20070705000194 |
Provider Name | Sangae Kim-park |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1760679351 PECOS PAC ID: 4789764192 Enrollment ID: I20080110000128 |
Provider Name | Charlotte E Menzel |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1730288390 PECOS PAC ID: 2062589906 Enrollment ID: I20080918000650 |
Provider Name | Amy L Brooks |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225214794 PECOS PAC ID: 8729156500 Enrollment ID: I20081007000149 |
Provider Name | Robin S Harris |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487801502 PECOS PAC ID: 2062565005 Enrollment ID: I20090808000005 |
Provider Name | Felix R Dulanto |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1043479124 PECOS PAC ID: 5092861864 Enrollment ID: I20090918000505 |
Provider Name | Susan J Appel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770816050 PECOS PAC ID: 2961532783 Enrollment ID: I20100604000681 |
Provider Name | Cassandra W Frieson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740269802 PECOS PAC ID: 8921288424 Enrollment ID: I20110215000550 |
Provider Name | Hiboombe Haamankuli |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780970665 PECOS PAC ID: 2961670229 Enrollment ID: I20110713000139 |
Provider Name | Nikitris Taylor-perry |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245513183 PECOS PAC ID: 7719151349 Enrollment ID: I20111117000213 |
Provider Name | William W Smith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225306384 PECOS PAC ID: 9032378823 Enrollment ID: I20120314000599 |
Provider Name | Windy J Wisener |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619235009 PECOS PAC ID: 8426209453 Enrollment ID: I20121121000174 |
Provider Name | Jewel L Kirk |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629325618 PECOS PAC ID: 4486897659 Enrollment ID: I20130909000220 |
Provider Name | Gregory L Ramsey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477873917 PECOS PAC ID: 8527292143 Enrollment ID: I20131014000755 |
Provider Name | Candace O Smith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952568081 PECOS PAC ID: 6406906635 Enrollment ID: I20140509002095 |
Provider Name | April S Brown |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598154635 PECOS PAC ID: 5890013452 Enrollment ID: I20150409002570 |
Provider Name | Lasondra Coley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811368392 PECOS PAC ID: 0648589796 Enrollment ID: I20151012002484 |
Provider Name | Kimkeisha Lashae Morgan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821473950 PECOS PAC ID: 9830409044 Enrollment ID: I20151030000015 |
Provider Name | Krissy Custis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912339615 PECOS PAC ID: 3870803745 Enrollment ID: I20151104002026 |
Provider Name | Stephanie H. Robinson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316336092 PECOS PAC ID: 8325358971 Enrollment ID: I20151110002734 |
Provider Name | Rebekah Mattson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881068849 PECOS PAC ID: 9931409760 Enrollment ID: I20151201002050 |
Provider Name | Anna K Hollis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386982437 PECOS PAC ID: 3779884184 Enrollment ID: I20151208003323 |
Provider Name | Carita K Holman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700260304 PECOS PAC ID: 2567763386 Enrollment ID: I20151222000085 |
Provider Name | Kenya Powell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235527680 PECOS PAC ID: 2365743028 Enrollment ID: I20151222001746 |
Provider Name | Whitnee C Brown |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699149948 PECOS PAC ID: 2062714330 Enrollment ID: I20160104000337 |
Provider Name | Ritchelle V Broadnax |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033500046 PECOS PAC ID: 3577865815 Enrollment ID: I20160105000008 |
Provider Name | Natalie B Robinson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265806590 PECOS PAC ID: 7012219355 Enrollment ID: I20160105000021 |
Provider Name | Amy Messer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215301130 PECOS PAC ID: 4789987819 Enrollment ID: I20160125001205 |
Provider Name | Latoya Carstarphen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790134369 PECOS PAC ID: 0941596837 Enrollment ID: I20160831002717 |
Provider Name | James Brooks |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659721918 PECOS PAC ID: 1557659679 Enrollment ID: I20161005001538 |
Provider Name | Nicole Nelson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851839203 PECOS PAC ID: 0446534606 Enrollment ID: I20170307001620 |
Provider Name | Sakeena Spencer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861944233 PECOS PAC ID: 1456635861 Enrollment ID: I20170308001386 |
Provider Name | Demechiko French |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578002440 PECOS PAC ID: 9234406794 Enrollment ID: I20170605001434 |
Provider Name | Saujanya Shakya |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235425083 PECOS PAC ID: 9830377266 Enrollment ID: I20170927000469 |
Provider Name | Destiny Rashel Tucker |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730626631 PECOS PAC ID: 6204106131 Enrollment ID: I20171108003120 |
Provider Name | Lisa Pope |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952800641 PECOS PAC ID: 4082625983 Enrollment ID: I20180522001426 |
Provider Name | Christopher V Salazar |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881008449 PECOS PAC ID: 0042518300 Enrollment ID: I20180620002897 |
Provider Name | Sonia Smith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922501006 PECOS PAC ID: 1052667946 Enrollment ID: I20180706002579 |
Provider Name | Stephanie A Ellerbe |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962834499 PECOS PAC ID: 3971739269 Enrollment ID: I20180921002036 |
Provider Name | Jami F Archer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033693411 PECOS PAC ID: 7517209422 Enrollment ID: I20190424003135 |
Provider Name | Lauren Burns |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407323181 PECOS PAC ID: 5597091736 Enrollment ID: I20190725003648 |
Provider Name | Emily Karanja |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003465279 PECOS PAC ID: 3678907250 Enrollment ID: I20200107003573 |
Provider Name | Megan Boissel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598308215 PECOS PAC ID: 8527495696 Enrollment ID: I20200302001726 |
Provider Name | Hannah Dean Dugan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073173720 PECOS PAC ID: 7618305103 Enrollment ID: I20200316002233 |
Provider Name | Branden Sims |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972265973 PECOS PAC ID: 6709276561 Enrollment ID: I20211209001896 |
Provider Name | Ashley Gail Mashburn |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215661939 PECOS PAC ID: 0345622528 Enrollment ID: I20220804001418 |
Provider Name | Amy Salmon James |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750894382 PECOS PAC ID: 6103200746 Enrollment ID: I20220831003032 |
Provider Name | Olivia Deese Hawthorne |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376204214 PECOS PAC ID: 1456706084 Enrollment ID: I20231017000856 |
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