| Eastside Urgent Care Llc | |
|
14 Mitylene Park Ln Montgomery AL 36117 | |
| (334) 524-3266 | |
| Not Available |
| Full Name | Eastside Urgent Care Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 14 Mitylene Park Ln, Montgomery, Alabama |
| Authorized Official Name and Position | Sai S Namburu (PARTNER) |
| Authorized Official Contact | 3345243266 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eastside Urgent Care Llc 14 Mitylene Park Ln Montgomery AL 36117-7306 Ph: (334) 213-4433 | Eastside Urgent Care Llc 14 Mitylene Park Ln Montgomery AL 36117 Ph: (334) 524-3266 |
| NPI Number | 1689091548 |
|---|---|
| Provider Enumeration Date | 03/27/2014 |
| Last Update Date | 08/08/2018 |
| Medicare PECOS PAC ID | 0941428676 |
|---|---|
| Medicare Enrollment ID | O20140821001733 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689091548 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Secondary |
| Provider Name | Thang Q An |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972580744 PECOS PAC ID: 5395648125 Enrollment ID: I20040129000682 |
| Provider Name | Shaikh Wahiduzzaman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831119163 PECOS PAC ID: 9739134503 Enrollment ID: I20050315000110 |
| Provider Name | Sai Shankar Namburu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205894003 PECOS PAC ID: 2163446121 Enrollment ID: I20060118000340 |
| Provider Name | Vijay Tirumalasetty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760618003 PECOS PAC ID: 8325295645 Enrollment ID: I20120821001042 |
| Provider Name | Lisa M King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588022784 PECOS PAC ID: 2264710805 Enrollment ID: I20161101002641 |
| Provider Name | Deborah L Schlotterbeck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437695681 PECOS PAC ID: 4688950165 Enrollment ID: I20170418001022 |
Your Doctor's Office, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8630 Vaughn Rd, Montgomery, AL 36117 Phone: 334-676-4076 Fax: 334-676-4064 | |
Baptist Health Physician Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 470 Taylor Rd Ste 310, Montgomery, AL 36117 Phone: 334-244-4322 Fax: 334-244-4321 | |
Jackson Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1801 Pine Street, Suite 103, Montgomery, AL 36106 Phone: 334-293-8888 Fax: 334-293-8154 | |
Baptist Health Care Partners Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 Brown Springs Rd, Montgomery, AL 36117 Phone: 334-273-4159 Fax: 334-273-4556 | |
Aikam Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2895 Zelda Rd, Montgomery, AL 36106 Phone: 334-245-5969 | |
Stewart H. Tankersley, M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1801 Pine St, Suite 203, Montgomery, AL 36106 Phone: 334-240-2334 | |
Vaughn Urgent Care Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9540 Wynlakes Pl, Montgomery, AL 36117 Phone: 334-395-9933 Fax: 334-395-9907 |