Full Name | |
---|---|
Speciality | Internal Medicine |
Location | 420 Dean Dr, Gardendale, Alabama |
Authorized Official Name and Position | Aaron Resnik (SENIOR DIRECTOR OF REVENUE MGMT.) |
Authorized Official Contact | 3026056043 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Po Box 62939 Baltimore MD 21264-2939 Ph: (859) 291-4800 | 420 Dean Dr Gardendale AL 35071 Ph: (205) 631-8709 |
NPI Number | 1881109452 |
---|---|
Provider Enumeration Date | 12/05/2017 |
Last Update Date | 09/13/2024 |
Medicare PECOS PAC ID | 9739447400 |
---|---|
Medicare Enrollment ID | O20180103001472 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881109452 | NPI | - | NPPES |
Provider Name | Edna Gail Gutierrez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376536854 PECOS PAC ID: 7113829060 Enrollment ID: I20050328001095 |
Provider Name | Henry Huson Middleton |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1063419547 PECOS PAC ID: 6204748288 Enrollment ID: I20050414000363 |
Provider Name | Gloria Sue Doherty |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912902016 PECOS PAC ID: 0244149938 Enrollment ID: I20050509000957 |
Provider Name | Robert C Fritch |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1346256039 PECOS PAC ID: 0941227730 Enrollment ID: I20060105000464 |
Provider Name | Uche N Obisike |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1265465884 PECOS PAC ID: 9739182148 Enrollment ID: I20061011000715 |
Provider Name | Diane H Cummings |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538149190 PECOS PAC ID: 6608875075 Enrollment ID: I20061212000536 |
Provider Name | George D Comerci |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1548276108 PECOS PAC ID: 9739271800 Enrollment ID: I20070831000115 |
Provider Name | Jennifer R Jernigan |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1932116977 PECOS PAC ID: 1456432061 Enrollment ID: I20080121000162 |
Provider Name | Jean M Latham |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144468919 PECOS PAC ID: 5890843569 Enrollment ID: I20090507000173 |
Provider Name | Aisha N Jones |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083875967 PECOS PAC ID: 6800949231 Enrollment ID: I20090803000721 |
Provider Name | Christopher J Camarata |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1235281817 PECOS PAC ID: 1658440813 Enrollment ID: I20090824000091 |
Provider Name | David R Scrase |
---|---|
Provider Type | Practitioner - Geriatric Medicine |
Provider Identifiers | NPI Number: 1548489628 PECOS PAC ID: 6002875515 Enrollment ID: I20100215000785 |
Provider Name | Aroboyi Veronica Imoisi |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1669663696 PECOS PAC ID: 9830228105 Enrollment ID: I20100525000563 |
Provider Name | Eric W Metzler |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1144289851 PECOS PAC ID: 2860435260 Enrollment ID: I20100601000464 |
Provider Name | Laura L Robledo |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1952306482 PECOS PAC ID: 1052445962 Enrollment ID: I20100813000919 |
Provider Name | Emily Rothman |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1124119698 PECOS PAC ID: 9234037086 Enrollment ID: I20100917000585 |
Provider Name | Krystle D Apodaca |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508172933 PECOS PAC ID: 2466647144 Enrollment ID: I20101108000604 |
Provider Name | Natasha J Lujan |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1619958774 PECOS PAC ID: 1951324680 Enrollment ID: I20101209000097 |
Provider Name | Diana Lucia Darabant |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538460928 PECOS PAC ID: 5698956068 Enrollment ID: I20110218000510 |
Provider Name | Maria Retunski |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780979278 PECOS PAC ID: 2163699281 Enrollment ID: I20120112000624 |
Provider Name | Tanya T Bryndzia |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720064835 PECOS PAC ID: 9537121603 Enrollment ID: I20120120000604 |
Provider Name | Alisha N Parada |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1114191855 PECOS PAC ID: 4082877402 Enrollment ID: I20120523000226 |
Provider Name | Radha M Denmark |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144581521 PECOS PAC ID: 7113175217 Enrollment ID: I20120914000316 |
Provider Name | Glenn Vogelsang |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1538245642 PECOS PAC ID: 6103811302 Enrollment ID: I20121003000897 |
Provider Name | Mark L Unruh |
---|---|
Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1205802881 PECOS PAC ID: 6901930312 Enrollment ID: I20121105000633 |
Provider Name | Jennifer M Ramon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285971192 PECOS PAC ID: 1759528409 Enrollment ID: I20130516000411 |
Provider Name | Amanda J Lechel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124464243 PECOS PAC ID: 1759520877 Enrollment ID: I20130621000498 |
Provider Name | Cynthia Louise Nielsen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104248392 PECOS PAC ID: 0840420899 Enrollment ID: I20140313000673 |
Provider Name | Alexander Rankin |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1346494887 PECOS PAC ID: 6103958038 Enrollment ID: I20140801000902 |
Provider Name | Alanna K Dancis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699179119 PECOS PAC ID: 7113242124 Enrollment ID: I20150216001342 |
Provider Name | Antonio Robert Tavitas |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104202308 PECOS PAC ID: 4789991589 Enrollment ID: I20150910002248 |
Provider Name | Erin K Fitzgerald |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1013206408 PECOS PAC ID: 4880902063 Enrollment ID: I20151008000843 |
Provider Name | Decy Devere |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720211568 PECOS PAC ID: 5991841579 Enrollment ID: I20161021001738 |
Provider Name | Sheila Louise Hundley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821549643 PECOS PAC ID: 5294016713 Enrollment ID: I20161221000854 |
Provider Name | Joanne S Clinton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649712886 PECOS PAC ID: 1658653985 Enrollment ID: I20170123001131 |
Provider Name | Lucas W Miltenberger |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366999633 PECOS PAC ID: 5496031700 Enrollment ID: I20170420001071 |
Provider Name | Radcliffe Myers |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699135418 PECOS PAC ID: 3173897287 Enrollment ID: I20170927002923 |
Provider Name | Annashia L Shera |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1659799393 PECOS PAC ID: 3779702402 Enrollment ID: I20171002002350 |
Provider Name | Mariaelena De Jesus Hernandez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851819056 PECOS PAC ID: 8123394871 Enrollment ID: I20171024002418 |
Provider Name | Jennifer Lynne Pantoja |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841782877 PECOS PAC ID: 5597011163 Enrollment ID: I20180712000493 |
Provider Name | Letitia P Kinloch |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1851406003 PECOS PAC ID: 7416264635 Enrollment ID: I20181001002632 |
Provider Name | Debra Boucaud |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154549632 PECOS PAC ID: 4385922368 Enrollment ID: I20181217003077 |
Provider Name | Rebecca J Wilson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629553011 PECOS PAC ID: 5890030829 Enrollment ID: I20181220000565 |
Provider Name | Anna Munoz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710452370 PECOS PAC ID: 2860737665 Enrollment ID: I20181226001071 |
Provider Name | Alicia Diana Baca |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528534419 PECOS PAC ID: 0042556722 Enrollment ID: I20190117000744 |
Provider Name | Teresa Coffey |
---|---|
Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
Provider Identifiers | NPI Number: 1831666502 PECOS PAC ID: 9739427907 Enrollment ID: I20190213001571 |
Provider Name | Nagendra Sarat Chandra Ayyagari |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1851629521 PECOS PAC ID: 9335304849 Enrollment ID: I20190610001422 |
Provider Name | Kathryn Baran |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740465251 PECOS PAC ID: 1557531258 Enrollment ID: I20200515001278 |
Provider Name | Shirene Bennett |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932383288 PECOS PAC ID: 4385785971 Enrollment ID: I20200515001972 |
Provider Name | Gopi Mara Koosham |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1235660101 PECOS PAC ID: 9133490402 Enrollment ID: I20200708002130 |
Provider Name | Jia Wu |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730795626 PECOS PAC ID: 0941612873 Enrollment ID: I20201216002952 |
Provider Name | Scott Bolhack |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1730160573 PECOS PAC ID: 8426962424 Enrollment ID: I20210303002877 |
Provider Name | Maria Rebecca Gallego |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1437121308 PECOS PAC ID: 0648305227 Enrollment ID: I20210503002217 |
Provider Name | Lizette Alejandra Sidransky-ulloa |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023682580 PECOS PAC ID: 3678976768 Enrollment ID: I20210727002884 |
Provider Name | Andres D Plaza |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1245893445 PECOS PAC ID: 1153658125 Enrollment ID: I20220722000577 |
Provider Name | Leigh T Simpkins |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811075229 PECOS PAC ID: 5698773901 Enrollment ID: I20220829000571 |
Provider Name | Savanna Lee Noel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306570858 PECOS PAC ID: 6901272137 Enrollment ID: I20221013000642 |
Provider Name | Bethany Alise Henderson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215233721 PECOS PAC ID: 6103299391 Enrollment ID: I20230309001332 |
Provider Name | Margarita Stella Turk |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538849203 PECOS PAC ID: 8022462779 Enrollment ID: I20230928001977 |
Provider Name | Cassandra Marie Edlund |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497408314 PECOS PAC ID: 0244689792 Enrollment ID: I20231211000246 |
Provider Name | Jennifer Dawn Nelson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669253951 PECOS PAC ID: 2365891579 Enrollment ID: I20231213003350 |
Provider Name | April E Kimball |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528373693 PECOS PAC ID: 1850562901 Enrollment ID: I20240109001284 |
Provider Name | Carrie Thompson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619678521 PECOS PAC ID: 1557705894 Enrollment ID: I20240214004385 |
Provider Name | Laura Ann Brisby |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639860653 PECOS PAC ID: 1557706017 Enrollment ID: I20240223004206 |
Provider Name | Cecelia D Harris |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265140032 PECOS PAC ID: 9739550047 Enrollment ID: I20241002003707 |
Provider Name | Getnet Tiku |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487488490 PECOS PAC ID: 5193256915 Enrollment ID: I20241004000068 |
Provider Name | Erin Mintle |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245858455 PECOS PAC ID: 5395158018 Enrollment ID: I20241104003933 |
Vincentian Physician Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2217 Decatur Hwy, Gardendale, AL 35071 Phone: 205-418-1200 | |
Priority Health And Wellness Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1295 Sierra Ct, Gardendale, AL 35071 Phone: 205-612-7330 | |
American Family Care, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 919 Odum Road, Gardendale, AL 35071 Phone: 205-631-6834 Fax: 205-631-0273 | |
Gardendale Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2244 North Rd, Gardendale, AL 35071 Phone: 205-631-6216 |