Greater Montgomery Patient Centered Gastroenterology And Hepatology | |
1722 Pine St Suite 801 Montgomery AL 36106-1103 | |
(334) 293-8000 | |
(334) 532-0108 |
Full Name | Greater Montgomery Patient Centered Gastroenterology And Hepatology |
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Speciality | Internal Medicine |
Location | 1722 Pine St, Montgomery, Alabama |
Authorized Official Name and Position | Viplove Senadhi (CEO) |
Authorized Official Contact | 2157400034 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Greater Montgomery Patient Centered Gastroenterology And Hepatology 1898 Mulberry St Montgomery AL 36106-1526 Ph: (334) 239-7059 | Greater Montgomery Patient Centered Gastroenterology And Hepatology 1722 Pine St Suite 801 Montgomery AL 36106-1103 Ph: (334) 293-8000 |
NPI Number | 1285030080 |
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Provider Enumeration Date | 11/06/2014 |
Last Update Date | 07/03/2019 |
Medicare PECOS PAC ID | 9830413277 |
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Medicare Enrollment ID | O20150113002031 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285030080 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
207RI0008X | Internal Medicine - Hepatology | DO.1453 (Alabama) | Secondary |
Provider Name | Rao R Meka |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1275608853 PECOS PAC ID: 1658472485 Enrollment ID: I20080416000279 |
Provider Name | Heather Baker Little |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851649966 PECOS PAC ID: 1557597655 Enrollment ID: I20131120000870 |
Provider Name | Viplove Senadhi |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1174785562 PECOS PAC ID: 2163661646 Enrollment ID: I20150113002129 |
Provider Name | Callie Elizabeth Heilig |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952792459 PECOS PAC ID: 9537479282 Enrollment ID: I20151109000561 |
Provider Name | Cynthia Denise Crosby |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538526603 PECOS PAC ID: 9638473770 Enrollment ID: I20160209002912 |
Provider Name | Lisa M King |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588022784 PECOS PAC ID: 2264710805 Enrollment ID: I20161101002641 |
Provider Name | Deacqueline Bell |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275963282 PECOS PAC ID: 8921372780 Enrollment ID: I20171009000557 |
Provider Name | Andrea G Esparza |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174138929 PECOS PAC ID: 5092126169 Enrollment ID: I20201120000449 |
Provider Name | Melissa Marie Ballard Martin |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891381117 PECOS PAC ID: 4981010253 Enrollment ID: I20210311000273 |
Provider Name | Candace Kirk Surface |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144891870 PECOS PAC ID: 0749672939 Enrollment ID: I20220329001962 |
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 |