| Huntsville Hospital Madison Internal Medicine | |
|
450 Lanier Rd Madison AL 35758-1866 | |
| (256) 265-5970 | |
| (256) 265-5971 |
| Full Name | Huntsville Hospital Madison Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 450 Lanier Rd, Madison, Alabama |
| Authorized Official Name and Position | Clinton Carter (CFO) |
| Authorized Official Contact | 2562658818 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Huntsville Hospital Madison Internal Medicine Po Box 21007 Huntsville AL 35813-5007 Ph: () - | Huntsville Hospital Madison Internal Medicine 450 Lanier Rd Madison AL 35758-1866 Ph: (256) 265-5970 |
| NPI Number | 1992914238 |
|---|---|
| Provider Enumeration Date | 05/22/2007 |
| Last Update Date | 07/01/2022 |
| Medicare PECOS PAC ID | 6204920887 |
|---|---|
| Medicare Enrollment ID | O20070913000805 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992914238 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| Provider Name | Ehtisham R Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417999335 PECOS PAC ID: 8527053560 Enrollment ID: I20040419000496 |
| Provider Name | Cindy M Mcadams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306829759 PECOS PAC ID: 1850330044 Enrollment ID: I20050427000747 |
| Provider Name | Shelley M Whitney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801067137 PECOS PAC ID: 6204875412 Enrollment ID: I20050427000852 |
| Provider Name | Pragya Katoch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528071024 PECOS PAC ID: 8921004037 Enrollment ID: I20061012000654 |
| Provider Name | Vallaree G Prentice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932299393 PECOS PAC ID: 7911005558 Enrollment ID: I20070606000207 |
| Provider Name | Dianne Hartwig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104022946 PECOS PAC ID: 5890974703 Enrollment ID: I20110125000433 |
| Provider Name | Faith O Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962732263 PECOS PAC ID: 2769667955 Enrollment ID: I20110504000011 |
| Provider Name | Katy E Shrode |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487991568 PECOS PAC ID: 1850536319 Enrollment ID: I20130404000119 |
| Provider Name | Jenny Lee Southwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528449816 PECOS PAC ID: 8628379930 Enrollment ID: I20151210000995 |
| Provider Name | Heeeun Kang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003159781 PECOS PAC ID: 6204138449 Enrollment ID: I20190212001013 |
| Provider Name | Rachel Michelle Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649689985 PECOS PAC ID: 6608195730 Enrollment ID: I20200528000603 |
Dr. Sunita Puri Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8075 Madison Blvd Ste 106, Madison, AL 35758 Phone: 256-464-6004 Fax: 256-464-0403 | |
Custom Family Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 279 Hughes Rd, Madison, AL 35758 Phone: 256-289-1733 | |
Caswall C Harrigan Physician Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Madison Medical Plaza 540 Hughes Road, Suite 14, Madison, AL 35758 Phone: 256-426-0802 | |
Heritage Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 12205 County Line Rd, Suite B, Madison, AL 35758 Phone: 256-990-8446 Fax: 256-461-0393 | |
Tennessee Valley Internal Medicine, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3809 Sullivan St, Suite 7, Madison, AL 35758 Phone: 256-428-1096 Fax: 256-428-1097 | |
American Family Care, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7559 Hwy 72 W, Madison, AL 35758 Phone: 256-562-0850 Fax: 256-562-0854 | |
Madison Family Health, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3776 Sullivan St, Suite D, Madison, AL 35758 Phone: 256-325-0302 Fax: 256-325-0391 |