Mobile Gastroenterology, Pc | |
6701 Airport Blvd Suite A-208 Mobile AL 36608-6705 | |
(251) 639-2101 | |
(251) 639-9122 |
Full Name | Mobile Gastroenterology, Pc |
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Speciality | Internal Medicine |
Location | 6701 Airport Blvd, Mobile, Alabama |
Authorized Official Name and Position | Charles Edward Johnson (PHYSICIAN AND CEO) |
Authorized Official Contact | 2516392101 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mobile Gastroenterology, Pc Po Box 850489 Mobile AL 36685-0489 Ph: (251) 639-2101 | Mobile Gastroenterology, Pc 6701 Airport Blvd Suite A-208 Mobile AL 36608-6705 Ph: (251) 639-2101 |
NPI Number | 1124031141 |
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Provider Enumeration Date | 08/14/2006 |
Last Update Date | 10/18/2007 |
Medicare PECOS PAC ID | 6709803018 |
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Medicare Enrollment ID | O20051026000757 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124031141 | NPI | - | NPPES |
I960 | Other | MEDICARE GROUP PROVIDER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
Provider Name | Charles E Johnson |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1285675835 PECOS PAC ID: 3971508854 Enrollment ID: I20100405000317 |
Provider Name | Lawrence J Parker |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1629008123 PECOS PAC ID: 1557261484 Enrollment ID: I20100408000054 |
Provider Name | William L Case |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1235161498 PECOS PAC ID: 6608871587 Enrollment ID: I20100408000162 |
Provider Name | Dana M Johnson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619289915 PECOS PAC ID: 0547456808 Enrollment ID: I20101129000395 |
Provider Name | Barbara Mccormick Naman |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487975710 PECOS PAC ID: 8921264862 Enrollment ID: I20120723000338 |
Provider Name | Joshua M Rivers |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639599483 PECOS PAC ID: 6406071513 Enrollment ID: I20140703001400 |
Provider Name | Christopher M Lovell |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861808230 PECOS PAC ID: 9032339494 Enrollment ID: I20141007000650 |
Provider Name | Kurt J Knowles |
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Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1811011448 PECOS PAC ID: 7517037104 Enrollment ID: I20190724002636 |
Provider Name | Baret Thomas Bercier |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1164819231 PECOS PAC ID: 7113226739 Enrollment ID: I20210603000399 |
Provider Name | Wei Xin |
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Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1730112269 PECOS PAC ID: 0547218083 Enrollment ID: I20211228001625 |
Sunbelt Patient Solutions Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5901 Airport Blvd Ste 203, Mobile, AL 36608 Phone: 504-648-7924 | |
Usa Department Of Pediatrics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1504 Springhill Avenue, Suite 1600, Mobile, AL 36604 Phone: 251-434-3915 Fax: 251-434-3802 | |
Mobile County Board Of Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 251 N Bayou St, Mobile, AL 36603 Phone: 251-690-8158 Fax: 251-690-8852 | |
Dr Albert Thomas Family Medical Ctr Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1904 Bishop Ave, Mobile, AL 36610 Phone: 251-452-1010 Fax: 251-436-7765 | |
Usa Mitchell Cancer Institute Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1660 Springhill Ave, Mobile, AL 36604 Phone: 251-665-8000 Fax: 251-665-8010 | |
Springhill Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1201 Springhill Ave, Mobile, AL 36604 Phone: 251-694-1801 Fax: 251-694-1890 | |
Bay Area Community Medicine, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3737 Government Blvd, Suite408, Mobile, AL 36693 Phone: 251-602-1911 |