| Vipcare | |
|
22394 Miflin Rd Ste 104 Foley AL 36535-9593 | |
| (251) 444-1999 | |
| (251) 444-1998 |
| Full Name | Vipcare |
|---|---|
| Speciality | Clinic/Center |
| Location | 22394 Miflin Rd Ste 104, Foley, Alabama |
| Authorized Official Name and Position | Sriram Sundaramoorthy (CHIEF COMPLIANCE OFFICER) |
| Authorized Official Contact | 8134445838 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vipcare 601 S Harbour Island Blvd Ste 200 Tampa FL 33602-5925 Ph: (813) 444-5838 | Vipcare 22394 Miflin Rd Ste 104 Foley AL 36535-9593 Ph: (251) 444-1999 |
| NPI Number | 1588446512 |
|---|---|
| Provider Enumeration Date | 10/16/2023 |
| Last Update Date | 03/14/2024 |
| Medicare PECOS PAC ID | 2163879776 |
|---|---|
| Medicare Enrollment ID | O20231103000245 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588446512 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Joseph Amato |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417986050 PECOS PAC ID: 5799727582 Enrollment ID: I20050523000399 |
| Provider Name | Arthur M Williams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811949753 PECOS PAC ID: 1658307061 Enrollment ID: I20050715000945 |
| Provider Name | Richard A Bucco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518945724 PECOS PAC ID: 7315902210 Enrollment ID: I20060301000353 |
| Provider Name | Stephen T Simpson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013940998 PECOS PAC ID: 4587670112 Enrollment ID: I20060306000569 |
| Provider Name | Ryan D Rainer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811916620 PECOS PAC ID: 3870503097 Enrollment ID: I20060502000405 |
| Provider Name | Byron L Nelson |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1487673299 PECOS PAC ID: 4486664604 Enrollment ID: I20060502000417 |
| Provider Name | Elizabeth M Gilbreath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477572295 PECOS PAC ID: 9830109073 Enrollment ID: I20060502000629 |
| Provider Name | Nicholas A Patellis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366582835 PECOS PAC ID: 3274694864 Enrollment ID: I20100621000383 |
| Provider Name | Ashley Dan Coleman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124216551 PECOS PAC ID: 5294916979 Enrollment ID: I20110301000499 |
| Provider Name | Kathleen B Parks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457625097 PECOS PAC ID: 1658532015 Enrollment ID: I20120411000350 |
| Provider Name | April H Connell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336193549 PECOS PAC ID: 5294746525 Enrollment ID: I20121003000117 |
| Provider Name | Anthony V Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396157194 PECOS PAC ID: 8628391018 Enrollment ID: I20171101000824 |
| Provider Name | Sounick Haldar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578906939 PECOS PAC ID: 5597996520 Enrollment ID: I20171207002203 |
| Provider Name | Leah Marie Casarez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720571805 PECOS PAC ID: 8921272592 Enrollment ID: I20180628001489 |
| Provider Name | Robyn Jamese Stiff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942649785 PECOS PAC ID: 0042541658 Enrollment ID: I20191014000620 |
| Provider Name | Richard Gonzales |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386795474 PECOS PAC ID: 7911078357 Enrollment ID: I20210302000815 |
| Provider Name | Katherine Ivy Heffelfinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780124115 PECOS PAC ID: 0345694261 Enrollment ID: I20230927000477 |
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