Ozark Family Medical Clinic | |
218 Hospital Ave Ste B Ozark AL 36360-2072 | |
(334) 445-4803 | |
(334) 445-4654 |
Full Name | Ozark Family Medical Clinic |
---|---|
Speciality | Family Medicine |
Location | 218 Hospital Ave Ste B, Ozark, Alabama |
Authorized Official Name and Position | Vernon Johnson (CEO) |
Authorized Official Contact | 3347742601 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Ozark Family Medical Clinic Po Box 460 Ozark AL 36361-0460 Ph: (334) 445-6329 | Ozark Family Medical Clinic 218 Hospital Ave Ste B Ozark AL 36360-2072 Ph: (334) 445-4803 |
NPI Number | 1538275342 |
---|---|
Provider Enumeration Date | 08/22/2006 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 3476466327 |
---|---|
Medicare Enrollment ID | O20031107000202 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538275342 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Trey S Burg |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1902863657 PECOS PAC ID: 2365355203 Enrollment ID: I20031107000166 |
Provider Name | Robert A Revel |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1811936552 PECOS PAC ID: 8628978590 Enrollment ID: I20040109000118 |
Provider Name | Andrew A Duerr |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1205921509 PECOS PAC ID: 2961398748 Enrollment ID: I20040227000060 |
Provider Name | William Wade Sharp |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1073527883 PECOS PAC ID: 2466445556 Enrollment ID: I20040405001610 |
Provider Name | Ewane Ngone |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1770554446 PECOS PAC ID: 9830094853 Enrollment ID: I20040406000296 |
Provider Name | Robert Clark |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1992766703 PECOS PAC ID: 4789678095 Enrollment ID: I20040412000033 |
Provider Name | Stephen Ezzell |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1164474623 PECOS PAC ID: 1456341809 Enrollment ID: I20040517000793 |
Provider Name | Mark B Ellis |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1083632244 PECOS PAC ID: 3971593138 Enrollment ID: I20040518000754 |
Provider Name | Thomas B Farrar |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1780618231 PECOS PAC ID: 3678554334 Enrollment ID: I20040527001027 |
Provider Name | Robert J Kreutzmann |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1174584171 PECOS PAC ID: 3779545710 Enrollment ID: I20041101001161 |
Provider Name | Jody R Neal |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1669436697 PECOS PAC ID: 8527009232 Enrollment ID: I20050512000556 |
Provider Name | Ronald D Alfano |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1912984279 PECOS PAC ID: 3577507052 Enrollment ID: I20050615000554 |
Provider Name | Lindey F Ward |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1679534481 PECOS PAC ID: 4688619059 Enrollment ID: I20050627000217 |
Provider Name | Chris S Fox |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1093812638 PECOS PAC ID: 6608894605 Enrollment ID: I20051108000984 |
Provider Name | Margaret J Hughes |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740210343 PECOS PAC ID: 5193722791 Enrollment ID: I20061024000286 |
Provider Name | Sandy L Griffin |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1114931144 PECOS PAC ID: 0840297651 Enrollment ID: I20061108000336 |
Provider Name | Rifat Parwaiz |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1679523898 PECOS PAC ID: 2365547155 Enrollment ID: I20070424000417 |
Provider Name | Oliver W Crawford |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1629055330 PECOS PAC ID: 5092807438 Enrollment ID: I20070815000515 |
Provider Name | Ronald W Holland |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1275701658 PECOS PAC ID: 8224115811 Enrollment ID: I20080407000533 |
Provider Name | Albert Miller |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1578587093 PECOS PAC ID: 6608780960 Enrollment ID: I20080602000020 |
Provider Name | Starla S Shoupe |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1083890073 PECOS PAC ID: 0547332207 Enrollment ID: I20080712000069 |
Provider Name | Richard E Lucky |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1952573545 PECOS PAC ID: 7719046903 Enrollment ID: I20081103000317 |
Provider Name | Connie A Chandler |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1215977129 PECOS PAC ID: 2769532373 Enrollment ID: I20090602000444 |
Provider Name | Richard S Hammock |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1497920276 PECOS PAC ID: 2466503107 Enrollment ID: I20090619000355 |
Provider Name | Leslie K Canfield |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891921250 PECOS PAC ID: 7810042777 Enrollment ID: I20090831000054 |
Provider Name | Morgan Hammock |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902104870 PECOS PAC ID: 6204012909 Enrollment ID: I20110513000341 |
Provider Name | Shawn A Watts |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1639358864 PECOS PAC ID: 3870763949 Enrollment ID: I20110826000722 |
Provider Name | Brittany A Outlaw |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1710256334 PECOS PAC ID: 4688841174 Enrollment ID: I20120124000879 |
Provider Name | Pamela R Defleron |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1831460765 PECOS PAC ID: 4284892878 Enrollment ID: I20120229000261 |
Provider Name | Stephen G Harrell |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1427392091 PECOS PAC ID: 5092960302 Enrollment ID: I20130312000143 |
Provider Name | Radu Constantine |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1154368405 PECOS PAC ID: 0143223651 Enrollment ID: I20131017001712 |
Provider Name | Hunter K Clark |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932588241 PECOS PAC ID: 6002124542 Enrollment ID: I20151001002378 |
Provider Name | Jeffrey A Dixon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942751177 PECOS PAC ID: 9335421676 Enrollment ID: I20170123001346 |
Provider Name | Rodney L Kerns |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1548652555 PECOS PAC ID: 0143594580 Enrollment ID: I20170922001846 |
Provider Name | Sheryl A Jernigan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417454265 PECOS PAC ID: 8527314087 Enrollment ID: I20190919002633 |
Provider Name | April Tate |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801446190 PECOS PAC ID: 3870926330 Enrollment ID: I20191214000255 |
South Union Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 633 South Union Ave, Ozark, AL 36360 Phone: 334-774-7572 Fax: 334-774-6237 | |
T Lee Thompson, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 218 Hospital Ave, Ste B, Ozark, AL 36360 Phone: 334-774-3000 Fax: 334-774-3010 | |
Dale Medical Center Profee Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 126 Hospital Ave, Ozark, AL 36360 Phone: 334-774-5116 Fax: 334-774-5110 | |
Statmed Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1519 Andrews Ave, Ozark, AL 36360 Phone: 334-774-7610 Fax: 334-774-7251 | |
Taylor D. Caffey, M.d., P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 370 James St, Suite 101, Ozark, AL 36360 Phone: 334-774-8483 Fax: 334-774-5742 | |
Kreutzmann Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 359 James St, Ozark, AL 36360 Phone: 334-774-7572 Fax: 334-774-6237 |