Pulmonary Associates Of The Southeast Pc | |
3686 Grandview Pkwy Suite 500 Birmingham AL 35243-3407 | |
(205) 802-2000 | |
(205) 802-2012 |
Full Name | Pulmonary Associates Of The Southeast Pc |
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Speciality | Internal Medicine |
Location | 3686 Grandview Pkwy, Birmingham, Alabama |
Authorized Official Name and Position | Debi Waldrup (ADMINISTRATOR) |
Authorized Official Contact | 2058022000 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Pulmonary Associates Of The Southeast Pc 3686 Grandview Pkwy Suite 2500 Birmingham AL 35243-3407 Ph: (205) 802-2000 | Pulmonary Associates Of The Southeast Pc 3686 Grandview Pkwy Suite 500 Birmingham AL 35243-3407 Ph: (205) 802-2000 |
NPI Number | 1306867676 |
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Provider Enumeration Date | 07/22/2006 |
Last Update Date | 02/29/2016 |
Medicare PECOS PAC ID | 4486630415 |
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Medicare Enrollment ID | O20040629000630 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306867676 | NPI | - | NPPES |
528302380 | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
207RP1001X | Internal Medicine - Pulmonary Disease | (* (Not Available)) | Primary |
Provider Name | David P Franco |
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Provider Type | Practitioner - Pulmonary Disease |
Provider Identifiers | NPI Number: 1326055500 PECOS PAC ID: 8224012711 Enrollment ID: I20040616000565 |
Provider Name | Erin M Ozgun |
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Provider Type | Practitioner - Pulmonary Disease |
Provider Identifiers | NPI Number: 1285740456 PECOS PAC ID: 7911970462 Enrollment ID: I20070322000212 |
Provider Name | Allan R Goldstein |
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Provider Type | Practitioner - Pulmonary Disease |
Provider Identifiers | NPI Number: 1316960248 PECOS PAC ID: 5890771836 Enrollment ID: I20100303000005 |
Provider Name | Russell G Beaty |
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Provider Type | Practitioner - Pulmonary Disease |
Provider Identifiers | NPI Number: 1538188586 PECOS PAC ID: 5092850040 Enrollment ID: I20100303000007 |
Provider Name | Sandra Gilley |
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Provider Type | Practitioner - Pulmonary Disease |
Provider Identifiers | NPI Number: 1235342718 PECOS PAC ID: 0547393183 Enrollment ID: I20100803000216 |
Provider Name | Alan Thomas |
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Provider Type | Practitioner - Pulmonary Disease |
Provider Identifiers | NPI Number: 1528066313 PECOS PAC ID: 5294796173 Enrollment ID: I20101110000829 |
Provider Name | Courtney M Howell |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548695158 PECOS PAC ID: 5395973374 Enrollment ID: I20140121001022 |
Provider Name | Olivia S Vise |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841663051 PECOS PAC ID: 0648574103 Enrollment ID: I20160204000614 |
Provider Name | Jennifer Jarrett Cothron |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083067037 PECOS PAC ID: 1850684739 Enrollment ID: I20160729001752 |
Provider Name | Mallory Halpin |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265969851 PECOS PAC ID: 0345513594 Enrollment ID: I20170908003297 |
Provider Name | Ashley D York |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750797197 PECOS PAC ID: 1052636578 Enrollment ID: I20171116000931 |
Provider Name | Kimberly Doffing Bridges |
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Provider Type | Practitioner - Pulmonary Disease |
Provider Identifiers | NPI Number: 1619317963 PECOS PAC ID: 2466779558 Enrollment ID: I20190826000359 |
Provider Name | Kayley E Hurt |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427690635 PECOS PAC ID: 8123451291 Enrollment ID: I20191203001862 |
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