| United Doctors Family Medical Center Llc | |
|
2986 Us Highway 431 Boaz AL 35957-5848 | |
| (256) 673-0977 | |
| Not Available |
| Full Name | United Doctors Family Medical Center Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2986 Us Highway 431, Boaz, Alabama |
| Authorized Official Name and Position | Enrico Gaspar (PHYSICIAN) |
| Authorized Official Contact | 2566730977 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| United Doctors Family Medical Center Llc 2986 Us Highway 431 Boaz AL 35957-5848 Ph: (256) 673-0977 | United Doctors Family Medical Center Llc 2986 Us Highway 431 Boaz AL 35957-5848 Ph: (256) 673-0977 |
| NPI Number | 1013313709 |
|---|---|
| Provider Enumeration Date | 11/07/2014 |
| Last Update Date | 11/07/2014 |
| Medicare PECOS PAC ID | 0648597567 |
|---|---|
| Medicare Enrollment ID | O20150402000069 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013313709 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 00026230 (Alabama) | Primary |
| Provider Name | Enrico Deseo Y. Gaspar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497740492 PECOS PAC ID: 6709849649 Enrollment ID: I20041110001234 |
| Provider Name | Mark A Fruendt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306164223 PECOS PAC ID: 5294778841 Enrollment ID: I20050628001349 |
| Provider Name | Alvin V Tenchavez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225023211 PECOS PAC ID: 5294865895 Enrollment ID: I20100608000628 |
| Provider Name | Ashley C Lackey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679847487 PECOS PAC ID: 3476714676 Enrollment ID: I20120416000461 |
| Provider Name | Miranda P Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568702611 PECOS PAC ID: 6103065883 Enrollment ID: I20130611000292 |
| Provider Name | Leslie Denise Diodato |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306263934 PECOS PAC ID: 9133352966 Enrollment ID: I20140501002257 |
| Provider Name | Sangduan Barnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164962288 PECOS PAC ID: 0244509792 Enrollment ID: I20171030001810 |
| Provider Name | Patrick J Sellers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205342268 PECOS PAC ID: 0345597761 Enrollment ID: I20180828002715 |
| Provider Name | Cody E Jarmon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497230478 PECOS PAC ID: 1456693498 Enrollment ID: I20190423002698 |
| Provider Name | Corey Cahill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518503135 PECOS PAC ID: 4082042148 Enrollment ID: I20200324001073 |
| Provider Name | Megan Allison Lang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194359786 PECOS PAC ID: 9335543560 Enrollment ID: I20210810000731 |
| Provider Name | Branden Sims |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972265973 PECOS PAC ID: 6709276561 Enrollment ID: I20211209001896 |
| Provider Name | Ethan Caleb Bonds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154082758 PECOS PAC ID: 2769877505 Enrollment ID: I20220315000743 |
| Provider Name | Adaline Macall Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861131781 PECOS PAC ID: 3971986878 Enrollment ID: I20220810000267 |
| Provider Name | Marla Benita Wehrwein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215652482 PECOS PAC ID: 8527438118 Enrollment ID: I20221222001164 |
| Provider Name | Joni Kelley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851023543 PECOS PAC ID: 0840662797 Enrollment ID: I20230202001879 |
| Provider Name | Allie B Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689374563 PECOS PAC ID: 5991164196 Enrollment ID: I20230706002337 |
| Provider Name | Amanda Mccormick Willis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508559956 PECOS PAC ID: 7618330499 Enrollment ID: I20230825003039 |
| Provider Name | Jason Andrew Rowan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124705199 PECOS PAC ID: 2466896675 Enrollment ID: I20240215002495 |
| Provider Name | Haiyden Faith Stubblefield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982368049 PECOS PAC ID: 9739527706 Enrollment ID: I20240410000513 |
Marshall Medical Center South Diamond Hospital Services Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2505 Us Highway 431, Boaz, AL 35957 Phone: 256-593-8310 | |
Go Medical Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 603b Medical Center Pkwy, Boaz, AL 35957 Phone: 256-558-6000 Fax: 256-907-9222 | |
A Lynn Luther Mdpc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 N Main St, Suite C, Boaz, AL 35957 Phone: 256-593-2840 | |
Sardis City Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1989 Sardis Dr, Boaz, AL 35956 Phone: 256-492-0131 | |
Southern Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2367 Us Highway 431, Boaz, AL 35957 Phone: 256-840-4571 Fax: 256-840-4534 | |
Albertville Primary Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2505 Us Hwy 431, Boaz, AL 35957 Phone: 256-894-7795 Fax: 256-894-6471 |