SOUTHEAST PODIATRY PC (NPI# 1023455102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023455102 |
Entity Type | Organization |
Organization Name | SOUTHEAST PODIATRY PC |
Practice Address |
610 Douglas Ave Brewton AL 36426-1812 |
Mailing Address |
23937 Us Highway 98 Suite 1 Fairhope AL 36532-3353 |
Practice Telephone | 8005989527 |
Mailing Telephone | 2519286768 |
Enumeration Date | 2013-05-29 |
Last Update Date | 2013-11-01 |
Authorized Official Name | BRENT M HARWOOD (OWNER) |
Authorized Official Telephone | 2519286768 |
Authorized Official Credential | DPM |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
Podiatric Medicine & Surgery Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003253188 | Southeast Podiatry PC | Podiatrist | 1318 S Main St, Atmore, AL 36502-2834 | 2013-05-29 |
1467536763 | Southeast Podiatry PC | Podiatrist | 23937 Us Hwy 98 Ste 1, Fairhope, AL 36532 | 2006-10-24 |
Street Address |
610 DOUGLAS AVE |
City | BREWTON |
State | AL |
Zip Code | 36426-1812 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013430214 | Rural Urgent Care LLC | Clinic/Center | 2134 Douglas Ave, Brewton, AL 36426 | 2017-07-19 |
1063958536 | Nicole Jones | Counselor | 1321 Mcmillan Avenue, Ste A, Brewton, AL 36426 | 2017-01-09 |
1225284185 | Mark Herbert Surles | Chiropractor | 217 Belleville Ave, Brewton, AL 36426 | 2008-08-12 |
1497972061 | Reese John Robinson | Dentist | 102 Mason St, Brewton, AL 36426 | 2007-04-18 |
1265543797 | James Randall Deatherage | Dentist | 422 Douglas Avenue, Brewton, AL 36426 | 2006-08-31 |
1053389403 | Andria P Caldwell | Dentist | 1115 Azalea Place, Brewton, AL 36426 | 2006-03-10 |
1013043637 | Shai Tanyette Hall | Dentist | 1503 Mcmillan Ave, Brewton, AL 36426-1132 | 2007-02-26 |
1700067238 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2040 Douglas Ave, Brewton, AL 36426-1151 | 2007-11-27 |
1487265351 | Nicole Marie Eagle | Pharmacist | 2040 Douglas Ave, Brewton, AL 36426-1151 | 2020-08-13 |
1154763092 | Stacy Miles | Pharmacist | 2040 Douglas Ave, Brewton, AL 36426-1151 | 2013-07-19 |
Find all providers in zip 36426 |
Taxonomy Code | 213EP1101X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Primary Podiatric Medicine |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336699560 | Dr. Barry J. Gould, Podiatry Consultants, LLC- | Podiatrist | 641 Kings Mountain Rd, Tuscaloosa, AL 35406-2824 | 2016-10-12 |
1003253188 | Southeast Podiatry PC | Podiatrist | 1318 S Main St, Atmore, AL 36502-2834 | 2013-05-29 |
1467647446 | Advanced Foot Care PC | Podiatrist | 348 Saint Lukes Dr, Montgomery, AL 36117-7108 | 2007-09-12 |
1275686305 | Hadryan H Vaughn | Podiatrist | 4709 Woodmere Blvd, Montgomery, AL 36106-3078 | 2007-01-20 |
1497819536 | Douglas D Stewart | Podiatrist | 1649 Highway 22 West, Suite One, Alexander City, AL 35010-4412 | 2006-12-21 |
1063576494 | Anz Gould Investments, Inc. | Podiatrist | 2818 Lurleen B Wallace Blvd, Northport, AL 35476-3249 | 2006-12-20 |
1962572198 | Debra D. Morgan | Podiatrist | 1714 W 3rd St, Montgomery, AL 36106-1506 | 2006-11-08 |
1467536763 | Southeast Podiatry PC | Podiatrist | 23937 Us Hwy 98 Ste 1, Fairhope, AL 36532 | 2006-10-24 |
1841203957 | Brett S Stark | Podiatrist | 890 N Dean Rd Ste 400, Auburn, AL 36830-9440 | 2006-08-14 |
1518993310 | Lashonda Moore | Podiatrist | 220 Fort Dale Rd, Greenville, AL 36037-1502 | 2006-06-23 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.