HEMATOLOGY & ONCOLOGY ASSOCIATES OF ALABAMA (NPI# 1033443775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033443775 |
| Entity Type | Organization |
| Organization Name | HEMATOLOGY & ONCOLOGY ASSOCIATES OF ALABAMA |
| Practice Address |
339 Walker Chapel Plaza Suite 109 Fultondale AL 35068 |
| Mailing Address |
Po Box 131329 Birmingham AL 35213-6329 |
| Practice Telephone | 2055024700 |
| Practice Fax Number | 2055025183 |
| Mailing Telephone | 2052718541 |
| Mailing Fax Number | 2052718555 |
| Enumeration Date | 2009-09-29 |
| Last Update Date | 2015-02-10 |
| Authorized Official Name | ELQUIS M. CASTILLO (PRESIDENT) |
| Authorized Official Telephone | 2052718541 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | RAILROAD MEDICARE | CK5459 | 01 |
| Street Address |
339 WALKER CHAPEL PLAZA SUITE 109 |
| City | FULTONDALE |
| State | AL |
| Zip Code | 35068 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659697696 | Fultondale Urgent Care Centers, LLC | General Practice | 339 Walker Chapel Plaza, Suite 115, Fultondale, AL 35068 | 2010-04-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831406925 | Tracy Carter | Pharmacist | 1713 Us Hwy 31 North, Fultondale, AL 35068 | 2010-09-10 |
| 1013238518 | Daphne Delay Dickinson | Pharmacist | 1713 Decatur Hwy, Rite Aid Pharmacy, Fultondale, AL 35068 | 2010-06-18 |
| 1578735510 | Liza Craven Williams | Pharmacist | 1721 Highway 31 North, Fultondale, AL 35068 | 2008-03-31 |
| 1972787687 | Therapy South LLC - Fultondale | Physical Therapist | 3471 Lowery Parkway, Suite 107, Fultondale, AL 35068 | 2007-12-18 |
| 1285820936 | Justin T Cooke | Family Medicine | 3477 Lowery Pkwy Ste 137, Fultondale, AL 35068 | 2007-09-17 |
| 1013098185 | K. Scot Aiken | Pharmacist | 1721 Hwy. 31 North, Fultondale, AL 35068 | 2006-10-17 |
| 1588767214 | Alabama Cvs Pharmacy, L.L.C. | Pharmacy | 1535 Decatur Hwy, Fultondale, AL 35068 | 2006-09-07 |
| 1477574762 | Winn Dixie Stores Inc | Durable Medical Equipment & Medical Supplies | 1721 Us Hwy 31 N, Fultondale, AL 35068 | 2006-07-21 |
| 1821017781 | Family Comfort Hospice LLC | Hospice Care, Community Based | 341 Walker Chapel Plaza, Suite 105, Fultondale, AL 35068 | 2006-07-19 |
| 1619235140 | Regan B Howell Jr. | Pharmacist | 1713 Us Hwy 31 North, Fultondale, AL 35068 | 2012-05-03 |
| Find all providers in zip 35068 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801211958 | Antonio Di Stasi | Internal Medicine | 1802 6th Ave S # Np255, Birmingham, AL 35233-1932 | 2014-02-26 |
| 1417398033 | Rehan Ajmal Sarmad | Internal Medicine | 625 19th Street South Birmingham, Birmingham, AL 35249 | 2013-07-11 |
| 1336409838 | Marshall Medical Center South Medical Oncology Services | Internal Medicine | 2505 U. S. Highway 431, Boaz, AL 35957-9999 | 2012-05-18 |
| 1548550833 | John Richard Nicholson IIi | Internal Medicine | 201 Sivley Rd Sw Ste 200, Huntsville, AL 35801-5177 | 2011-04-08 |
| 1093018681 | Shelby-chilton Hematology and Oncology LLC | Internal Medicine | 644 2nd St Ne Ste 202, Alabaster, AL 35007-8823 | 2010-12-21 |
| 1003122573 | Amitkumar Mehta | Internal Medicine | 1720 2nd Ave S # Np2540t, Birmingham, AL 35294-3528 | 2010-08-23 |
| 1447579644 | Alabama Cancer Care, LLC | Internal Medicine | 171 Town Center Dr Ste 6, Anniston, AL 36205 | 2010-05-27 |
| 1831350198 | David James Mooney | Internal Medicine | 513 Brookwood Blvd Ste 275, Birmingham, AL 35209-6806 | 2008-06-19 |
| 1578755815 | Oncology Specialties, PC | Internal Medicine | 310 8th Ave Se, Decatur, AL 35601 | 2007-08-10 |
| 1598965972 | Gabrielle B Rocque | Internal Medicine | Uab Comprehensive Cancer Ctr, 1824 6th Avenue South - Wti 240g, Birmingham, AL 35294-3300 | 2007-07-23 |
| Find all providers with the same taxonomy | ||||
| City | FULTONDALE |
| Zip Code | 35068 |
Please comment or provide details below to improve the information on HEMATOLOGY & ONCOLOGY ASSOCIATES OF ALABAMA.
| 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.