SOUTHVIEW MEDICAL CLINIC LLC (NPI# 1033554357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033554357 |
| Entity Type | Organization |
| Organization Name | SOUTHVIEW MEDICAL CLINIC LLC |
| Practice Address |
222 Arkadelphia Rd Ne Hanceville AL 35077-4700 |
| Practice Telephone | 2564511250 |
| Mailing Telephone | 2564511250 |
| Enumeration Date | 2013-04-30 |
| Last Update Date | 2013-04-30 |
| Authorized Official Name | MR. MUHAMMAD EJAZ ATA (OWNER) |
| Authorized Official Telephone | 2564511250 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities | ||
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Street Address |
222 ARKADELPHIA RD NE |
| City | HANCEVILLE |
| State | AL |
| Zip Code | 35077-4700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669021093 | Zachary Blake Gentry | Nurse Practitioner | 222 Arkadelphia Rd Ne, Hanceville, AL 35077-4700 | 2019-09-09 |
| 1851792816 | Ashley Campbell | Nurse Practitioner | 222 Arkadelphia Rd Ne, Hanceville, AL 35077-4700 | 2014-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750988846 | Margaret Braden | Pharmacist | 561 Sr-69, Hanceville, AL 35077 | 2020-10-02 |
| 1255675658 | Perry Clifton St. John | Physical Therapy Assistant | 440 County Road 483, Hanceville, AL 35077 | 2012-11-26 |
| 1336329010 | Tlc Solutionsm, Inc. | Prosthetic/Orthotic Supplier | 520 County Road 539, Hanceville, AL 35077 | 2007-11-09 |
| 1346244217 | Hanceville Nursing & Rehab Center Inc. | Skilled Nursing Facility | 420 Main St., N.e., Hanceville, AL 35077 | 2005-06-09 |
| 1932396314 | Peter Wade Dube | Dentist | 508 Bangor Ave Se, Hanceville, AL 35077 | 2007-09-28 |
| 1699190108 | Amber Baty | Physical Therapist | 4500 County Road 35, Hanceville, AL 35077-2232 | 2014-02-20 |
| 1720250988 | John Wesley Purifoy Jr. | Technician/Technologist | 13261 Al Highway 91, Hanceville, AL 35077-2816 | 2008-03-27 |
| 1902142128 | Tashena Stansell | Occupational Therapy Assistant | 685 County Road 219, Hanceville, AL 35077-3323 | 2012-12-15 |
| 1952943292 | Rachel Roberts Oakes | Pharmacist | 561 Alabama Highway 69 South, Hanceville, AL 35077-3403 | 2019-10-08 |
| 1932285301 | Charlotte M Edmondson | Pharmacist | 561 Al Highway 69 S, Hanceville, AL 35077-3403 | 2006-10-28 |
| Find all providers in zip 35077 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| 1851999833 | Healthworks Medical Group of Alabama P C | Clinic/Center | 9000 Greenbrier Pkwy Nw, Madison, AL 35756-4453 | 2020-10-13 |
| 1508470899 | Healthworks Medical Group of Alabama P C | Clinic/Center | 200 Waits Dr, Andalusia, AL 36421-2431 | 2020-09-03 |
| 1770195737 | Alabama Game Changers | Clinic/Center | 2111 Parkway Office Cir Ste 150, Hoover, AL 35244-2920 | 2020-08-20 |
| 1437710183 | Cahaba Medical Care Foundation | Clinic/Center | 1305 Princeton Ave Sw, Birmingham, AL 35211-1544 | 2019-06-24 |
| 1184282840 | St Luke Integrative Medical Center Inc | Clinic/Center | 415e Church St Nw Ste 4, Huntsville, AL 35801-5577 | 2019-05-29 |
| 1750844775 | Wecare Tlc- Poa Birmingham | Clinic/Center | 2024 2nd Ave N Ste C-2, Birmingham, AL 35203-3732 | 2019-04-08 |
| 1689137705 | Wecare Tlc- Poa Hoover | Clinic/Center | 4745 Chace Cir Ste 101, Hoover, AL 35244-3713 | 2019-04-08 |
| 1619430733 | Wecare Tlc- Poa Huntsville | Clinic/Center | 7738 Madison Blvd Ste A, Huntsville, AL 35806-3660 | 2019-04-08 |
| 1124590468 | Ross Bridge Medical Center Pediatrics, LLC | Clinic/Center | 3635 Market St Ste B, Birmingham, AL 35226-6391 | 2018-12-27 |
| 1679079867 | Alacare Home Health Services, Inc. | Clinic/Center | 2400 John Hawkins Pkwy Ste 104, Hoover, AL 35244-3500 | 2018-04-05 |
| Find all providers with the same taxonomy | ||||
| City | HANCEVILLE |
| Zip Code | 35077 |
Please comment or provide details below to improve the information on SOUTHVIEW MEDICAL CLINIC LLC.
| 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.