IMC-RADIATION ONCOLOGY LLC (NPI# 1033587563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033587563 |
| Entity Type | Organization |
| Organization Name | IMC-RADIATION ONCOLOGY LLC |
| Practice Address |
5 Mobile Infirmary Cir Mobile AL 36607-3513 |
| Mailing Address |
1725 Spring Hill Ave Mobile AL 36604-1402 |
| Practice Telephone | 2514352400 |
| Mailing Telephone | 2514351330 |
| Enumeration Date | 2015-09-15 |
| Last Update Date | 2019-08-26 |
| Authorized Official Name | MR. ANTHONY PALAZZO (VICE PRESIDENT OF FINANCE) |
| Authorized Official Telephone | 2514351330 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
Allopathic & Osteopathic Physicians |
| Street Address |
5 MOBILE INFIRMARY CIR |
| City | MOBILE |
| State | AL |
| Zip Code | 36607-3513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639174014 | Kenneth Carl Brewington | Obstetrics & Gynecology | 5 Mobile Infirmary Cir, Mobile, AL 36607-3513 | 2005-06-14 |
| 1972118891 | Anthony A Mcpherson | Nurse Practitioner | 5 Mobile Infirmary Cir, Mobile, AL 36607-3513 | 2020-09-09 |
| 1700404563 | My An T Pham | Pharmacist | 5 Mobile Infirmary Cir, Mobile, AL 36607-3513 | 2020-07-08 |
| 1215559968 | Mobile Infirmary Association | Clinical Medical Laboratory | 5 Mobile Infirmary Cir, Mobile, AL 36607-3513 | 2020-05-15 |
| 1245866714 | Kierriah Callier Dortch | Registered Nurse | 5 Mobile Infirmary Cir, Mobile, AL 36607-3513 | 2020-03-17 |
| 1043843295 | Richard Williams | Nurse Anesthetist, Certified Registered | 5 Mobile Infirmary Cir, Mobile, AL 36607-3513 | 2020-02-17 |
| 1720637572 | Kaitlin Michelle Reed | Speech-Language Pathologist | 5 Mobile Infirmary Cir, Mobile, AL 36607-3513 | 2019-09-04 |
| 1710535828 | Charlotte Beverly | Nurse Practitioner | 5 Mobile Infirmary Cir, Mobile, AL 36607 | 2019-09-02 |
| 1063064376 | Melanie Ann Mccall | Pharmacist | 5 Mobile Infirmary Cir, Mobile, AL 36607-3513 | 2019-07-16 |
| 1962060822 | Lauren Wilson Clarke | Nurse Practitioner | 5 Mobile Infirmary Cir, Mobile, AL 36607-3513 | 2019-06-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821404559 | Cindy Strahan | Occupational Therapy Assistant | 2900 Sping Hill Ave, Mobile, AL 36607 | 2014-07-02 |
| 1043649072 | Rebecca Clara Eskridge | Speech-Language Pathologist | 200 C East Portier Ct., Mobile, AL 36607 | 2013-11-12 |
| 1497016794 | Gregory Mark Quatrino | Surgery | 3 Mobile Infirmary Cir Ste 212, Mobile, AL 36607 | 2012-06-03 |
| 1457682197 | Joseph Michael Mckean | Dentist | 3050 Dauphin Square Connector, Mobile, AL 36607 | 2010-01-20 |
| 1679711956 | Sheldon Scott Bradley | Nurse Practitioner | 1 Infirmary Circle, Mobile Infirmary Er, Mobile, AL 36607 | 2009-01-26 |
| 1508058132 | Wanda K Miller | Occupational Therapist | 1903 Springhill Ave, Mobile, AL 36607 | 2007-08-17 |
| 1811035322 | George N Lukes | Dentist | 2653a Old Shell Road, Mobile, AL 36607 | 2007-02-05 |
| 1487702999 | Carl Maltese | Specialist | 1901 Springhill Ave, Mobile, AL 36607 | 2007-01-08 |
| 1790871242 | Cheryl Lambert Thames | Physical Therapist | 2006 Airport Blvd., Mobile, AL 36607 | 2006-10-04 |
| 1760576227 | Jane Bagwell Hale | Physical Therapist | 3202 Old Shell Road, Mobile, AL 36607 | 2006-10-02 |
| Find all providers in zip 36607 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366887945 | Olivia Claire Ball | Radiology | 5 Mobile Infirmary Cir Ste G805, Mobile, AL 36607-3513 | 2013-05-08 |
| 1295828770 | The Cancer Center of Southern Alabama, Pa | Radiology | 3 Mobile Infirmary Cir Ste 306, Mobile, AL 36607-3515 | 2006-10-02 |
| 1528049939 | John R. Russell | Radiology | 5 Mobile Infirmary Cr. Ste. G-805, Mobile Infirmary Radiation Oncology, Mobile, AL 36607-3513 | 2005-11-11 |
| 1689075954 | Seton Medical Management Inc. | Radiology | 6701 Airport Blvd, Suite A-t06, Mobile, AL 36608-6705 | 2014-09-05 |
| 1902244114 | James Orey Galle | Radiology | 6701 Airport Blvd Bldg B, Mobile, AL 36608-6705 | 2013-06-10 |
| 1649405028 | Weisi Yan | Radiology | 1660 Spring Hill Ave, Mobile, AL 36604-1405 | 2009-05-28 |
| 1578629556 | Southern Cancer Center, PC | Radiology | 6701 Airport Blvd, Mobile, AL 36608-6705 | 2006-12-28 |
| 1770597353 | Robert A Gilbert | Radiology | 1660 Spring Hill Ave, Mobile, AL 36604-1405 | 2006-07-28 |
| 1003820697 | Frank James Pitruzzello | Radiology | 6701 Airport Blvd Bldg B, Mobile, AL 36608-6705 | 2006-07-28 |
| 1336174242 | Roger Ove | Radiology | 1660 Spring Hill Ave, University of South Alabama Mitchell Cancer Institute, Mobile, AL 36604-1405 | 2006-07-11 |
| Find all providers in MOBILE | ||||
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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.