LAUDERDALE RADIOLOGY GROUP (NPI# 1073605762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073605762 |
Entity Type | Organization |
Organization Name | LAUDERDALE RADIOLOGY GROUP |
Practice Address |
1701 Veterans Drive Florence AL 35630 |
Mailing Address |
201 S Court Street Suite 500 Florence AL 35630 |
Practice Telephone | 2567688168 |
Practice Fax Number | 2567688322 |
Mailing Telephone | 2567688168 |
Mailing Fax Number | 2567688322 |
Enumeration Date | 2006-09-29 |
Last Update Date | 2019-07-02 |
Authorized Official Name | DR. PAUL VONHERRMANN (RADIOLOGIST) |
Authorized Official Telephone | 2567688168 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 247100000X | Radiologic Technologist | D0137 | AL | Technologists, Technicians & Other Technical Service Providers |
N | 247100000X | Radiologic Technologist | 00023957 | AL | Technologists, Technicians & Other Technical Service Providers |
N | 247100000X | Radiologic Technologist | 00016553 | AL | Technologists, Technicians & Other Technical Service Providers |
N | 247100000X | Radiologic Technologist | MD.26676 | AL | Technologists, Technicians & Other Technical Service Providers |
Y | 247100000X | Radiologic Technologist | 00006072 | AL | Technologists, Technicians & Other Technical Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AL | 009934433 | 05 | |
AL | 009934439 | 05 | |
AL | BC | 51039286 | 01 |
AL | 009934434 | 05 | |
AL | 009934437 | 05 | |
AL | BC EAST BILYEU | 51543162 | 01 |
AL | 528202620 | 05 | |
AL | BC | 51039506 | 01 |
AL | BC | 51507878 | 01 |
AL | BC | 51519728 | 01 |
AL | BC | 51540375 | 01 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Alabama Business Registrations | Lauderdale Radiology Group, L.L.P. | 201 S Court Street Suite 500, Florence, AL 35630 |
Street Address |
1701 VETERANS DRIVE |
City | FLORENCE |
State | AL |
Zip Code | 35630 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356334494 | Francois Daniel Lesage | Family Medicine | 1701 Veterans Drive, Florence, AL 35630-4928 | 2005-08-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346880531 | Rachel E Belue | Counselor | 409 N. Court Street, Florence, AL 35630 | 2020-01-15 |
1154857746 | Danish Henry | Internal Medicine | North Alabama Medical Center, 1701 Veterans Dr, Florence, AL 35630 | 2017-05-03 |
1396118261 | Three Oaks Pharmacy LLC | Pharmacy | 861 Cox Creek Parkway, Florence, AL 35630 | 2015-11-02 |
1235501891 | Wellness Walk-in Clinic, LLC | Nurse Practitioner | 2612 Hough Road, Florence, AL 35630 | 2015-10-22 |
1972995207 | Elyse Angel | Pharmacist | 109 East Dr Hicks Blvd, Florence, AL 35630 | 2015-02-24 |
1750772380 | Whitlee Laina Kelley | Case Manager/Care Coordinator | 112 Titan Drive, Florence, AL 35630 | 2015-02-18 |
1942612155 | Hillary Jean Delarosa | Internal Medicine | 162 Titan Drive, Florence, AL 35630 | 2014-05-22 |
1952723678 | Sharron M Boatwright | Nurse Practitioner | 1949 Florence Boulevard, Occupational Health Center LLC, Florence, AL 35630 | 2014-01-15 |
1194160523 | Caryn Barnett | Physical Therapist | 412 S. Court Street, Suite 403, Florence, AL 35630 | 2013-04-29 |
1396074662 | Heather White Bryant | Counselor | 118 East Mobile St, Suite 106, Florence, AL 35630 | 2009-12-16 |
Find all providers in zip 35630 |
Taxonomy Code | 247100000X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Radiologic Technologist |
An individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891077723 | Panya J Holmes | Radiologic Technologist | 5075 Dawes Rd, Grand Bay, AL 36541-3219 | 2011-09-16 |
1326066184 | David Paul Johnson | Radiologic Technologist | 12119 Us Highway 431, Guntersville, AL 35976-9344 | 2006-07-18 |
1003831900 | G Dwayne Gann | Radiologic Technologist | 1201 13th Ave Se, Decatur, AL 35601-4300 | 2006-07-12 |
1710919691 | William Richard Daniel | Radiologic Technologist | 12119 Us Highway 431 South, Guntersville, AL 35976 | 2006-07-07 |
1013531367 | Matt Donald Paulson | Radiologic Technologist | 3719 Dauphin St, Mobile, AL 36608-1753 | 2020-06-02 |
1194347450 | Nathan Perry | Radiologic Technologist | 1802 6th Ave S, Birmingham, AL 35233-1932 | 2020-05-09 |
1457765729 | Brandon Cheadle | Radiologic Technologist | Lyster Army Health Clinic, Bldg 301 Andrews Ave, Fort Rucker, AL 36362-5333 | 2014-06-16 |
1831501485 | Evangelina Perez | Radiologic Technologist | 301 Andrews Ave, Lyster Army Health Clinic Bldg, Fort Rucker, AL 36362 | 2014-05-29 |
1558627414 | Collin Conroy Bailey | Radiologic Technologist | 215 Perry Hill Rd, Department of Veterans Affairs Central Alabama, Montgomery, AL 36109 | 2012-04-05 |
1063585727 | Amanda L Burke | Radiologic Technologist | 1201 13th Ave Se, Decatur, AL 35601-4300 | 2006-11-17 |
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.