PHYSYNERGY, LLC (NPI# 1093173502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093173502 |
| Entity Type | Organization |
| Organization Name | PHYSYNERGY, LLC |
| Practice Address |
3719 Dauphin St Mobile AL 36608-1798 |
| Mailing Address |
Po Box 52404 Lafayette LA 70505-2404 |
| Practice Telephone | 2564697895 |
| Practice Fax Number | 2562708937 |
| Mailing Telephone | 7068602701 |
| Mailing Fax Number | 7068606484 |
| Enumeration Date | 2016-01-29 |
| Last Update Date | 2016-02-11 |
| Authorized Official Name | DR. TIMOTHY KILLEN ADAMS JR. (PRESIDENT) |
| Authorized Official Telephone | 2564697895 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
AL | Allopathic & Osteopathic Physicians | |
| N | 367500000X | Nurse Anesthetist, Certified Registered | AL | Physician Assistants & Advanced Practice Nursing Providers | |
| N | 367H00000X | Anesthesiologist Assistant | AL | Physician Assistants & Advanced Practice Nursing Providers | |
| Y | 207L00000X | Anesthesiology | AL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780060079 | Physynergy, LLC | Anesthesiology | 119 Longwood Dr Sw, Huntsville, AL 35801-4522 | 2015-08-10 |
| 1568840684 | Physynergy, LLC | Anesthesiology | 1874 Beltline Rd Sw, Decatur, AL 35601-5514 | 2015-05-08 |
| 1194124941 | Physynergy, LLC | Anesthesiology | 1818 Albion St, Nashville, TN 37208-2918 | 2014-08-18 |
| 1124455969 | Physynergy, LLC | Anesthesiology | 2835 Highway 231 N, Shelbyville, TN 37160-7327 | 2013-10-10 |
| 1134465560 | Physynergy, LLC | Anesthesiology | 1 Hospital Dr Sw, Huntsville, AL 35801-6455 | 2012-12-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PHYSYNERGY, LLC | 2835 Hwy 231 N, Shelbyville, TN 37160-7327 |
| Street Address |
3719 DAUPHIN ST |
| City | MOBILE |
| State | AL |
| Zip Code | 36608-1798 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477556082 | Robert Machel Weinacker IIi | Specialist | 3719 Dauphin St, Suite 100, Mobile, AL 36608-1753 | 2005-05-27 |
| 1013531367 | Matt Donald Paulson | Radiologic Technologist | 3719 Dauphin St, Mobile, AL 36608-1753 | 2020-06-02 |
| 1932721875 | Laurie Anne Lindsey | Nurse Practitioner | 3719 Dauphin St, Mobile, AL 36608-1753 | 2020-05-14 |
| 1730715525 | Kathryn Dale West | Nurse Practitioner | 3719 Dauphin St, Mobile, AL 36608-1753 | 2020-03-12 |
| 1275163503 | Nina Wilson Smelley | Nurse Practitioner | 3719 Dauphin St, Mobile, AL 36608-1753 | 2020-01-26 |
| 1346802808 | Allie Moore | Nurse Practitioner | 3719 Dauphin St, Mobile, AL 36608-1753 | 2019-07-05 |
| 1023675584 | Allie Laura Haynes | Physician Assistant | 3719 Dauphin St, Mobile, AL 36608-1753 | 2019-05-21 |
| 1093285611 | Charmaine Diane Harris | Nurse Practitioner | 3719 Dauphin St, Mobile, AL 36608 | 2018-11-26 |
| 1144713165 | Joy Vigneulle | Nurse Practitioner | 3719 Dauphin St, Mobile, AL 36608-1753 | 2018-06-13 |
| 1568954816 | William Lawrence Gafford IIi | Nurse Anesthetist, Certified Registered | 3719 Dauphin St, Mobile, AL 36608-1753 | 2018-06-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475524 | Grantham Dental, Inc. | Dentist | 3620 Springhill Memorial Drive South, Mobile, AL 36608 | 2020-10-21 |
| 1114540879 | Dearrius Hines | Home Health Aide | 1370 Lucerne Dr, Mobile, AL 36608 | 2020-05-28 |
| 1558980409 | Rachel Stevens | Registered Nurse | 8507 Tanner Williams Rd, Mobile, AL 36608 | 2020-04-10 |
| 1073170700 | Usa Health Physician Billing Services LLC | Otolaryngology | 5721 Usa Drive North, Hahn 1119, Mobile, AL 36608 | 2019-05-29 |
| 1952885600 | Franklin Primary Health Center Inc. | Dentist | 990 Cody Rd North, Mobile, AL 36608 | 2018-09-19 |
| 1114410040 | Zackary Elkins | Optometrist | 105 W I65 Service Rd N, Mobile, AL 36608 | 2018-06-14 |
| 1023562865 | Covenant Hospice, Inc. | Internal Medicine | 6801 Airport Blvd., Main Tower, 11th Floor North, Mobile, AL 36608 | 2016-08-10 |
| 1730575416 | Rayven Likely | Student in an Organized Health Care Education/Training Program | 1014 Centerwood Dr, Mobile, AL 36608 | 2015-04-09 |
| 1598040461 | Robert S Harlin | Specialist | 75 Clarise Circle, Mobile, AL 36608 | 2011-10-11 |
| 1972884948 | Heidi Michelle Mcdermott | Physical Therapist | 5721 Usa Drive N, Hahn 2050, Mobile, AL 36608 | 2011-09-06 |
| Find all providers in zip 36608 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790149169 | Madison Petersen | Anesthesiology | 2451 Fillingim St., Mobile, AL 36617-2238 | 2016-04-11 |
| 1518303593 | Integrated Pain Management of Alabama LLC | Anesthesiology | 7860 Cottage Hill Rd, Ste A, Mobile, AL 36695-4102 | 2013-05-16 |
| 1023308087 | Travis Steven Steinke | Anesthesiology | 51 Tacon St Ste D, Mobile, AL 36607-3123 | 2011-04-12 |
| 1730349614 | Ryan Frederick Neil | Anesthesiology | 51 Tacon St, Suite D, Mobile, AL 36607-3123 | 2008-06-13 |
| 1316993454 | Gerald Anthony Mastaw Jr. | Anesthesiology | 1924k Dauphin Island Pkwy, Mobile, AL 36605-3004 | 2006-05-26 |
| 1205891967 | Teresa G Walker Md PC | Anesthesiology | 2390 Dauphin St, Mobile, AL 36606-1916 | 2006-04-18 |
| 1467432906 | Robert Dennis Watson Jr. | Anesthesiology | 2451 Usa Medical Center Dr, Mstn 0302, Mobile, AL 36617 | 2006-01-19 |
| 1568453520 | Leigh Ann Overstreet | Anesthesiology | 1 Mobile Infirmary Cir, Mobile, AL 36607-3522 | 2005-10-31 |
| 1285620674 | Gayle S Fredere | Anesthesiology | 6508 Bienville Ct, Mobile, AL 36695-3259 | 2005-09-21 |
| 1881099174 | Anesthesiacare, P.C. | Anesthesiology | 2890 Dauphin St, Mobile, AL 36606-2457 | 2014-10-29 |
| 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.