PHYSICIANS MEDICAL CENTER, LLC (NPI# 1124231766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124231766 |
| Entity Type | Organization |
| Organization Name | PHYSICIANS MEDICAL CENTER, LLC |
| Other Organization Name | PHYSICIANS MEDICAL CENTER CARRAWAY |
| Practice Address |
2401 15th Ave North Birmingham AL 35234 |
| Mailing Address |
P O Box 10288 Birmingham AL 35202 |
| Practice Telephone | 2055025766 |
| Practice Fax Number | 2055023075 |
| Mailing Telephone | 2055025610 |
| Mailing Fax Number | 2055025513 |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. JAN DICESARE (CFO) |
| Authorized Official Telephone | 2055026000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
AL | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Physicians Medical Center Carraway | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477509859 | Physicians Medical Center, LLC | General Acute Care Hospital | 218 Corporate Dr, Houma, LA 70360-2768 | 2006-05-26 |
| 1700251253 | Physicians Medical Center, LLC | Clinic/Center | 131 Corporate Dr, Houma, LA 70360-2767 | 2015-12-09 |
| 1982809257 | Physicians Medical Center, LLC | General Acute Care Hospital | 6020 W Parker Rd, Plano, TX 75093-8171 | 2007-06-18 |
| 1598972606 | Physicians Medical Center, LLC | Specialist | 1528 Carraway Blvd, Ste 202, Birmingham, AL 35234 | 2007-05-17 |
| 1457568594 | Physicians Medical Center, LLC | General Acute Care Hospital | 1600 Carraway Blvd, Birmingham, AL 35234 | 2007-05-17 |
| 1760696066 | Physicians Medical Center, LLC | Clinic/Center | 3001 27th St N, Birmingham, AL 35207-4549 | 2007-05-09 |
| 1235251810 | Physicians Medical Center, LLC | Clinic/Center | 1600 Carraway Blvd, Birmingham, AL 35234-1913 | 2007-04-04 |
| 1427123017 | Physicians Medical Center, LLC | Psychiatric Unit | 1600 Carraway Blvd, Birmingham, AL 35234-1913 | 2006-11-21 |
| 1538230131 | Physicians Medical Center, LLC | General Acute Care Hospital | 1600 Carraway Blvd, Birmingham, AL 35234-1913 | 2006-11-13 |
| 1316933609 | Physicians Medical Center, LLC | General Acute Care Hospital | 6020 W Parker Rd, Plano, TX 75093-8171 | 2005-09-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PHYSICIANS MEDICAL CENTER, LLC | 218 Corporate Dr, Houma, LA 70360-2768 |
| Street Address |
2401 15TH AVE NORTH |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699722348 | Agatha I Asuru | Internal Medicine | 2401 15th Ave North, Birmingham, AL 35234 | 2006-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225549140 | Kathy Youngblood | Home Health | 1907 14th Ave N Apt 4b, Birmingham, AL 35234 | 2017-10-18 |
| 1154765568 | University of Alabama In Birmingham | General Acute Care Hospital | 619 S 19th Street, Birmingham, AL 35234 | 2013-04-29 |
| 1447210844 | Painsouth Inc | Pain Medicine | 1528 Carraway Blvd, Suite 402, Birmingham, AL 35234 | 2006-03-28 |
| 1295922649 | Pmc Gastroenterology Associates, PC | Internal Medicine | 1532 Carraway Blvd, Suite 220, Birmingham, AL 35234 | 2007-10-01 |
| 1114119567 | Physician Medical Center, LLC | Family Medicine | 1600 Carraway Blvd, Birmingham, AL 35234 | 2007-08-09 |
| 1598972606 | Physicians Medical Center, LLC | Specialist | 1528 Carraway Blvd, Ste 202, Birmingham, AL 35234 | 2007-05-17 |
| 1457568594 | Physicians Medical Center, LLC | General Acute Care Hospital | 1600 Carraway Blvd, Birmingham, AL 35234 | 2007-05-17 |
| 1194826446 | Jeffrey Wurst | Emergency Medicine | 1600 Carraway Blvd, Emergency Department, Birmingham, AL 35234 | 2006-09-26 |
| 1669412466 | Hugh Pinkney O'shields Jr. | Internal Medicine | 1600 Carraway Blvd Ste 801, Birmingham, AL 35234-1913 | 2006-06-08 |
| 1962462374 | Jennifer W Devilleneuve | Nurse Practitioner | 1600 Carraway Blvd, Suite 402, Birmingham, AL 35234-1913 | 2006-03-28 |
| Find all providers in zip 35234 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437710183 | Cahaba Medical Care Foundation | Clinic/Center | 1305 Princeton Ave Sw, Birmingham, AL 35211-1544 | 2019-06-24 |
| 1750844775 | Wecare Tlc- Poa Birmingham | Clinic/Center | 2024 2nd Ave N Ste C-2, Birmingham, AL 35203-3732 | 2019-04-08 |
| 1124590468 | Ross Bridge Medical Center Pediatrics, LLC | Clinic/Center | 3635 Market St Ste B, Birmingham, AL 35226-6391 | 2018-12-27 |
| 1932465861 | Onmark Physical Therapy, LLC | Clinic/Center | 151 Narrows Pkwy Ste D, Birmingham, AL 35242-8638 | 2012-04-04 |
| 1083772560 | Med Help PC | Clinic/Center | One Lakeshore Drive, Ste 100, Birmingham, AL 35209-7271 | 2006-12-05 |
| 1972558831 | Brookwood Internal Medicine, P.C. | Clinic/Center | 2017 Canyon Road, Suite # 39, Birmingham, AL 35216-1928 | 2006-05-22 |
| 1104879741 | Norwood Clinic Inc | Clinic/Center | 2022 Brookwood Medical Center Drive, Suite 510, Birmingham, AL 35209-6898 | 2006-05-17 |
| 1295207520 | Ross Bridge Medical Practice LLC | Clinic/Center | 3635 Market St Ste A, Birmingham, AL 35226-6391 | 2018-12-27 |
| 1598154841 | University of Alabama Health Services Foundation | Clinic/Center | 500 22nd St S, Birmingham, AL 35233-3110 | 2015-01-09 |
| 1609153030 | Dark Side Medical, LLC | Clinic/Center | 5130 Cyrus Cir, Birmingham, AL 35242-4630 | 2011-11-14 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35234 |
Please comment or provide details below to improve the information on PHYSICIANS MEDICAL CENTER, 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.