MARY SUE SUGGS (NPI# 1154317758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154317758 |
| Entity Type | Individual |
| Full Name | MARY SUE SUGGS |
| Practice Address |
1508 Cogswell Ave Pell City AL 35125-1243 |
| Practice Telephone | 2058141598 |
| Practice Fax Number | 2058141587 |
| Mailing Telephone | 2058141598 |
| Mailing Fax Number | 2058141587 |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2010-12-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 1052565 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 891001850 | 05 | |
| AL | BLUE CROSS BLUE SHIELD | 051550183 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194121434 | Mary Suggs | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 67 Bowden St, Commerce, GA 30529-2402 | 2014-11-14 |
| Street Address |
1508 COGSWELL AVE |
| City | PELL CITY |
| State | AL |
| Zip Code | 35125-1243 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952917502 | Miranda Eddy Talmage | Nurse Practitioner | 1508 Cogswell Ave, Pell City, AL 35125-1243 | 2020-09-18 |
| 1740895291 | Main Street Clinic, LLC | Pediatrics | 1508 Cogswell Ave, Pell City, AL 35125-1243 | 2020-09-11 |
| 1003242678 | Laura Paige Farris | Nurse Practitioner | 1508 Cogswell Ave, Pell City, AL 35125-1243 | 2013-09-16 |
| 1306145289 | Main Street Medical Clinic LLC | Clinic/Center | 1508 Cogswell Ave, Pell City, AL 35125-1243 | 2011-03-18 |
| 1205854544 | Linda J Schultz | Internal Medicine | 1508 Cogswell Ave, Pell City, AL 35125-1243 | 2006-07-17 |
| 1861472219 | Jana Gail Zeitvogel | Nurse Practitioner | 1508 Cogswell Ave, Pell City, AL 35125-1243 | 2006-01-20 |
| 1447246053 | Mary Sue Suggs | Family Medicine | 1508 Cogswell Ave, Pell City, AL 35125-1243 | 2005-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629507082 | Christoph Scott Koogler | Pharmacist | 165 Vaughn Lane, Pell City, AL 35125 | 2017-06-08 |
| 1104133693 | State of Alabama Department of Public Health | Nurse Practitioner | 1175 23rd Street North, St. Clair County Health Department, Pell City, AL 35125 | 2010-09-07 |
| 1801918776 | David Timothy Sawyer | Dentist | 402a Cogswell Ave, Pell City, AL 35125 | 2007-04-04 |
| 1528106341 | Patricia Yvonne Hamilton | Counselor | 1540 Center Point Pkway, Suite 102, Birmingham, AL 35125 | 2007-02-02 |
| 1316028566 | Glenn Hendrick Magargee | Counselor | 8 16th Street, Pell City, AL 35125 | 2006-10-17 |
| 1508965633 | Derek Matthew Morris | Pharmacist | 505 Martin Street, Pell City, AL 35125 | 2006-09-22 |
| 1699882738 | Hasmukh Nagindas Jariwala | Internal Medicine | 2811 Dr John Haynes Dr, Suite 102, Pell City, AL 35125 | 2006-08-24 |
| 1912914185 | Sara V Thompson | Nurse Practitioner | 70 Plaza Drive, Pell City, AL 35125 | 2006-08-01 |
| 1972547636 | Elisabeth May Douglass | Physical Therapist | 85 Plaza Drive, Pell City, AL 35125 | 2006-06-15 |
| 1851376610 | Barry G Collins | Internal Medicine | 7067 Veterans Parkway, Suite 200, Pell City, AL 35125 | 2005-12-14 |
| Find all providers in zip 35125 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154929131 | Jackson Tuley Cornelison | Family Medicine | 41 Eminence Way Ste A, Pell City, AL 35128-2338 | 2020-10-13 |
| 1285153726 | Marsha R Boswell | Family Medicine | 2048 Martin Street South, Pell City, AL 35128-3512 | 2017-09-15 |
| 1831458892 | Ilinca Cristina Prisacaru | Family Medicine | 7067 Veterans Pkwy Ste 200, Pell City, AL 35125-5128 | 2012-05-11 |
| 1740235670 | Norrell Clinic Pa | Family Medicine | 1716 1st Ave N, Pell City, AL 35125-1603 | 2006-05-22 |
| 1356303143 | Rutwij K Jotani | Family Medicine | 7067 Veterans Pkwy, Suite 200, Pell City, AL 35125-5118 | 2006-04-05 |
| 1104802495 | Michael D Dupre | Family Medicine | 74 Plaza Dr, Pell City, AL 35125-9370 | 2005-12-19 |
| 1043787526 | Zane Penton Kelly | Family Medicine | 7067 Veterans Pkwy Ste 200, Pell City, AL 35125-5128 | 2018-11-01 |
| 1063924868 | Jack Vibbert | Family Medicine | 70 Plaza Dr, Pell City, AL 35125-9314 | 2017-11-02 |
| 1043740020 | Adrienne Nicole Shambray | Family Medicine | 2048 Martin St S, Pell City, AL 35128-2326 | 2017-06-13 |
| 1427317494 | Carl Hunter Russell | Family Medicine | 70 Plaza Dr, Pell City, AL 35125-9314 | 2012-05-11 |
| Find all providers in PELL CITY | ||||
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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.