VALLEY PULMONARY & CRITICAL CARE, P.C. (NPI# 1205904752) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205904752 |
| Entity Type | Organization |
| Organization Name | VALLEY PULMONARY & CRITICAL CARE, P.C. |
| Practice Address |
1101 Somerville Rd Se Decatur AL 35601-3242 |
| Practice Telephone | 2563534665 |
| Practice Fax Number | 2563538982 |
| Mailing Telephone | 2563534665 |
| Mailing Fax Number | 2563538982 |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2020-02-03 |
| Authorized Official Name | MRS. MARTHA BOYLE (PRACTICE MANAGER) |
| Authorized Official Telephone | 2563534665 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
22105 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | MEDICARE GROUP PTAN | 102G702006 | 01 |
| AL | 529804170 | 05 | |
| AL | BLUE CROSS& BLUE SHIELD | 510-79820 | 01 |
| Street Address |
1101 SOMERVILLE RD SE |
| City | DECATUR |
| State | AL |
| Zip Code | 35601-3242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417025933 | James Edward Boyle | Internal Medicine | 1101 Somerville Rd Se, Decatur, AL 35601-3242 | 2006-12-01 |
| 1417098054 | Decatur General Hospital | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1101 Somerville Rd Se, Decatur, AL 35601-3242 | 2007-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376000679 | Monica Dawn Ross | Counselor | 106 Lee St. Ne, Suite C, Decatur, AL 35601 | 2019-02-23 |
| 1063950319 | Samantha Elizabeth Pickett | Nurse Practitioner | 1115 Beltline Rd Se, Ste 400, Decatur, AL 35601 | 2017-02-07 |
| 1497208250 | Beronica Goodwin | Home Health Aide | 1102b Suite #2 4th Ave Se, Decatur, AL 35601 | 2016-07-28 |
| 1770957177 | Xochitl Dupre | Obstetrics & Gynecology | 1874 Beltline Road Sw, Suite 105, Decatur, AL 35601 | 2015-11-23 |
| 1104224708 | River City Psychiatry, Inc. | Community/Behavioral Health | 115 Johnston Street, Se, Suite 202, Decatur, AL 35601 | 2014-12-12 |
| 1760882690 | Derrick Aaron Randolph | Registered Nurse | 1207 7th St S.e., Decatur/morgan Hospital - Parkway Campus, Decatur, GA 35601 | 2014-08-28 |
| 1427465434 | Martha Read | Family Medicine | 2208 Danville Rd Sw Ste A, Decatur, AL 35601 | 2014-07-22 |
| 1205242948 | Pure Heart Home Care of Alabama, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 107 B 14th Street Sw, Decatur, AL 35601 | 2014-07-02 |
| 1720492242 | Christopher John Phillips | Emergency Medicine | 1201 7th Street Se, Decatur, AL 35601 | 2014-06-12 |
| 1366794711 | Complete Dental Decatur LLC | Dentist | 1241 Point Mallard Parkway, Suite. 105, Decatur, AL 35601 | 2012-10-10 |
| Find all providers in zip 35601 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528312360 | Lynn Goldowski | Internal Medicine | 258 E Parkwood Rd, Decatur, GA 30030-2813 | 2012-11-01 |
| 1174640569 | Gerald Henry Mazurek | Internal Medicine | 1600 Clifton Road, Ne, Mail Stop E-10, Decatur, GA 30329 | 2007-03-23 |
| 1417025933 | James Edward Boyle | Internal Medicine | 1101 Somerville Rd Se, Decatur, AL 35601-3242 | 2006-12-01 |
| 1043261761 | Gilbert Berdine Md | Internal Medicine | 2014 Ben Merritt Dr, Suite A-2, Decatur, TX 76234-3850 | 2006-05-15 |
| 1043269061 | Mamoun I Najjar | Internal Medicine | 1222 Somerville Road Se, Decatur, AL 35601 | 2006-05-08 |
| 1114989746 | Nayer B El-ashram | Internal Medicine | 2301 S Fm 51 Ste 300, Decatur, TX 76234-3864 | 2006-04-06 |
| 1003070350 | Harsh Chawla | Internal Medicine | 2300 N Edward St, Decatur, IL 62526-4163 | 2008-07-16 |
| 1417084971 | Decatur General Hospital | Internal Medicine | 1215 7th St Se, Suite 140/120, Decatur, AL 35601-3337 | 2007-02-28 |
| 1295838464 | Thomandram Sekar | Internal Medicine | 1100 Mercer Ave, Decatur, IN 46733-2303 | 2006-09-06 |
| 1053413013 | Michael Francis Iademarco | Internal Medicine | 1670 Clairmont Rd, Medical Specialty, Decatur, GA 30033-4004 | 2006-09-01 |
| Find all providers in DECATUR | ||||
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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.