INTEGRATED CARE-ALABAMA LLC (NPI# 1215572888) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215572888 |
| Entity Type | Organization |
| Organization Name | INTEGRATED CARE-ALABAMA LLC |
| Practice Address |
1725 Pine St Montgomery AL 36106-1109 |
| Mailing Address |
Po Box 671282 Dallas TX 75267-1282 |
| Practice Telephone | 3342938000 |
| Enumeration Date | 2019-11-07 |
| Last Update Date | 2020-02-27 |
| Authorized Official Name | MATTHEW JACKSON (CFO) |
| Authorized Official Telephone | 8137463990 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
1725 PINE ST |
| City | MONTGOMERY |
| State | AL |
| Zip Code | 36106-1109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548267339 | Noland Hospital Montgomery II, LLC | Long Term Care Hospital | 1725 Pine St, 6th Floor, North Wing, Montgomery, AL 36106-1109 | 2005-07-07 |
| 1861016909 | Joshua Hunter Pybus | Nurse Anesthetist, Certified Registered | 1725 Pine St, Montgomery, AL 36106-1109 | 2020-06-04 |
| 1063033157 | Kelly Diane Slaten | Pharmacist | 1725 Pine St, Montgomery, AL 36106-1117 | 2020-04-30 |
| 1699336644 | Jasmine Necole Abebe | Registered Nurse | 1725 Pine St, Montgomery, AL 36106-1109 | 2019-06-20 |
| 1619530326 | Ashley Tippins | Nurse Practitioner | 1725 Pine St, Montgomery, AL 36106-3610 | 2019-04-18 |
| 1821550781 | Sharonica Rena Frazier | Registered Nurse | 1725 Pine St, Montgomery, AL 36106-1109 | 2019-04-01 |
| 1497229538 | Michelle L Roll | Nurse Anesthetist, Certified Registered | 1725 Pine St, Montgomery, AL 36106-1109 | 2019-01-11 |
| 1275033441 | Sarah Lauren Monson | Nurse Anesthetist, Certified Registered | 1725 Pine St, Montgomery, AL 36106-1109 | 2018-02-14 |
| 1013424159 | Brenda Simyiu | Pharmacist | 1725 Pine St, Montgomery, AL 36106-1109 | 2018-01-09 |
| 1043723232 | Brandi Parker Huett | Nurse Practitioner | 1725 Pine St, Montgomery, AL 36106-1109 | 2017-11-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235747205 | Rural Urgent Care LLC | Clinic/Center | 3039 Vaughn Road, Montgomery, AL 36106 | 2020-07-16 |
| 1548733306 | Bennett Family Dentistry, LLC | Dentist | 4270 Carmichael Road, Montgomery, AL 36106 | 2019-01-04 |
| 1588133854 | Lori Leanne Fail | Physical Therapist | 1615 Windsor Hill Court, Montgomery, AL 36106 | 2018-11-16 |
| 1073020749 | Charlene Richmond Harrell | Chiropractor | 2900 Zelda Rd., Suite A, Montgomery, AL 36106 | 2018-01-03 |
| 1780123109 | Montgomery Accident and Injury Center, Inc | Nurse Practitioner | 2900 Zelda Rd, Ste B, Montgomery, AL 36106 | 2017-02-17 |
| 1467843573 | Ernest Porterfield | Non-emergency Medical Transport (VAN) | 4183 Carmichael Road, Suite A, Montgomery, AL 36106 | 2015-02-11 |
| 1114334281 | Daniel Gerald O'bryant | Specialist/Technologist | 1160 Navarro Avenue, Montgomery, AL 36106 | 2014-07-21 |
| 1801213764 | Amanda Hodge | Specialist/Technologist | 4605 Cherry Tree Terrace, Montgomery, AL 36106 | 2014-03-27 |
| 1871861542 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1758 Park Pl Ste 102, Montgomery, AL 36106 | 2011-12-08 |
| 1578862546 | Helping Hands Preventitive Health Center | Community/Behavioral Health | 2015 Mulberry St, Montgomery, AL 36106 | 2011-03-16 |
| Find all providers in zip 36106 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649436122 | Sumana Kakivayi | Emergency Medicine | 113 Seaton Cir, Montgomery, AL 36116-7200 | 2008-08-04 |
| 1528268703 | Jade Michael Hoy | Emergency Medicine | 1111 Olive Street, Montgomery, AL 36106-1129 | 2007-07-25 |
| 1902941685 | Lewis D. Friedlander | Emergency Medicine | 5303 Vaughn Road, Montgomery, AL 36116-1120 | 2007-02-21 |
| 1285721613 | Emmett Sterling Huff IIi | Emergency Medicine | 119 Monterrey Pines Drive, Montgomery, TX 77316 | 2006-10-06 |
| 1780778779 | Deborah Jean O'brien | Emergency Medicine | 1655 Timber Lane Dr, Montgomery, IL 60538-2922 | 2006-10-03 |
| 1033143060 | Anitricia Denise Lumpkin | Emergency Medicine | 2908 Mcgehee Rd, Montgomery, AL 36111-2103 | 2006-07-10 |
| 1174561336 | Thomas J Decaro | Emergency Medicine | 2711 Lansdowne Dr, Montgomery, AL 36111-1711 | 2006-06-02 |
| 1134175045 | Alzo Preyear | Emergency Medicine | 5303 Vaughn Rd, Montgomery, AL 36116-1120 | 2006-05-25 |
| 1750330197 | Vickie G Boggs | Emergency Medicine | 8407 Rockbridge Circle, Montgomery, Montgomery, AL 36616-0725 | 2006-05-10 |
| 1417926056 | Johnathon R Munoz | Emergency Medicine | 400 Taylor Rd, Montgomery, AL 36117-3512 | 2006-03-16 |
| Find all providers in MONTGOMERY | ||||
| City | MONTGOMERY |
| Zip Code | 36106 |
Please comment or provide details below to improve the information on INTEGRATED CARE-ALABAMA 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.