CONNIE A CHANDLER (NPI# 1215977129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215977129 |
Entity Type | Individual |
Full Name | CONNIE A CHANDLER |
Credential | MD |
Practice Address |
145 Katherine Ave Ozark AL 36360-1976 |
Mailing Address |
Po Box 863 Ozark AL 36361-0863 |
Practice Telephone | 3347745116 |
Mailing Telephone | 3344431211 |
Mailing Fax Number | 3344430131 |
Enumeration Date | 2006-06-08 |
Last Update Date | 2018-01-30 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | 4122 | AL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AL | 185389 | 05 | |
AL | BLUE CROSS AND BLUE SHIELD | 511-78140 | 01 |
Street Address |
145 KATHERINE AVE |
City | OZARK |
State | AL |
Zip Code | 36360-1976 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891921250 | Leslie Kristine Canfield | Nurse Practitioner | 145 Katherine Ave, Ozark, AL 36360-1976 | 2009-05-29 |
1598905101 | Connie A. Chandler, Md | Family Medicine | 145 Katherine Ave, Ozark, AL 36360-1976 | 2009-02-23 |
1598705436 | Carl W. Barlow | Emergency Medicine | 145 Katherine Ave, Ozark, AL 36360-1976 | 2006-06-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699385906 | Wei Xuan Lim | Behavior Technician | 850 Andrews Ave, Suite 2, Ozark, AL 36360 | 2020-08-03 |
1831638220 | Rebekah Layne Windsor | Occupational Therapist | 193 Sam Lisenby Road, Sumlar Therapy, Ozark, AL 36360 | 2017-02-17 |
1003264136 | Dale Medical Center | Nurse Practitioner | 633 South Union Ave, Ozark, AL 36360 | 2016-05-31 |
1578948436 | Jones Mobile Phlebotomy Servies, Inc. | Technician, Pathology | 343 Acker Ave, Ozark, ALABAMA 36360 | 2015-07-21 |
1740623701 | Dr. Tucker and Associates, Inc. | Counselor | 1566 A East Andrews Avenue, Ozark, AL 36360 | 2013-04-09 |
1093036592 | City of Ozark City Clerk | Ambulance | 188 Peacock Parkway, Ozark, AL 36360 | 2010-06-18 |
1811144934 | Roger William Wiley | Optometrist | 578 Andrews Ave., Ozark, AL 36360 | 2008-08-20 |
1821295940 | Ozark City | Local Education Agency (LEA) | 1044 Andrews Ave, Ozark, AL 36360 | 2007-07-02 |
1548303761 | Dale County Health Dept Mat | Public Health or Welfare | 200 Katherine Avenue, Ozark, AL 36360 | 2007-02-15 |
1952462954 | Alan Conrad | Chiropractor | 1817 Andrews Ave, Ozark, AL 36360 | 2006-12-13 |
Find all providers in zip 36360 |
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 |
---|---|---|---|---|
1063054880 | Ramya Sravani Pakala | Family Medicine | 5571 N. 21st St., Ozark, MO 65721 | 2019-10-14 |
1932602125 | Clarence William Jaggard Jr. | Family Medicine | Ozark Valley Medical Clinic 5571 N. 21st St., Ozark, MO 65721 | 2018-03-14 |
1912418369 | Evelyn Guillotti Partain | Family Medicine | 5571 N 21st St, Ozark, MO 65721-7488 | 2017-10-12 |
1821363524 | Dale Medical Center | Family Medicine | 320 White Ave, Ozark, AL 36360-0908 | 2012-03-13 |
1720226020 | Richard S Hammock,md Dba Dale Medical Center | Family Medicine | 218 Hospital Ave Ste A, Ozark, AL 36360-2072 | 2009-01-26 |
1790874931 | Holly J. Benedict | Family Medicine | 1106 W Jackson St, Ozark, MO 65721-9164 | 2006-10-12 |
1942392949 | Lester E Cox Medical Centers | Family Medicine | 506 E South St, Evans Plaza, Ozark, MO 65721-8571 | 2006-09-28 |
1538275342 | Dale Medical Center | Family Medicine | 218 Hospital Ave Ste B, Ozark, AL 36360-2072 | 2006-08-22 |
1346278793 | Taylor D Caffey | Family Medicine | 370 James Street, Suite 101, Ozark, AL 36360 | 2006-06-28 |
1174584171 | Robert J Kreutzmann | Family Medicine | 633 S Union Ave, Ozark, AL 36360-1836 | 2006-03-29 |
Find all providers in OZARK |
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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.