SOUTHEAST CANCER NETWORK, INC (NPI# 1245472356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245472356 |
| Entity Type | Organization |
| Organization Name | SOUTHEAST CANCER NETWORK, INC |
| Other Organization Name | CANCER CARE CENTER OF ANNISTON |
| Practice Address |
171 Town Center Dr Suite Mps-6 Anniston AL 36205-4101 |
| Mailing Address |
1400 Afflink Pl Suite 100 Tuscaloosa AL 35406-2289 |
| Practice Telephone | 2568473369 |
| Practice Fax Number | 2568473469 |
| Mailing Telephone | 2053669740 |
| Mailing Fax Number | 2053449992 |
| Enumeration Date | 2009-04-03 |
| Last Update Date | 2009-04-06 |
| Authorized Official Name | STEVE L MITCHELL (CFO) |
| Authorized Official Telephone | 2053669740 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Cancer Care Center of Anniston | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609072537 | Southeast Cancer Network, Inc | Internal Medicine | 105 Highway 80 E., Demopolis, AL 36732 | 2007-06-26 |
| 1578633566 | Southeast Cancer Network, Inc | Internal Medicine | 2505 Us Hwy 431, Boaz, AL 35957 | 2006-11-08 |
| 1215007273 | Southeast Cancer Network, Inc | Internal Medicine | 3500 Hwy 78 East, Jasper, AL 35501 | 2006-11-08 |
| 1063581536 | Southeast Cancer Network, Inc | Internal Medicine | 171 Caraway Dr, Winfield, AL 35594-5067 | 2006-11-07 |
| 1790854255 | Southeast Cancer Network, Inc | Internal Medicine | 22281 Us Highway 72, Ste B, Athens, AL 35613-2600 | 2006-11-07 |
| 1013140904 | Southeast Cancer Network, Inc | Internal Medicine | 1758 Park Pl, Suite 301, Montgomery, AL 36106-1127 | 2009-08-26 |
| 1295807857 | Southeast Cancer Network, Inc | Internal Medicine | 1410 Mcfarland Blvd N, Tuscaloosa, AL 35406-2209 | 2006-11-15 |
| 1235208778 | Southeast Cancer Network, Inc | Internal Medicine | 1024 1st St N, Alabaster, AL 35007-8703 | 2006-11-07 |
| 1780753418 | Southeast Cancer Network, Inc | Internal Medicine | 300 Saint Lukes Dr, Montgomery, AL 36117-7102 | 2006-11-07 |
| 1255400834 | Southeast Cancer Network, Inc | Internal Medicine | 2055 E South Blvd, Ste 202, Montgomery, AL 36116-2001 | 2006-11-07 |
| Street Address |
171 TOWN CENTER DR SUITE MPS-6 |
| City | ANNISTON |
| State | AL |
| Zip Code | 36205-4101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629050059 | Brian D Greene | Surgery | 171 Town Center Dr, Anniston, AL 36205-4101 | 2005-11-21 |
| 1457991382 | Anniston Rx LLC | Pharmacy | 171 Town Center Dr, Anniston, AL 36205-4102 | 2020-01-08 |
| 1568021822 | Courtney Carlisle Stellos | Nurse Practitioner | 171 Town Center Dr, Anniston, AL 36205 | 2019-06-11 |
| 1306216825 | Candace Leann Barker | Nurse Practitioner | 171 Town Center Dr, Suite 6, Anniston, AL 36205-4102 | 2015-09-26 |
| 1477816981 | Cheaha Women's Health and Wellness LLC | Obstetrics & Gynecology | 171 Town Center Dr, Anniston, AL 36205-4101 | 2012-06-19 |
| 1497017925 | Northeast Alabama Pathology, LLC | Clinical Medical Laboratory | 171 Town Center Dr, Suite M-1b, Anniston, AL 36205-4102 | 2012-06-11 |
| 1184711228 | Michael Edward Marks | Radiology | 171 Town Center Dr, Suite Mps-6, Anniston, AL 36205-4101 | 2006-10-09 |
| 1619924594 | Joshua Johannson | Obstetrics & Gynecology | 171 Town Center Dr, Anniston, AL 36205-4101 | 2006-05-27 |
| 1518925932 | Judy R. Washington | Internal Medicine | 171 Town Center Dr, Anniston, AL 36205-4101 | 2006-05-03 |
| 1245298892 | Amedisys Home Health of Alabama, LLC | Home Health | 171 Town Center Dr, Mps-4, Anniston, AL 36205-4101 | 2006-05-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720348576 | Allison Fogg Crabtree | Nurse Practitioner | 731 Leighton Ave., Suite 407, Anniston, AL 36205 | 2012-05-25 |
| 1447579644 | Alabama Cancer Care, LLC | Internal Medicine | 171 Town Center Dr Ste 6, Anniston, AL 36205 | 2010-05-27 |
| 1689629602 | Aasim S. Sehbai | Internal Medicine | 171 Town Center Dr, Suite 6, Anniston, AL 36205 | 2006-05-24 |
| 1124625751 | Tnm Social Services Consulting | Public Health or Welfare | 827 Morton Rd, Anniston, AL 36205-3438 | 2020-10-06 |
| 1013381516 | Amanda Marable | Speech-Language Pathologist | 415 Castle Ave, Anniston, AL 36205-3914 | 2015-11-20 |
| 1861954430 | Emily Thomas Mullins | Occupational Therapist | 415 Castle Ave, Anniston, AL 36205-3914 | 2019-04-03 |
| 1356313969 | Dennis Dewayne Clark | Specialist | 111 Town Center Dr, Anniston, AL 36205-4101 | 2006-02-07 |
| 1487895488 | Micheal Anthony Hall | Surgery | 111 Town Center Dr, Anniston, AL 36205-4101 | 2009-03-20 |
| 1023218252 | Intellimed Solutions, LLC | Contractor | 111 Town Center Dr, Anniston, AL 36205-4101 | 2007-07-25 |
| 1649243916 | James E West | Specialist | 111 Town Center Dr, Anniston, AL 36205-4101 | 2006-02-08 |
| Find all providers in zip 36205 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447579644 | Alabama Cancer Care, LLC | Internal Medicine | 171 Town Center Dr Ste 6, Anniston, AL 36205 | 2010-05-27 |
| 1689629602 | Aasim S. Sehbai | Internal Medicine | 171 Town Center Dr, Suite 6, Anniston, AL 36205 | 2006-05-24 |
| 1730134925 | Melissa F Baird | Internal Medicine | 901 Leighton Ave Ste 602, Anniston, AL 36207-5765 | 2006-05-24 |
| 1528251642 | Hematology and Oncology Associates of Alabama, LLC | Internal Medicine | 901 Leighton Ave, Suite 402, Anniston, AL 36207-5700 | 2007-08-22 |
| 1144335241 | Anniston Oncology | Internal Medicine | 901 Leighton Ave, Suite 602, Anniston, AL 36207-5700 | 2006-08-20 |
| 1770504649 | Chang Kon Jin | Internal Medicine | 1010 Christine Ave, Anniston, AL 36207-5710 | 2006-07-23 |
| 1619922648 | Ellen N Spremulli | Internal Medicine | 901 Leighton Ave, Suite 602, Anniston, AL 36207-5700 | 2006-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801211958 | Antonio Di Stasi | Internal Medicine | 1802 6th Ave S # Np255, Birmingham, AL 35233-1932 | 2014-02-26 |
| 1417398033 | Rehan Ajmal Sarmad | Internal Medicine | 625 19th Street South Birmingham, Birmingham, AL 35249 | 2013-07-11 |
| 1336409838 | Marshall Medical Center South Medical Oncology Services | Internal Medicine | 2505 U. S. Highway 431, Boaz, AL 35957-9999 | 2012-05-18 |
| 1548550833 | John Richard Nicholson IIi | Internal Medicine | 201 Sivley Rd Sw Ste 200, Huntsville, AL 35801-5177 | 2011-04-08 |
| 1093018681 | Shelby-chilton Hematology and Oncology LLC | Internal Medicine | 644 2nd St Ne Ste 202, Alabaster, AL 35007-8823 | 2010-12-21 |
| 1003122573 | Amitkumar Mehta | Internal Medicine | 1720 2nd Ave S # Np2540t, Birmingham, AL 35294-3528 | 2010-08-23 |
| 1033443775 | Hematology & Oncology Associates of Alabama | Internal Medicine | 339 Walker Chapel Plaza, Suite 109, Fultondale, AL 35068 | 2009-09-29 |
| 1831350198 | David James Mooney | Internal Medicine | 513 Brookwood Blvd Ste 275, Birmingham, AL 35209-6806 | 2008-06-19 |
| 1578755815 | Oncology Specialties, PC | Internal Medicine | 310 8th Ave Se, Decatur, AL 35601 | 2007-08-10 |
| 1598965972 | Gabrielle B Rocque | Internal Medicine | Uab Comprehensive Cancer Ctr, 1824 6th Avenue South - Wti 240g, Birmingham, AL 35294-3300 | 2007-07-23 |
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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.