JACKSON HOSPITAL AND CLINIC, INC. (NPI# 1306229190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306229190 |
| Entity Type | Organization |
| Organization Name | JACKSON HOSPITAL AND CLINIC, INC. |
| Practice Address |
1725 Pine St Montgomery AL 36106-1109 |
| Practice Telephone | 3342938016 |
| Mailing Telephone | 3342938016 |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2015-06-30 |
| Authorized Official Name | MR. PAUL PEIFFER (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 3342938816 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208M00000X | Hospitalist | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477029072 | Jackson Hospital and Clinic, Inc. | Obstetrics & Gynecology | 1722 Pine St Ste 603, Montgomery, AL 36106-1114 | 2018-10-22 |
| 1497240998 | Jackson Hospital and Clinic, Inc. | Internal Medicine | 1722 Pine St Ste 801, Montgomery, AL 36106-1108 | 2018-06-27 |
| 1477171072 | Jackson Hospital and Clinic, Inc. | Family Medicine | 204 Medical Center Dr, Prattville, AL 36066-7288 | 2020-07-09 |
| 1730727744 | Jackson Hospital and Clinic, Inc. | Specialist | 1840 E Main St, Prattville, AL 36066-5500 | 2019-12-20 |
| 1952949968 | Jackson Hospital and Clinic, Inc. | Pediatrics | 4154 Carmichael Rd, Montgomery, AL 36106-2866 | 2019-12-20 |
| 1205494416 | Jackson Hospital and Clinic, Inc. | Urology | 1722 Pine St Ste 503, Montgomery, AL 36106-1160 | 2019-06-03 |
| 1992296370 | Jackson Hospital and Clinic, Inc. | Surgery | 1722 Pine St Ste 503, Montgomery, AL 36106-1160 | 2018-05-22 |
| 1720325889 | Jackson Hospital and Clinic, Inc. | Family Medicine | 701 Mcqueen Smith Rd S, Prattville, AL 36066-7503 | 2013-01-09 |
| 1710265905 | Jackson Hospital and Clinic, Inc. | Internal Medicine | 1801 Pine St, Suite 203, Montgomery, AL 36106-0165 | 2011-07-22 |
| 1760770754 | Jackson Hospital and Clinic, Inc. | Urology | 1722 Pine St, Suite 502, Montgomery, AL 36106-1103 | 2011-07-12 |
| 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 |
| 1215572888 | Integrated Care-alabama LLC | Emergency Medicine | 1725 Pine St, Montgomery, AL 36106-1109 | 2019-11-07 |
| 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 |
| 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 | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467613729 | Xinyu Chen | Hospitalist | 8712 Marsh Ridge Dr, Montgomery, AL 36117-8509 | 2008-06-19 |
| 1669902375 | Harry Naixi Shao | Hospitalist | 1725 Pine St, Montgomery, AL 36106-1109 | 2017-06-14 |
| 1457702490 | Rekha Jiswant | Hospitalist | 1725 Pine St, Montgomery, AL 36106-1109 | 2016-06-30 |
| 1285037994 | Muhammad Umar Azeem | Hospitalist | 440 Taylor Rd, Suite 3380, Montgomery, AL 36117-3588 | 2014-10-08 |
| 1962848549 | Yuveeka Shrestha | Hospitalist | 400 Taylor Rd, Baptist Medical Center East, Montgomery, AL 36117-3512 | 2013-05-22 |
| 1407292840 | Adaeze Cecilia Ike | Hospitalist | 1725 Pine St, Montgomery, AL 36106-1109 | 2013-05-13 |
| 1770850638 | Jackson Montgomery Hospitalists, LLC | Hospitalist | 1725 Pine St, Montgomery, AL 36106-1109 | 2011-11-21 |
| 1669751921 | Ruchi Gupta | Hospitalist | 440 Taylor Rd, Suite 3380, Montgomery, AL 36117-3588 | 2011-08-04 |
| 1609945906 | The University of Alabama At Birmingham | Hospitalist | 4371 Narrow Lane Rd, Suite 200, Montgomery, AL 36116-2971 | 2006-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104343581 | Summit Physician Group LLP | Hospitalist | 2700 Hospital Dr Ofc 1, Northport, AL 35476-3360 | 2017-08-25 |
| 1891226106 | Kelsey King | Hospitalist | 619 19th St S # Wpp915, Birmingham, AL 35249-0001 | 2017-03-27 |
| 1649727694 | Whatley Health Services, Inc. | Hospitalist | 508 Green Street, Greensboro, AL 36744-2316 | 2016-09-07 |
| 1174767974 | Norwood Neurology Inc | Hospitalist | 920 Castlemaine Ct, Birmingham, AL 35226-5916 | 2009-04-23 |
| 1043479124 | Felix R Dulanto | Hospitalist | 7625 Old Springville Rd, Trussville, AL 35173-1739 | 2008-06-04 |
| 1184809659 | Kenyetta Terrell | Hospitalist | Wp P915 619 19th Street South, Birmingham, AL 35249-8907 | 2008-01-03 |
| 1487694782 | Fort Payne Hospital Corporation | Hospitalist | 200 Medical Center Dr., Fort Payne, AL 35968 | 2006-06-07 |
| 1083663579 | Fort Payne Hospital Organization | Hospitalist | 200 Medical Centre Dr., Fort Payne, AL 35968 | 2006-05-10 |
| 1235116971 | Steven Craig Smith | Hospitalist | 995 9th Ave Sw, Suite 305, Bessemer, AL 35022-4527 | 2005-12-23 |
| 1477153021 | Regional Hospitalists LLC | Hospitalist | 1026 Goodyear Ave Ste 302b, Gadsden, AL 35903-1102 | 2020-10-31 |
| Find all providers with the same taxonomy | ||||
| City | MONTGOMERY |
| Zip Code | 36106 |
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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.