SELMA DOCTORS CLINIC, PC (NPI# 1346625969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346625969 |
| Entity Type | Organization |
| Organization Name | SELMA DOCTORS CLINIC, PC |
| Practice Address |
509 Parkman Ave Selma AL 36701-5734 |
| Practice Telephone | 3348749064 |
| Practice Fax Number | 3348742633 |
| Mailing Telephone | 3348749064 |
| Mailing Fax Number | 3348742633 |
| Enumeration Date | 2015-07-24 |
| Last Update Date | 2015-07-24 |
| Authorized Official Name | MRS. MARY ELIZABETH SWITZER (CRNP) |
| Authorized Official Telephone | 3348749064 |
| Authorized Official Credential | CRNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SA2200X |
Clinical Nurse Specialist Specialization: Adult Health |
RN1-111824 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 000045614 | 05 |
| Street Address |
509 PARKMAN AVE |
| City | SELMA |
| State | AL |
| Zip Code | 36701-5734 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164413308 | Park Thetford Chittom | Internal Medicine | 509 Parkman Ave, Selma, AL 36701-5734 | 2005-11-04 |
| 1831574003 | Mary Elizabeth Switzer | Nurse Practitioner | 509 Parkman Ave, Selma, AL 36701-5734 | 2015-07-29 |
| 1336522085 | Joseph Wood | Nurse Practitioner | 509 Parkman Ave, Selma, AL 36701-5734 | 2015-06-30 |
| 1821079153 | Perry Caldwell Debardeleben | Internal Medicine | 509 Parkman Ave, Selma, AL 36701-5734 | 2005-11-14 |
| 1093796047 | Park Thetford Chittom II | Internal Medicine | 509 Parkman Ave, Selma, AL 36701-5734 | 2005-11-08 |
| 1891776050 | Selma Doctors Clinic PC | Surgery | 509 Parkman Ave, Selma, AL 36701-5734 | 2005-11-07 |
| 1861483026 | Daniel Clanton Clower | Internal Medicine | 509 Parkman Ave, Selma, AL 36701-5734 | 2005-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114491057 | Monica Boswell Moore | Nurse Practitioner | 1015 Medical Center Parkway, Selma, AL 36701 | 2019-01-14 |
| 1649784430 | Lightfoot Chiropractic Clinic, LLC | Chiropractor | 2117 Broad Street, Selma, AL 36701 | 2017-12-01 |
| 1356883284 | Vatausha Howard | Counselor | 1017 Medical Center Parkway, Selma, AL 36701 | 2016-11-09 |
| 1366993230 | Homestead Hospice of Cahaba | Hospice, Inpatient | 3005 Citizens Parkway, Selma, AL 36701 | 2016-10-17 |
| 1497018675 | Lashana Faye Jones | Technician | 2423 A North Broad St, Selma, AL 36701 | 2012-06-21 |
| 1528222809 | Eric M. Roussell Sr. | Pharmacist | 1300 Highland Avenue, Selma, AL 36701 | 2008-07-15 |
| 1144499302 | Cecil William Fuller Sr. | Dentist | 203 Dallas Ave, Selma, AL 36701 | 2008-02-21 |
| 1184813396 | Alliance Pharmacy LLC | Pharmacy | 133 1half Broad St, Selma, AL 36701 | 2007-10-24 |
| 1376740373 | Selma City | Local Education Agency (LEA) | 2194 Broad Street, Selma, AL 36701 | 2007-07-02 |
| 1245356229 | Georgia W Rhodes | Audiologist | 2906 Citizens Pkwy, Selma, AL 36701 | 2007-03-22 |
| Find all providers in zip 36701 | ||||
| Taxonomy Code | 364SA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417318403 | Andrea Hirschbuehler | Clinical Nurse Specialist | 600 Saint Clair Ave Sw, Huntsville, AL 35801-5008 | 2016-03-17 |
| 1134234347 | Catherine Russell | Clinical Nurse Specialist | 215 Perry Hill Rd, Montgomery, AL 36109-3725 | 2006-08-20 |
Please comment or provide details below to improve the information on SELMA DOCTORS CLINIC, PC.
| 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.