DR. GERARD DONALD HAGGSTROM (NPI# 1356304687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356304687 |
| Entity Type | Individual |
| Full Name | DR. GERARD DONALD HAGGSTROM |
| Credential | M.D. |
| Practice Address |
416 N. Seminary Street Ste 3100 Florence AL 35630 |
| Practice Telephone | 2567668667 |
| Practice Fax Number | 2567675327 |
| Mailing Telephone | (256) 766-8667 |
| Mailing Fax Number | 2567675327 |
| Enumeration Date | 2006-04-08 |
| Last Update Date | 2017-07-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
00006975 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | PALMETTO GBA | 100016505 | 01 |
| AL | 009996990 | 05 | |
| TN | BLUE CROSS BLUE SHIELD TN | 4042119 | 01 |
| Street Address |
416 N. SEMINARY STREET STE 3100 |
| City | FLORENCE |
| State | AL |
| Zip Code | 35630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093851313 | Tennessee Valley Gastroenterology | Specialist | 416 N. Seminary Street, Ste 3100, Florence, AL 35630 | 2007-01-30 |
| 1083657688 | Jason Mckinley Wilkes | Internal Medicine | 416 N. Seminary Street, Ste 3100, Florence, AL 35630 | 2006-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346880531 | Rachel E Belue | Counselor | 409 N. Court Street, Florence, AL 35630 | 2020-01-15 |
| 1154857746 | Danish Henry | Internal Medicine | North Alabama Medical Center, 1701 Veterans Dr, Florence, AL 35630 | 2017-05-03 |
| 1396118261 | Three Oaks Pharmacy LLC | Pharmacy | 861 Cox Creek Parkway, Florence, AL 35630 | 2015-11-02 |
| 1235501891 | Wellness Walk-in Clinic, LLC | Nurse Practitioner | 2612 Hough Road, Florence, AL 35630 | 2015-10-22 |
| 1972995207 | Elyse Angel | Pharmacist | 109 East Dr Hicks Blvd, Florence, AL 35630 | 2015-02-24 |
| 1750772380 | Whitlee Laina Kelley | Case Manager/Care Coordinator | 112 Titan Drive, Florence, AL 35630 | 2015-02-18 |
| 1942612155 | Hillary Jean Delarosa | Internal Medicine | 162 Titan Drive, Florence, AL 35630 | 2014-05-22 |
| 1952723678 | Sharron M Boatwright | Nurse Practitioner | 1949 Florence Boulevard, Occupational Health Center LLC, Florence, AL 35630 | 2014-01-15 |
| 1194160523 | Caryn Barnett | Physical Therapist | 412 S. Court Street, Suite 403, Florence, AL 35630 | 2013-04-29 |
| 1396074662 | Heather White Bryant | Counselor | 118 East Mobile St, Suite 106, Florence, AL 35630 | 2009-12-16 |
| Find all providers in zip 35630 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275582405 | James Moss Mann | Internal Medicine | 805 Pamplico Hwy Ste 220, Florence, SC 29505-6047 | 2006-05-06 |
| 1730137266 | Pee Dee Gastroenterology Associates, P.a. | Internal Medicine | 619 S Dargan St, Florence, SC 29506-2555 | 2006-05-05 |
| 1407804909 | Timothy J. Spurling | Internal Medicine | 401 E Cheves St Ste 301, Florence, SC 29506 | 2006-05-05 |
| 1073561304 | Manver Razick | Internal Medicine | 805 Pamplico Hwy Ste A220, Florence, SC 29505-6065 | 2006-05-05 |
| 1740257641 | John Leland Wolford Jr. | Internal Medicine | 401 E Cheves St, Suite 301, Florence, SC 29506-2615 | 2006-03-01 |
| 1417941030 | Jeffery S Cooley | Internal Medicine | 10 Main St, Florence, MA 01062-3160 | 2005-09-09 |
| 1114398377 | Mcleod Physician Associates II | Internal Medicine | 506 E Cheves St, Suite 202, Florence, SC 29506-2616 | 2015-10-14 |
| 1023411410 | Carolinas Medical Alliance Inc | Internal Medicine | 805 Pamplico Hwy Ste A220, Florence, SC 29505-6056 | 2014-09-30 |
| 1255731204 | Mcleod Physician Associates II | Internal Medicine | 401 E Cheves St Ste 301, Florence, SC 29506-2615 | 2014-08-27 |
| 1396144192 | Mcleod Physician Associates II | Internal Medicine | 401 E Cheves St, Suite 300, Florence, SC 29506-2615 | 2014-08-18 |
| Find all providers in FLORENCE | ||||
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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.