MARSHALL MEDICAL CENTER SOUTH BURSON UROLOGY (NPI# 1386021822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386021822 |
| Entity Type | Organization |
| Organization Name | MARSHALL MEDICAL CENTER SOUTH BURSON UROLOGY |
| Practice Address |
2525 Us Highway 431 Suite 150 Boaz AL 35957-5971 |
| Practice Telephone | 2568404855 |
| Practice Fax Number | 2568404854 |
| Mailing Telephone | 2568404855 |
| Mailing Fax Number | 2568404854 |
| Enumeration Date | 2015-05-05 |
| Last Update Date | 2015-05-20 |
| Authorized Official Name | MRS. KATHY B NELSON (CFO) |
| Authorized Official Telephone | 2568404855 |
| Is Organization Subpart | Y |
| Parent Organization Name | MARSHALL MEDICAL CENTER SOUTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| Street Address |
2525 US HIGHWAY 431 SUITE 150 |
| City | BOAZ |
| State | AL |
| Zip Code | 35957-5971 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952342982 | James T Payne | Radiology | 2525 Us Highway 431, Boaz, AL 35957-5934 | 2006-06-09 |
| 1215487152 | Ashley Nicole Colquitt | Nurse Practitioner | 2525 Us Highway 431, Suite 104, Boaz, AL 35957-5934 | 2016-10-04 |
| 1619337268 | Kayla Deone Walls | Nurse Practitioner | 2525 Us Highway 431, Boaz, AL 35957-5934 | 2016-02-24 |
| 1740567486 | Melvin D Thornbury Jr Md PC | Obstetrics & Gynecology | 2525 Us Highway 431, Suite 220, Boaz, AL 35957-5934 | 2011-11-09 |
| 1790923563 | Kathleen Erin Evans | Internal Medicine | 2525 Us Highway 431, Boaz, AL 35957-5934 | 2009-02-01 |
| 1326284902 | George Philip | Internal Medicine | 2525 Us Highway 431, Suite 250, Boaz, AL 35957-5934 | 2009-01-02 |
| 1639321789 | Marshall Medical Center South | Obstetrics & Gynecology | 2525 Us Highway 431, 210, Boaz, AL 35957-5934 | 2008-10-21 |
| 1508014457 | Andreana Megan Johnson | Obstetrics & Gynecology | 2525 Us Highway 431, Suite 200, Boaz, AL 35957-5934 | 2008-09-04 |
| 1467609420 | Sand Mountain Ob/gyn Associates, Inc. | Obstetrics & Gynecology | 2525 Us Highway 431, Suite 220, Boaz, AL 35957-5934 | 2008-08-21 |
| 1003078270 | Marshall County Pediatrics, PC | Specialist | 2525 Us Highway 431, Ste 104, Boaz, AL 35957-5934 | 2008-06-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124639935 | Twindom Counseling Services, LLC | Community/Behavioral Health | 202 Lackey Street, Boaz, AL 35957 | 2020-08-14 |
| 1407464308 | Brittany C Mcclendon | Nurse Practitioner | 2505 Us Hwy. 431, Suite A, Women's Center, Boaz, AL 35957 | 2020-07-16 |
| 1942831169 | Kayleigh Danielle Eller | Student in an Organized Health Care Education/Training Program | 147 Stephans Road, Boaz, AL 35957 | 2020-01-27 |
| 1710443767 | Antallia Shauntell Johnson | Nurse Practitioner | 2505 Us Hwy 431 Women's Center Suite A, Boaz, AL 35957 | 2019-02-14 |
| 1649516659 | Tiffany Brown Butler | Nurse Practitioner | 2505 U.S. Highway 431, Boaz, AL 35957 | 2012-12-19 |
| 1811263270 | Abundant Life Family Chiropractic LLC | Chiropractor | 100 Bel Air St, Boaz, AL 35957 | 2012-03-29 |
| 1659696375 | Rachel Lambert | Pharmacist | 10402 Al Hwy 168, Boaz, AL 35957 | 2010-04-06 |
| 1407028368 | Brenda J Parrish | Nurse Practitioner | 2505highway 431, Boaz, AL 35957 | 2008-03-31 |
| 1942346234 | Candi Denise Blackwell | Nurse Anesthetist, Certified Registered | 2055 Us Hwy 431, Boaz, AL 35957 | 2007-01-30 |
| 1558418426 | Gideon P Ewing | Internal Medicine | 2505 Highway 431, Boaz, AL 35957 | 2007-01-04 |
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| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013022466 | Marshall Urology & Continence Center, PC | Urology | 605b Medical Center Pkwy, Boaz, AL 35957-5937 | 2006-08-19 |
| 1336363001 | Cilinical Urology Associates, P.C. | Urology | 2525 Us Highway 431, Suite 100, Boaz, AL 35957-5934 | 2007-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184236549 | Clinical Urology Associates, P.C. | Urology | 7063 Veterans Pkwy Ste 100, Pell City, AL 35125-5114 | 2020-08-18 |
| 1356866693 | Clinical Urology Associates, P.C. | Urology | 740 County Road 407, Centre, AL 35960-6759 | 2017-08-08 |
| 1538534409 | Clinical Urology Associates, P.C. | Urology | 820 Pelham Rd S, Jacksonville, AL 36265-2736 | 2015-12-03 |
| 1538587076 | Adam Seth Baumgarten | Urology | 2000 6th Ave S Fl 5, Birmingham, AL 35233-2110 | 2014-04-02 |
| 1952739484 | Limestone Urology Associates | Urology | 101 Fitness Way Ste 2300, Athens, AL 35611-2480 | 2013-10-18 |
| 1053657452 | David Mitchell Comfort | Urology | 2716 Hanover Circle, Unit 801, Birmingham, AL 35205 | 2012-12-13 |
| 1700120920 | Kirby Knapp Bryant Jr Jr. | Urology | 507 Hillyer High Rd, Anniston, AL 36207-6272 | 2012-11-15 |
| 1932451093 | Samuel Britt Owens | Urology | 2320 Brookwood Dr Se, Decatur, AL 35601-6176 | 2012-10-12 |
| 1245505536 | Urology Associates of North Alabama | Urology | 1874 Beltine Road, Sw, Suite 106, Decatur, AL 35601 | 2012-03-20 |
| 1487930749 | Sheridan William Shirley | Urology | 4072 Crossings Lane, Birmingham, AL 35242-4474 | 2011-10-31 |
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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.