DR. JACK B PRUETT (NPI# 1427002369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427002369 |
| Entity Type | Individual |
| Full Name | DR. JACK B PRUETT |
| Credential | M.D. |
| Practice Address |
1800 Birmingham Ave Jasper AL 35501-5461 |
| Practice Telephone | 2053844585 |
| Practice Fax Number | 2053844428 |
| Mailing Telephone | 2053844585 |
| Mailing Fax Number | 2053844428 |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2014-12-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 12412 | MS | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 12412 | MS | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225041734 | Jack Ridings Pruett | General Practice | 400 Highway 105 W, Sour Lake, TX 77659-9513 | 2006-08-14 |
| Street Address |
1800 BIRMINGHAM AVE |
| City | JASPER |
| State | AL |
| Zip Code | 35501-5461 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093769036 | Donald Ray Ashley Sr. | Family Medicine | 1800 Birmingham Ave, Jasper, AL 35501-5461 | 2006-05-22 |
| 1326557489 | Nicole Elizabeth Walton | Nurse Practitioner | 1800 Birmingham Ave, Jasper, AL 35501-5461 | 2017-09-21 |
| 1588031967 | Lindsey Smith | Nurse Practitioner | 1800 Birmingham Ave, Jasper, AL 35501-5461 | 2015-09-01 |
| 1720477995 | Richard Justin Bates | Nurse Practitioner | 1800 Birmingham Ave, Jasper, AL 35501-5461 | 2015-01-12 |
| 1558556225 | Jasper Podiatry Center, P.C. | Clinic/Center | 1800 Birmingham Ave, Jasper, AL 35501-5461 | 2007-09-06 |
| 1003939471 | Oscar Domingo Almeida Jr. | Obstetrics & Gynecology | 1800 Birmingham Ave, Jasper, AL 35501-5461 | 2007-04-09 |
| 1184749350 | Afterhours Rx | Pharmacy | 1800 Birmingham Ave, Jasper, AL 35501-5461 | 2007-03-20 |
| 1760543789 | John Gregory Honeycutt | Chiropractor | 1800 Birmingham Ave, Jasper, AL 35501 | 2006-12-13 |
| 1902984834 | John Scot Odle | Podiatrist | 1800 Birmingham Ave, Jasper, AL 35501-5461 | 2006-11-01 |
| 1225067051 | Daniel Kirk Mcdonald | Clinic/Center | 1800 Birmingham Ave, Jasper, AL 35501-5461 | 2006-07-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194209650 | Ansley Parnell Allen | Dentist | 1208 Highway 78 East, Jasper, AL 35501 | 2018-09-20 |
| 1437659265 | A Calling Consulting and Wellness Center, LLC | Social Worker | 300 18th St West, Suite 101, Jasper, AL 35501 | 2018-02-19 |
| 1902315591 | Lucretia Fountain | Pharmacist | 1640 Hwy 78 East, Jasper, AL 35501 | 2017-09-26 |
| 1356708465 | Veterans Admistration | Clinic/Center | 1454 Jones Dairy Road, Jasper, AL 35501 | 2016-01-20 |
| 1104233717 | Garrison Stephen Cowen | Obstetrics & Gynecology | 701 East 19th Street, Jasper, AL 35501 | 2014-07-15 |
| 1700291903 | Jennifer Leah Neighbors Beasley | Internal Medicine | 1450 Jones Dairy Rd Ste 500, Jasper, AL 35501 | 2014-06-25 |
| 1841568391 | Gloria Jean Farris | Nurse Practitioner | 300 Cherokee Circle, Jasper, AL 35501 | 2011-12-12 |
| 1013205970 | Daniel Jason Morris | Orthopaedic Surgery | 1446 Jones Dairy Rd Ste 100, Jasper, AL 35501 | 2011-07-13 |
| 1417150954 | East Point Pharmacy, LLC | Pharmacy | 1442 Jones Dairy Rd., Jasper, AL 35501 | 2007-06-11 |
| 1275754210 | Karen Denise Veitch | Pharmacist | 2405 Us Hwy 78 East, Jasper, AL 35501 | 2007-05-01 |
| Find all providers in zip 35501 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336569359 | Kevin Stevens | Emergency Medicine | 1000 Tn-28, Jasper, TN 37347 | 2014-04-17 |
| 1447411376 | Alina G. Barrett | Emergency Medicine | 1266 Ga Hwy 515, Jasper, GA 30143 | 2008-06-23 |
| 1205913761 | Yong Park | Emergency Medicine | 506 4th St Nw, Jasper, FL 32052-6603 | 2006-11-01 |
| 1538100417 | Dean Robert Naden | Emergency Medicine | 2708 Highway 78 East, Jasper, AL 35501 | 2006-06-09 |
| 1912358698 | Alisha Shake | Emergency Medicine | 800 W 9th St, Jasper, IN 47546 | 2016-06-24 |
| 1720466378 | Erynn Thinnes | Emergency Medicine | 800 W 9th St, Jasper, IN 47546-2514 | 2015-05-15 |
| 1811392129 | Debra Sue White | Emergency Medicine | 800 W 9th St, Jasper, IN 47546-2514 | 2014-10-29 |
| 1710392667 | Logan Dellinger | Emergency Medicine | 800 W 9th St, Jasper, IN 47546-2514 | 2014-06-29 |
| 1518377944 | Kyle Patrick Schroering | Emergency Medicine | 800 W 9th St, Jasper, IN 47546 | 2014-05-07 |
| 1841610755 | Heron Emergency Physicians Pllc | Emergency Medicine | 1000 Highway 28, Jasper, TN 37347-3638 | 2014-04-17 |
| Find all providers in JASPER | ||||
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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.