ST JUDE THADDEUS INTERNAL MEDICINE (NPI# 1427325687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427325687 |
| Entity Type | Organization |
| Organization Name | ST JUDE THADDEUS INTERNAL MEDICINE |
| Practice Address |
5431 Beacon Dr Irondale AL 35210-2862 |
| Practice Telephone | 2059568767 |
| Practice Fax Number | 2059568704 |
| Mailing Telephone | 2059568767 |
| Mailing Fax Number | 2059568704 |
| Enumeration Date | 2011-11-16 |
| Last Update Date | 2011-11-16 |
| Authorized Official Name | DR. RODOLFO M VELUZ (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 2059568767 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 146M00000X | Emergency Medical Technician, Intermediate | MD 9246 | AL | Emergency Medical Service Providers |
| Street Address |
5431 BEACON DR |
| City | IRONDALE |
| State | AL |
| Zip Code | 35210-2862 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639712581 | Jordan Leigh Jackson | Counselor | 1914 5th Ave S, Irondale, AL 35210 | 2019-10-23 |
| 1689147068 | Greater Birmingham Transportation Services | Taxi | 5804 Oporto Madrid Blvd S, Birmingham, AL 35210 | 2019-01-08 |
| 1053802009 | Konda Keebler | Nurse Practitioner | 7001 Crestwood Blvd/suite 804, Birmingham, AL 35210 | 2018-05-25 |
| 1841675865 | Kolbe Clinic LLC | Counselor | 1830 Montclair Rd Ste A, Irondale, AL 35210 | 2015-07-21 |
| 1609270826 | Patricia Abrahan Ocampo | Occupational Therapist | 5000 Grantswood Rd Ste 220, Irondale, AL 35210 | 2014-10-17 |
| 1154766905 | John Charles Hammond | Psychiatry & Neurology | 4984 Overton Rd, Birmingham, AL 35210 | 2013-05-07 |
| 1073807871 | Farah Yasmeen Ghori-javed | Internal Medicine | 4500 Montevallo Rd Ste B101, Irondale, AL 35210 | 2011-06-09 |
| 1134459084 | Hospice Advantage, LLC. | Hospice Care, Community Based | 2435 1st Avenue South, Irondale, AL 35210 | 2009-12-28 |
| 1902063555 | Robert Lumpkin | Dentist | 7970 Crestwood Blvd, Irondale, AL 35210 | 2008-05-21 |
| 1205920725 | Stacey Shipman | Speech-Language Pathologist | 4778 Overton Road, Birmingham, AL 35210 | 2006-10-02 |
| Find all providers in zip 35210 | ||||
| Taxonomy Code | 146M00000X |
| Grouping | Emergency Medical Service Providers |
| Classification | Emergency Medical Technician, Intermediate |
| An Intermediate EMT is an individual trained and certified to perform intermediate life support treatment in medical emergencies based on individual state boards. |
| Notes: Sources: Tabers Medical Dictionary and Florida EMS Clearing House. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356771257 | Robert E Smith | Emergency Medical Technician, Intermediate | Blding 301 Andrew Ave, Ft Rucker, AL 36362 | 2013-11-14 |
| 1720266778 | Richard Bauer | Emergency Medical Technician, Intermediate | Bld 301 Andrews Ave., Lyster Army Health Clinic, Ft Rucker, AL 36330 | 2008-02-01 |
| 1386060093 | Ariel Hernandez | Emergency Medical Technician, Intermediate | Bldg 301, Andrews Ave, Lyster Army Health Clinic, Fort Rucker, AL 36362-5333 | 2014-03-06 |
| 1548517766 | Timothy Jovanovic | Emergency Medical Technician, Intermediate | Bldg 301 Andrews Avenue, Lyster Army Health Clinic, Fort Rucker, AL 36362-5333 | 2012-08-07 |
| 1972771293 | Michael Douglas Bradley | Emergency Medical Technician, Intermediate | Bld 301 Andrews Ave, Lyster Army Health Clinic, Ft. Rucker, AL 36362 | 2008-02-20 |
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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.