AZALEA CITY PLASTIC SURGERY PC (NPI# 1447425533) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447425533 |
| Entity Type | Organization |
| Organization Name | AZALEA CITY PLASTIC SURGERY PC |
| Practice Address |
101 Memorial Hospital Dr Bldg #3 Suite #309 Mobile AL 36608-1786 |
| Practice Telephone | 2513441151 |
| Practice Fax Number | 2513442113 |
| Mailing Telephone | 2513441151 |
| Mailing Fax Number | 2513442113 |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2008-04-29 |
| Authorized Official Name | DR. STEPHEN R SHEPPARD (OWNER) |
| Authorized Official Telephone | 2513441151 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | AL10348 | AL | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BCBSAL PROVIER # | 17398 | 01 |
| AL | DR STEPHEN R SHEPPARD NPI | 1194832360 | 01 |
| Street Address |
101 MEMORIAL HOSPITAL DR BLDG #3 SUITE #309 |
| City | MOBILE |
| State | AL |
| Zip Code | 36608-1786 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053318030 | Susan Bonfili Fleet | Internal Medicine | 101 Memorial Hospital Dr, Suite 200, Mobile, AL 36608-1786 | 2005-07-05 |
| 1558739441 | Josephine M Baumgarten | Physician Assistant | 101 Memorial Hospital Dr, Suite 200, Mobile, AL 36608-1786 | 2015-09-09 |
| 1144587254 | Clare K Carney | Internal Medicine | 101 Memorial Hospital Dr, Ste 200, Mobile, AL 36608-1787 | 2012-04-13 |
| 1174800429 | Alison A Holland | Nurse Practitioner | 101 Memorial Hospital Dr, Suite 200, Mobile, AL 36608-1786 | 2011-11-14 |
| 1912200932 | Thomas Justin Palmer | Nurse Practitioner | 101 Memorial Hospital Dr, Suite 200, Mobile, AL 36608-1786 | 2010-12-14 |
| 1073834792 | Panayiotis P Grevenitis | Internal Medicine | 101 Memorial Hospital Dr, Ste 200, Mobile, AL 36608-1787 | 2010-06-16 |
| 1700043114 | Jerry Gray Arnold Jr. | Internal Medicine | 101 Memorial Hospital Dr, Suite 200, Mobile, AL 36608-1786 | 2008-05-22 |
| 1063679520 | Deepak Kumar | Internal Medicine | 101 Memorial Hospital Dr, Suite 200, Mobile, AL 36608-1786 | 2008-05-21 |
| 1093922882 | Tiffany Pineda Long | Psychiatry & Neurology | 101 Memorial Hospital Dr, Suite 200, Mobile, AL 36608-1786 | 2007-05-17 |
| 1700093598 | Hayden Long | Psychiatry & Neurology | 101 Memorial Hospital Dr, Suite 200, Mobile, AL 36608-1786 | 2007-05-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475524 | Grantham Dental, Inc. | Dentist | 3620 Springhill Memorial Drive South, Mobile, AL 36608 | 2020-10-21 |
| 1114540879 | Dearrius Hines | Home Health Aide | 1370 Lucerne Dr, Mobile, AL 36608 | 2020-05-28 |
| 1558980409 | Rachel Stevens | Registered Nurse | 8507 Tanner Williams Rd, Mobile, AL 36608 | 2020-04-10 |
| 1073170700 | Usa Health Physician Billing Services LLC | Otolaryngology | 5721 Usa Drive North, Hahn 1119, Mobile, AL 36608 | 2019-05-29 |
| 1952885600 | Franklin Primary Health Center Inc. | Dentist | 990 Cody Rd North, Mobile, AL 36608 | 2018-09-19 |
| 1114410040 | Zackary Elkins | Optometrist | 105 W I65 Service Rd N, Mobile, AL 36608 | 2018-06-14 |
| 1023562865 | Covenant Hospice, Inc. | Internal Medicine | 6801 Airport Blvd., Main Tower, 11th Floor North, Mobile, AL 36608 | 2016-08-10 |
| 1730575416 | Rayven Likely | Student in an Organized Health Care Education/Training Program | 1014 Centerwood Dr, Mobile, AL 36608 | 2015-04-09 |
| 1598040461 | Robert S Harlin | Specialist | 75 Clarise Circle, Mobile, AL 36608 | 2011-10-11 |
| 1972884948 | Heidi Michelle Mcdermott | Physical Therapist | 5721 Usa Drive N, Hahn 2050, Mobile, AL 36608 | 2011-09-06 |
| Find all providers in zip 36608 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083021737 | Jhm Medical Services LLC | Specialist | 6801 Airport Blvd Wcc/hbo, Mobile, AL 36608-3709 | 2014-07-15 |
| 1598040461 | Robert S Harlin | Specialist | 75 Clarise Circle, Mobile, AL 36608 | 2011-10-11 |
| 1851522841 | Dr, Timothy Peter Ahmadi M.d. | Specialist | 71 Midtown Park W, Mobile, AL 36606-4151 | 2009-08-07 |
| 1134387913 | Ellen Kay Taylor | Specialist | 1603 Monterey Pl, Mobile, AL 36604-1229 | 2008-05-28 |
| 1548455264 | Angela Karen Mcvay | Specialist | 316b S Sage Ave, Mobile, AL 36606-3616 | 2007-09-06 |
| 1649392051 | Azalea City Physical Therapy | Specialist | 316c S Sage Ave, Mobile, AL 36606-3616 | 2007-04-05 |
| 1306990890 | Michael Biven Lyons | Specialist | 3664 College Ln S, Mobile, AL 36608-1240 | 2007-01-22 |
| 1487702999 | Carl Maltese | Specialist | 1901 Springhill Ave, Mobile, AL 36607 | 2007-01-08 |
| 1396893814 | William R Higgs | Specialist | 3715 Dauphin St 600, Mobile, AL 36608-1774 | 2007-01-08 |
| 1811058613 | William Stephen Martin | Specialist | 6001 Grelot Rd # A, Mobile, AL 36609-3609 | 2006-12-13 |
| Find all providers in MOBILE | ||||
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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.