GULF COAST RADIOLOGY ASSOCIATES INC (NPI# 1508009424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508009424 |
| Entity Type | Organization |
| Organization Name | GULF COAST RADIOLOGY ASSOCIATES INC |
| Practice Address |
1680 W 2nd St Gulf Shores AL 36542-3442 |
| Practice Telephone | 2519483420 |
| Practice Fax Number | 2519483455 |
| Mailing Telephone | 2519483420 |
| Mailing Fax Number | 2519483455 |
| Enumeration Date | 2009-04-07 |
| Last Update Date | 2009-04-07 |
| Authorized Official Name | DR. JASON R WILLIAMS (PRESIDENT/ OWNER) |
| Authorized Official Telephone | 6623131392 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
MD25102 | AL | Allopathic & Osteopathic Physicians |
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
MD25102 | AL | Allopathic & Osteopathic Physicians |
| Street Address |
1680 W 2ND ST |
| City | GULF SHORES |
| State | AL |
| Zip Code | 36542-3442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073169843 | Mary P Nasello | Technician | 11352 Kelly Ln., Gulf Shores, AL 36542 | 2019-08-16 |
| 1174184915 | Luce Dental Inc. | Clinic/Center | 2025 West 1st St, Gulf Shores, AL 36542 | 2019-06-24 |
| 1699222752 | Jamie M Hayes | Pharmacist | 1527 Gulf Shores Parkway, Gulf Shores, AL 36542 | 2016-09-07 |
| 1265854210 | Mary Edwards | Dentist | 105 West 14th Ave, Gulf Shores, AL 36542 | 2014-01-10 |
| 1629414594 | William Murray Hodge | Counselor | 1401 1st Street, Gulf Shores, AL 36542 | 2013-05-17 |
| 1669720405 | James V Shamburger, Dmd, PC | Dentist | 208 W 19th Ave, Gulf Shores, AL 36542 | 2012-08-28 |
| 1194093658 | Pamela O. Edwards | Dentist | 105 West 14th Avenue, Gulf Shores, AL 36542 | 2011-12-12 |
| 1700198132 | Alycia Marie Kapiotis | Nurse Practitioner | 7293 Roscoe Rd, Gulf Shores, AL 36542 | 2010-07-14 |
| 1699946855 | Dr. Lyle Keith Cooper | Chiropractor | 3325 Gulf Shores Parkway, Gulf Shores, AL 36542 | 2008-03-17 |
| 1780803387 | Lucy Hazebrook | Pharmacist | 1527 Highway 59 South, Gulf Shores, AL 36542 | 2007-04-24 |
| Find all providers in zip 36542 | ||||
| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770927287 | Nathan Ross Hewlett | Radiology | 2055 Normandie Dr Ste 110, Montgomery, AL 36111-2732 | 2013-04-26 |
| 1245495043 | Joseph Bill Eason | Radiology | H623 New Hillman Building 619 19th St S, Department of Radiology Division of Vascular & Interven, Birmingham, AL 35249-0001 | 2008-07-22 |
| 1215017827 | Alex Dibona | Radiology | 59 Alison Dr Ste 1, Alexander City, AL 35010-4411 | 2006-10-17 |
| 1689101297 | Zeiad Hussain | Radiology | 2451 Fillingim Street, Mastin 101, Mobile, AL 36617-2238 | 2017-05-12 |
| 1265810469 | Fresenius Vascular Care Montgomery Lllp | Radiology | 1501 Forest Ave, Montgomery, AL 36106-1539 | 2015-05-08 |
| 1023372141 | Aliaksei Salei | Radiology | 619 19th St S, Birmingham, AL 35249-1200 | 2012-07-03 |
| 1780972505 | Husameddin El Khudari | Radiology | 619 19th St S, Birmingham, AL 35249 | 2011-07-13 |
| 1558523910 | Derek Samuels | Radiology | 2451 Fillingim St, Mastin 102, Mobile, AL 36617-2238 | 2008-06-27 |
| 1538373493 | Sizeph Haddad | Radiology | 619 19th St S, Birmingham, AL 35249-1900 | 2007-05-10 |
| 1609080563 | Veeranjaneyulu Prattipati | Radiology | 619 19th St S, Birmingham, AL 35249-1900 | 2007-05-10 |
| Find all providers with the same taxonomy | ||||
| City | GULF SHORES |
| Zip Code | 36542 |
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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.