REDLAND CLINIC LLC (NPI# 1528247905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528247905 |
| Entity Type | Organization |
| Organization Name | REDLAND CLINIC LLC |
| Practice Address |
740 Us Highway 231 Wetumpka AL 36093-1228 |
| Mailing Address |
Po Box 399 Wetumpka AL 36092-0007 |
| Practice Telephone | 3345678932 |
| Practice Fax Number | 3345678933 |
| Mailing Telephone | 3345678932 |
| Mailing Fax Number | 3345678933 |
| Enumeration Date | 2007-11-01 |
| Last Update Date | 2008-06-26 |
| Authorized Official Name | MICHAEL BANTILAN MATELA (OWNER) |
| Authorized Official Telephone | 3343549219 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 27101 | AL | Allopathic & Osteopathic Physicians |
| Street Address |
740 US HIGHWAY 231 |
| City | WETUMPKA |
| State | AL |
| Zip Code | 36093-1228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699295907 | Katrina G Owes | Home Health Aide | 4037 Us Hwy 231, Wetumpka, AL 36093 | 2017-06-27 |
| 1194057554 | Wetumpka Urgent Care LLC | Clinic/Center | 11 Cambridge Drive, Wetumpka, AL 36093 | 2010-02-09 |
| 1376879478 | Ivy Creek of Elmore LLC | Otolaryngology | 53 Cambridge Court, Wetumpka, AL 36093 | 2009-10-23 |
| 1790815249 | Wetumpka Family Dentistry PC | Clinic/Center | 4045 Hwy 231, Wetumpka, AL 36093 | 2007-03-06 |
| 1962552448 | Ronaldo V Dejesus | Internal Medicine | 41 Cambridge Court, Wetumpka, AL 36093 | 2007-01-10 |
| 1538249149 | Bobby Joseph Luster | Chiropractor | 2412 Us Highway 231, Wetumpka, AL 36093-1209 | 2006-10-17 |
| 1942349626 | David Clark Young | Dentist | 4045 Us Highway 231, Wetumpka, AL 36093-1217 | 2007-02-06 |
| 1154784403 | Pharmix Rx LLC | Pharmacy | 66 Village Loop, Wetumpka, AL 36093-1221 | 2016-04-04 |
| 1700307113 | Sabrina Jackson | Home Health Aide | 4037 Us Highway 231 Ste B, Wetumpka, AL 36093-1224 | 2017-07-06 |
| 1427326834 | Clarence Dequan Merckerson | Counselor | 4035 Us Highway 231 Ste F, Wetumpka, AL 36093-1224 | 2011-12-13 |
| Find all providers in zip 36093 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578195525 | River Region Family Medicine, LLC | Family Medicine | 277 Huntress Street, Suite 100, Wetumpka, AL 36092 | 2020-02-07 |
| 1952472607 | Wetumpka Family Practice Pa | Family Medicine | 73970 Tallassee Hwy, Wetumpka, AL 36092 | 2006-11-13 |
| 1346260684 | Lee Aldrich | Family Medicine | 11 Cambridge Dr, Wetumpka, AL 36093-1258 | 2006-07-20 |
| 1629011770 | Spencer J Coleman Sr. | Family Medicine | 73970 Tallassee Highway, Wetumpka, AL 36092 | 2006-06-14 |
| 1235106543 | Willie J Chester | Family Medicine | 4452 Us Highway 231, Wetumpka, AL 36092-3328 | 2006-03-06 |
| 1508480633 | Ivy Creek of Elmore, LLC | Family Medicine | 525 Hospital Dr, Wetumpka, AL 36092-1626 | 2020-06-04 |
| 1497260889 | Holtville Family Practice | Family Medicine | 8502 Holtville Rd, Wetumpka, AL 36092-7664 | 2017-12-06 |
| 1356640379 | Martin Anthony Lyons Jr. | Family Medicine | 41 Cambridge Ct, Wetumpka, AL 36093-1261 | 2011-03-16 |
| 1609959261 | Pri Med Physicians Inc | Family Medicine | 4452 Us Highway 231, Wetumpka, AL 36092-3328 | 2006-10-24 |
| 1336229608 | Bruce Lamar Kent | Family Medicine | 41 Cambridge Ct, Wetumpka, AL 36093-1261 | 2006-10-17 |
| Find all providers in WETUMPKA | ||||
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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.