JASPER PODIATRY CENTER, P.C. (NPI# 1558556225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1558556225 |
Entity Type | Organization |
Organization Name | JASPER PODIATRY CENTER, P.C. |
Practice Address |
1800 Birmingham Ave Jasper AL 35501-5461 |
Practice Telephone | 2053844474 |
Practice Fax Number | 2053844428 |
Mailing Telephone | 2053844474 |
Mailing Fax Number | 2053844428 |
Enumeration Date | 2007-09-06 |
Last Update Date | 2011-02-01 |
Authorized Official Name | DR. JOHN S ODLE (CHAIRMAN) |
Authorized Official Telephone | 2059244474 |
Authorized Official Credential | DPM |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP1100X |
Clinic/Center Specialization: Podiatric |
157 | AL | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AL | LICENSE NUMBER | 157 | 01 |
AL | RAILROAD MEDICARE | 480034067 | 01 |
AL | BLUE CROSS AND BLUE SHIELD OF ALABAMA | 051176296 | 01 |
AL | UPIN | U58040 | 01 |
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 |
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 |
1427002369 | Jack B Pruett | Emergency Medicine | 1800 Birmingham Ave, Jasper, AL 35501-5461 | 2006-05-22 |
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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 | 261QP1100X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Podiatric |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174026454 | East Alabama Podiatry, PC | Clinic/Center | 3320 Skyway Dr Ste 802, Opelika, AL 36801-7141 | 2018-03-13 |
1154684819 | The Foot Group P C | Clinic/Center | 205 N Malone St, Athens, AL 35611-1509 | 2012-06-18 |
1376737528 | Auburn Opelika Family Footcare | Clinic/Center | 2121 Executive Park Dr, Opelika, AL 36801-6041 | 2007-08-30 |
1902008063 | Bay Podiatry, L.L.C. | Clinic/Center | 5253 Highway 90 W, Suite L, Mobile, AL 36619-4228 | 2007-06-01 |
1295940260 | Greater Alabama Family Foot Care Inc | Clinic/Center | 26 Veterans Memorial Pkwy, Lanett, AL 36863-2840 | 2007-05-13 |
1457453938 | Danalynn Guasteferro Dpm PC | Clinic/Center | 2660 10th Ave S Ste 608, Birmingham, AL 35205-1627 | 2006-09-04 |
1467433722 | The Foot Group P C | Clinic/Center | 131 W Dublin Dr, Suite A, Madison, AL 35758-1787 | 2005-11-13 |
1538686498 | Upperline Healthcare, PC | Clinic/Center | 2116 Chapel Hill Rd, Birmingham, AL 35216-5106 | 2017-08-23 |
1942670575 | Elite Podiatry Inc | Clinic/Center | 102 Essex Ct, Ste A, Madison, AL 35758-3160 | 2015-09-25 |
1669784971 | Annell Tucker | Clinic/Center | 215 Perry Hill Rd, 115-s, Montgomery, AL 36109-3725 | 2010-07-02 |
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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.