PATHWAY HEALTHCARE ALABAMA LLC (NPI# 1588166250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588166250 |
| Entity Type | Organization |
| Organization Name | PATHWAY HEALTHCARE ALABAMA LLC |
| Practice Address |
2131 Military St S Hamilton AL 35570-6651 |
| Practice Telephone | 2059215556 |
| Mailing Telephone | 2059215556 |
| Enumeration Date | 2018-03-08 |
| Last Update Date | 2018-03-08 |
| Authorized Official Name | KRYSTAL L SPENCER (BUSINESS OFFICE MANAGER) |
| Authorized Official Telephone | 7312656025 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194208389 | Pathway Healthcare Alabama LLC | Family Medicine | 580 Providence Park Dr E Ste 125, Mobile, AL 36695-4614 | 2018-09-13 |
| 1053855122 | Pathway Healthcare Alabama LLC | Family Medicine | 48 Medical Park Dr E Ste 453, Birmingham, AL 35235-3472 | 2016-12-08 |
| 1316449085 | Pathway Healthcare Alabama LLC | Family Medicine | 48 Medical Park Dr E Ste 453, Birmingham, AL 35235-3472 | 2018-03-08 |
| 1770085441 | Pathway Healthcare Alabama LLC | Family Medicine | 22765 State Highway 59 S, Robertsdale, AL 36567-3197 | 2018-03-08 |
| Street Address |
2131 MILITARY ST S |
| City | HAMILTON |
| State | AL |
| Zip Code | 35570-6651 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457461790 | Clayton Dale Cockrell II | Family Medicine | 2131 Military St S, Hamilton, AL 35570 | 2006-08-30 |
| 1760031702 | Heather E Smith | Social Worker | 2131 Military St S, Hamilton, AL 35570-6651 | 2019-09-11 |
| 1760803670 | Boyett Anesthesia | Family Medicine | 2131 Military St S, Hamilton, AL 35570-6651 | 2013-12-18 |
| 1144574922 | Boyett Health Services | Durable Medical Equipment & Medical Supplies | 2131 Military St S, Hamilton, AL 35570-6651 | 2012-11-01 |
| 1114053121 | Boyett Health Services, Inc. | Dentist | 2131 Military St S, Hamilton, AL 35570-6651 | 2007-02-26 |
| 1235211129 | Brent Edgeworth Boyett | Dentist | 2131 Military St S, Hamilton, AL 35570-6651 | 2006-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245765940 | Hamilton Pharmacy, LLC | Pharmacy | 1508 Military Street S, Hamilton, AL 35570 | 2017-05-01 |
| 1962673251 | Detra Cale-ellis | Chiropractor | 595 Bexar Ave W, Hamilton, AL 35570 | 2008-03-14 |
| 1922295625 | Center for Cosmetic Dentistry and Orthodontics | Dentist | 571 Bexar Ave W, Hamilton, AL 35570 | 2007-09-27 |
| 1891916680 | Stephen G Sanders | Specialist | 1256 Military Street South, Hamilton, AL 35570 | 2007-05-01 |
| 1235288226 | Martha Gail Southern | Nurse Practitioner | 2448 Military St South, Hamilton, AL 35570 | 2007-01-09 |
| 1750458550 | Marion County Treatment Center | Clinic/Center | 1879 Military St South, Hamilton, AL 35570 | 2006-11-29 |
| 1225100746 | Clark's Discount Pharmacy | Pharmacy | 1261 Military Street South, Hamilton, AL 35570 | 2006-11-14 |
| 1265515472 | Stephen Erskine Bolt | Dentist | 1760 Military Highway So, Dr Dale E Bolt, Hamilton, AL 35570 | 2006-10-23 |
| 1720161201 | State of Alabama Department of Public Health | Home Health | 2448 Military Street South, Hamilton, AL 35570 | 2006-10-20 |
| 1588759088 | Bryan D Serena | Chiropractor | 1925 Military St S., Hamilton, AL 35570 | 2006-10-03 |
| Find all providers in zip 35570 | ||||
| Taxonomy Code | 207QA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Addiction Medicine |
| A family medicine physician who specializes in the diagnosis and treatment of addictions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194208389 | Pathway Healthcare Alabama LLC | Family Medicine | 580 Providence Park Dr E Ste 125, Mobile, AL 36695-4614 | 2018-09-13 |
| 1053855122 | Pathway Healthcare Alabama LLC | Family Medicine | 48 Medical Park Dr E Ste 453, Birmingham, AL 35235-3472 | 2016-12-08 |
| 1558811562 | Pathway Healthcare, LLC | Family Medicine | 20 Hughes Rd Ste 101, Madison, AL 35758-2434 | 2016-10-13 |
| 1932418860 | Henry M Born Md PC | Family Medicine | 3871 Old Us Highway 278 E, Hokes Bluff, AL 35903-7507 | 2010-09-27 |
| 1801121504 | Shedden Pain Relief & Sports Medicine LLC | Family Medicine | 1733 W Main St, Suite 100, Dothan, AL 36301-1330 | 2009-10-14 |
| 1386883643 | Eugene Saiter | Family Medicine | 22765 State Highway 59 S, Robertsdale, AL 36567-3197 | 2009-02-10 |
| 1003967332 | Nancy Tarbox White | Family Medicine | 4525 Colewood Cir Se, Huntsville, AL 35802-1887 | 2007-01-15 |
| 1881787539 | Amhealth Services, Inc | Family Medicine | 616 9th Street South, Birmingham, AL 35233 | 2006-10-02 |
| 1417064536 | Diana W. Warren | Family Medicine | 42030 Highway 195, Suite C, Haleyville, AL 35565 | 2006-08-24 |
| 1952365587 | Donald Bryant Williams | Family Medicine | 1810 3rd Ave S Ste 101, Jasper, AL 35501-5399 | 2006-04-12 |
| Find all providers with the same taxonomy | ||||
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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.