CAROLYN WADDELL (NPI# 1598214116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598214116 |
| Entity Type | Individual |
| Full Name | CAROLYN WADDELL |
| Credential | PA-C |
| Practice Address |
610 Providence Park Dr E Mobile AL 36695-4622 |
| Practice Telephone | 2518955315 |
| Mailing Telephone | 2518955315 |
| Enumeration Date | 2016-09-23 |
| Last Update Date | 2019-06-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | PA 9109908 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363A00000X | Physician Assistant | AL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6701 Airport Blvd Ste A206, Mobile, AL 366083763 | 2516757433 | 2516753470 |
| Street Address |
610 PROVIDENCE PARK DR E |
| City | MOBILE |
| State | AL |
| Zip Code | 36695-4622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811990765 | Percy Vandorn Crocker | Otolaryngology | 610 Providence Park Dr E, Bldg 2, Suite 203, Mobile, AL 36695-4622 | 2005-05-24 |
| 1790272250 | Elizabeth Brooke Stewart | Family Medicine | 610 Providence Park Dr E, Mobile, AL 36695-4622 | 2018-04-19 |
| 1265861355 | Alabama Providence Healthcare Services | Internal Medicine | 610 Providence Park Dr E, Bldg 1, Suite 101, Mobile, AL 36695-4622 | 2013-11-08 |
| 1083043178 | Alabama Providence Healthcare Services | Internal Medicine | 610 Providence Park Dr E, Bldg 1, Suite 102, Mobile, AL 36695-4622 | 2013-11-08 |
| 1811249444 | Dedra Snow | Pharmacist | 610 Providence Park Dr E, Mobile, AL 36695-4622 | 2012-10-05 |
| 1063770709 | Jonathan Michael Holmes | Pediatrics | 610 Providence Park Dr E, Ste. 201, Mobile, AL 36695-4622 | 2012-05-01 |
| 1548460116 | Andrea Lamendola Thompson | Audiologist | 610 Providence Park Dr E, Bldg. 2 Suite 202, Mobile, AL 36695-4622 | 2007-07-23 |
| 1255535662 | Providence Healthcare Services | Internal Medicine | 610 Providence Park Dr E, Bldg. 1 Suite 102, Mobile, AL 36695-4622 | 2007-06-12 |
| 1235146499 | Barbara M. Williams | Nurse Practitioner | 610 Providence Park Dr E, Bldg 1 Suite 102, Mobile, AL 36695-4622 | 2006-08-01 |
| 1255345369 | Stephen Anthony Kahalley | Internal Medicine | 610 Providence Park Dr E, Bldg 1 Suite 102, Mobile, AL 36695-4622 | 2006-07-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629677596 | Linda Jean Hayes | Counselor | 2146 Carson Court, Mobile, AL 36695 | 2020-10-22 |
| 1205447836 | Restore Therapy Services, Ltd | Physical Therapist | 6720 Grejot Road, Mobile, AL 36695 | 2020-08-17 |
| 1437774999 | Nicholas Alan Brautigam | Chiropractor | 960 Schillinger Rd S, Suite D, Mobile, AL 36695 | 2020-06-10 |
| 1891320412 | R3 Counseling Solutions, LLC | Social Worker | 1110 Hillcrest Road, Suite 1b, Mobile, AL 36695 | 2020-03-04 |
| 1649800079 | Tondalaya Denise Mack | Home Health | 1450 Leroy Stevens Rd, Apt35, Mobile, AL 36695 | 2020-01-24 |
| 1801367107 | Tera Walters Therapy LLC | Pediatrics | 2523 D'iberville Drive North, Mobile, AL 36695 | 2018-12-12 |
| 1023595279 | Hall & Oates Pt West Mobile, LLC | Physical Therapist | 2351 Dawes Road, Mobile, AL 36695 | 2018-07-20 |
| 1679069116 | Oculo-facial Consultants | Ophthalmology | 610 Providence Park Dr E Bldg 2, Mobile, AL 36695 | 2018-07-09 |
| 1669964318 | Tina Highsmith | Hearing Instrument Specialist | 2344 Schillinger Rd S, Building #2 Ste A, Mobile, AL 36695 | 2018-05-30 |
| 1023533858 | Reach Pediatric Therapy | Speech-Language Pathologist | 12485 Jeff Hamilton Rd, Mobile, AL 36695 | 2017-08-14 |
| Find all providers in zip 36695 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831716265 | Joseph Wayne Pough | Physician Assistant | 6711 Moffett Rd, Mobile, AL 36618-4413 | 2020-07-01 |
| 1861021552 | Zachary Beau Jones | Physician Assistant | 6701 Dickens Ferry Rd Apt 15, Mobile, AL 36608-3969 | 2020-04-04 |
| 1588291785 | Lakendra Chevoyn Wiley | Physician Assistant | 320 Stanton Rd Apt 235, Mobile, AL 36617-2449 | 2020-03-26 |
| 1053958785 | Courtney Teal Schmerbauch | Physician Assistant | 3715 Dauphin St Ste 1100, Mobile, AL 36608-1785 | 2019-12-02 |
| 1144742453 | David Thomas Bailey | Physician Assistant | Univ. of S. Alabama Dept. of Pa Studies, 5721 Usa Drive North - Hahn 3124, Mobile, AL 36688 | 2017-07-10 |
| 1699296145 | Jessica A Kantrales | Physician Assistant | 101 Memorial Hospital Dr Ste 200, Mobile, AL 36608-1787 | 2017-07-05 |
| 1730572835 | Allison Hinson | Physician Assistant | 600 Clinic Dr Ste 332, Mobile, AL 36688-0001 | 2015-03-13 |
| 1467701474 | Angela Dugger | Physician Assistant | 610 Providence Park Dr E Ste 102, Mobile, AL 36695-4618 | 2012-09-05 |
| 1598775330 | Myrtle Olivia Stephens | Physician Assistant | 117 Mohawk St, Mobile, AL 36606-1941 | 2006-08-08 |
| 1063488153 | Diane Dixon Abercrombie | Physician Assistant | 307 University Blvd., Hsb Suite 1200, Mobile, AL 36688-0001 | 2006-02-27 |
| 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.