DR. JOSEPH LOCICERO (NPI# 1629082383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629082383 |
| Entity Type | Individual |
| Full Name | DR. JOSEPH LOCICERO |
| Credential | MD |
| Practice Address |
251 N Bayou St Mobile AL 36603-5827 |
| Mailing Address |
1158 Church St Mobile AL 36604-2936 |
| Practice Telephone | 2516908158 |
| Practice Fax Number | 2515442188 |
| Mailing Telephone | 2514324373 |
| Mailing Fax Number | 2514324142 |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2013-09-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD 24943 | AL | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 60 241117 | NY | Allopathic & Osteopathic Physicians |
| N | 2086X0206X |
Surgery Specialization: Surgical Oncology |
60 241117 | NY | Allopathic & Osteopathic Physicians |
| N | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 60 241117 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | MAIN GROUP NPI PAYEE NUMBER | 1063439065 | 01 |
| AL | 630000013 | 05 | |
| AL | MEDICARE GROUP PAYEE NUMBER | 011846 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396932679 | Joseph Anthony Locicero | Counselor | 609 N Woodlynne Ave, Tampa, FL 33609-1555 | 2007-10-01 |
| Street Address |
251 N BAYOU ST |
| City | MOBILE |
| State | AL |
| Zip Code | 36603-5827 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164425310 | Constance D Cooper | Obstetrics & Gynecology | 251 N Bayou St, Mobile, AL 36603-5827 | 2005-05-23 |
| 1427669449 | Janelle N Davis | Nurse Practitioner | 251 N Bayou St, Mobile, AL 36603-5827 | 2020-08-13 |
| 1841853496 | Misty Guy | Nurse Practitioner | 251 N Bayou St, Mobile, AL 36603-5827 | 2019-04-19 |
| 1629534656 | Mason Alexander Wade | Nurse Practitioner | 251 N Bayou St, Mobile, AL 36603-5827 | 2019-02-14 |
| 1508351297 | Jeri Dean Jones | Nurse Practitioner | 251 N Bayou St, Mobile, AL 36603-5827 | 2018-06-26 |
| 1629568308 | Emily Gurganus Hay | Nurse Practitioner | 251 N Bayou St, Mobile, AL 36603-5827 | 2018-05-17 |
| 1518456052 | Betty Biggs | Social Worker | 251 N Bayou St, Mobile, AL 36603-5827 | 2018-05-09 |
| 1992294433 | Dominique Kimble | Nurse Practitioner | 251 N Bayou St, Mobile, AL 36603-5827 | 2018-05-09 |
| 1790291128 | Claris Leigh Feibelman | Dietitian, Registered | 251 N Bayou St, Mobile, AL 36603-5827 | 2017-12-21 |
| 1528573573 | Victoria King Kennedy | Nurse Practitioner | 251 N Bayou St, Mobile, AL 36603-5827 | 2017-12-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457813412 | Vanessa Gill | Home Health | 916 State St., Same As Above, Mobile, AL 36603 | 2019-04-01 |
| 1942784483 | Dale Deward Donnelly | Physical Therapy Assistant | 1361 Dr. Martin Luther King Jr. Ave., Mobile, AL 36603 | 2018-09-20 |
| 1760904338 | Elite Residential, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1554 Basil Street, Mobile, AL 36603 | 2017-07-14 |
| 1699195024 | Jamie Hennigan | Student in an Organized Health Care Education/Training Program | 162.5 N Bayou St, Upper B, Mobile, AL 36603 | 2014-04-24 |
| 1487747945 | Beverly A Wilson | Dentist | 1303 Dr. Martin L King Jr Ave, Mobile, AL 36603 | 2006-10-02 |
| 1679532303 | Franklin Primary Health Center, Inc. | Obstetrics & Gynecology | 1303 Dr Martin L King Jr Ave, Mobile, AL 36603 | 2006-03-21 |
| 1669657896 | James M Lawrence | Family Medicine | 1303 Dr Martin L King Jr Ave, Mobile, AL 36603 | 2008-01-07 |
| 1417913682 | Montubua Vasser-smith | Internal Medicine | 1303 Dr Martin Luther King Jr Ave, Mobile, AL 36603 | 2006-04-25 |
| 1851356760 | Gail Anita Luker | Nurse Practitioner | 1303 Dr Martin L King Jr Ave, Mobile Center Franklin Primary Health Center Inc, Mobile, AL 36603 | 2006-04-20 |
| 1982846754 | Dales Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 880 Martin Luther King Ave, Suite E, Mobile, AL 36603-0000 | 2009-03-25 |
| Find all providers in zip 36603 | ||||
| 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 |
|---|---|---|---|---|
| 1194105361 | Md Mobile Care, Inc | Family Medicine | 600 Clinic Drive Suite 2800, Mobile, AL 36688-0001 | 2015-06-03 |
| 1417349580 | Jasmine P Gaines | Family Medicine | 801 S University Blvd Ste D, Mobile, AL 36609-2949 | 2015-02-26 |
| 1871992834 | Focusal1010 | Family Medicine | 3165 Dauphin St, Mobile, AL 36606-4061 | 2014-08-15 |
| 1659665123 | William E Barber | Family Medicine | 1504 Springhill Ave, University of South Alabama, Department of Family Medicine, Rm 3414, Mobile, AL 36604-3273 | 2011-06-02 |
| 1598061517 | Affordable Medical Clinic of Alabama | Family Medicine | 4701 Airport Blvd, Suite 200, Mobile, AL 36608-3187 | 2011-02-09 |
| 1952617508 | Gmuc of Springhill LLC | Family Medicine | 4402 Old Shell Rd, Mobile, AL 36608-1912 | 2010-08-20 |
| 1356585301 | Keva Wontoria Collier | Family Medicine | 2889 Sollie Rd, 1321, Mobile, AL 36695-5532 | 2009-04-21 |
| 1912101981 | Providence Healthcare Services | Family Medicine | 6901 Airport Blvd, Mobile, AL 36608-3795 | 2007-06-13 |
| 1740484955 | Providence Healthcare Services | Family Medicine | 8833 Cottage Hill Rd, Mobile, AL 36695-8345 | 2007-06-12 |
| 1124222427 | Providence Healthcare Services | Family Medicine | 5100 Rangeline Road North, Mobile, AL 36619-9504 | 2007-06-12 |
| 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.