CORE ENT. LLC (NPI# 1649523044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649523044 |
| Entity Type | Organization |
| Organization Name | CORE ENT. LLC |
| Other Organization Name | NORTH ALABAMA MEDICAL ASSOC. LLC |
| Practice Address |
215 South 5th Street Gadsden AL 35901-4217 |
| Mailing Address |
Po Box 8365 Gadsden AL 35902-8365 |
| Practice Telephone | 2565432867 |
| Practice Fax Number | 2564594791 |
| Mailing Telephone | 2565432867 |
| Mailing Fax Number | 2564594791 |
| Enumeration Date | 2012-10-23 |
| Last Update Date | 2012-10-23 |
| Authorized Official Name | KURT W. KANTZLER (PHYSICIAN) |
| Authorized Official Telephone | 2565432867 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
D0637 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 123503 | 05 |
| Other Name | Type Code |
|---|---|
| North Alabama Medical Assoc. LLC | Former Legal Business Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | CORE ENTERPRISE GROUP LLC | 296 West End Avenue, Brooklyn, Ny 11235 |
| Virginia Business Entities | CORE ENTERPRISE LLC | 21184 Sundial Court, Broadlands, Virginia 20148 |
| Oklahoma Business Registrations | CORE ENTERPRISES LLC | 32226 South 4523 Rd., Afton, OK 74331 |
| Connecticut Business Registrations | CORE ENTERPRISES LLC | 1239 Forest Road, New Haven, CT 06515 |
| Virginia Business Entities | CORE ENTERTAINMENT GROUP LLC | 21184 Sundial Court, Broadlands, Virginia 20148 |
| Street Address |
215 SOUTH 5TH STREET |
| City | GADSDEN |
| State | AL |
| Zip Code | 35901-4217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972112878 | Rachel Hyatt | Counselor | 423 North 5th St, Gadsden, AL 35901 | 2020-07-27 |
| 1639651300 | Amy M Gorecki-kelley | Nurse Practitioner | 420 North Sixth Street Gadsden, Gadsden, AL 35901 | 2018-08-30 |
| 1659881829 | Fuller Medical Solutions, LLC | Durable Medical Equipment & Medical Supplies | 412 S 3rd St Ste A, Gadsden, AL 35901 | 2017-10-02 |
| 1861901308 | Dana Calhoun | Counselor | 215 Walnut St Ste 2, Gadsden, AL 35901 | 2017-09-27 |
| 1104271857 | Prohealth Hospice-gadsden, LLC | Hospice Care, Community Based | 1115b Rainbow Drive, Gadsden, AL 35901 | 2016-05-02 |
| 1568801678 | Roseland Developmental Homes, LLC | Community/Behavioral Health | 404 Jacksonville Street, Gadsden, AL 35901 | 2013-06-21 |
| 1770875460 | Aniska Professional and Educational Services | Clinic/Center | 130 Aniska Drive, Gadsden, AL 35901 | 2011-05-12 |
| 1700186772 | Sam P. Spina | Hearing Instrument Specialist | 510 S. 3rd Street, Gadsden, AL 35901 | 2010-10-25 |
| 1588982573 | John Robert Walker | Anesthesiology | 200 Broad St Ste 300, Gadsden, AL 35901 | 2010-05-14 |
| 1316278880 | Partners Medical Clinic LLC | Family Medicine | 431 South 5th Street, Gadsden, AL 35901 | 2010-01-24 |
| Find all providers in zip 35901 | ||||
| Taxonomy Code | 207YX0905X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Otolaryngology/Facial Plastic Surgery |
| An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811913544 | Kurt W Kantzler | Otolaryngology | 215 S 5th St, Gadsden, AL 35901-4217 | 2006-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881019537 | South Otolaryngology-head and Neck Surgery, LLC | Otolaryngology | 2126 W Roy Parker Rd Ste 207, Ozark, AL 36360-8566 | 2014-03-04 |
| 1710241054 | Ryan Gegg | Otolaryngology | 112 Haven Dr Ste 1, Dothan, AL 36301-2908 | 2012-07-02 |
| 1528075447 | Southeast Alabama Ent Head & Neck | Otolaryngology | 1118 Rose Clark Circle, Ste 210, Dothan, AL 36301 | 2006-08-02 |
| 1538195961 | Blane Edward Bateman | Otolaryngology | 901 Leighton Avenue, Suite 506, Anniston, AL 36207 | 2006-06-25 |
| 1497794945 | Marcus Moody | Otolaryngology | 2116 Data Park, Hoover, AL 35244-1203 | 2006-06-06 |
| 1063467447 | John H Rand | Otolaryngology | 80 Herren Hill Road, Ste D, Tallassee, AL 36078 | 2006-05-23 |
| 1477507408 | Mark L Hagood | Otolaryngology | 201 Whitesport Dr Sw, Huntsville, AL 35801-6449 | 2006-05-22 |
| 1316924798 | Salem K David Jr. | Otolaryngology | 1224 Mcfarland Blvd Ne, Suite A, Tuscaloosa, AL 35406-2287 | 2005-12-28 |
| 1528064201 | Keith A Kowal | Otolaryngology | 20308 Beecher St, Fairhope, AL 36532-3692 | 2005-06-27 |
| 1679940001 | Community Hospital Inc | Otolaryngology | 805 Friendship Rd, Tallassee, AL 36078-1234 | 2015-09-02 |
| 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.