IMC-NEUROSURGERY LLC (NPI# 1649778259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649778259 |
| Entity Type | Organization |
| Organization Name | IMC-NEUROSURGERY LLC |
| Practice Address |
3 Mobile Infirmary Cir Ste 201a Mobile AL 36607-3514 |
| Practice Telephone | 2514356850 |
| Practice Fax Number | 2514356859 |
| Mailing Telephone | 2514356850 |
| Mailing Fax Number | 2514356859 |
| Enumeration Date | 2018-01-29 |
| Last Update Date | 2018-01-29 |
| Authorized Official Name | ANTHONY PALAZZO (VICE PRESIDENT OF FINANCE) |
| Authorized Official Telephone | 2514351331 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Street Address |
3 MOBILE INFIRMARY CIR STE 201A |
| City | MOBILE |
| State | AL |
| Zip Code | 36607-3514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225299589 | Amber Shea Gordon | Neurological Surgery | 3 Mobile Infirmary Cir Ste 201a, Mobile, AL 36607-3514 | 2008-06-19 |
| 1023457454 | Matthew Hasley | Physical Medicine & Rehabilitation | 3 Mobile Infirmary Cir Ste 201a, Mobile, AL 36607-3514 | 2013-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821404559 | Cindy Strahan | Occupational Therapy Assistant | 2900 Sping Hill Ave, Mobile, AL 36607 | 2014-07-02 |
| 1043649072 | Rebecca Clara Eskridge | Speech-Language Pathologist | 200 C East Portier Ct., Mobile, AL 36607 | 2013-11-12 |
| 1497016794 | Gregory Mark Quatrino | Surgery | 3 Mobile Infirmary Cir Ste 212, Mobile, AL 36607 | 2012-06-03 |
| 1457682197 | Joseph Michael Mckean | Dentist | 3050 Dauphin Square Connector, Mobile, AL 36607 | 2010-01-20 |
| 1679711956 | Sheldon Scott Bradley | Nurse Practitioner | 1 Infirmary Circle, Mobile Infirmary Er, Mobile, AL 36607 | 2009-01-26 |
| 1508058132 | Wanda K Miller | Occupational Therapist | 1903 Springhill Ave, Mobile, AL 36607 | 2007-08-17 |
| 1811035322 | George N Lukes | Dentist | 2653a Old Shell Road, Mobile, AL 36607 | 2007-02-05 |
| 1487702999 | Carl Maltese | Specialist | 1901 Springhill Ave, Mobile, AL 36607 | 2007-01-08 |
| 1790871242 | Cheryl Lambert Thames | Physical Therapist | 2006 Airport Blvd., Mobile, AL 36607 | 2006-10-04 |
| 1760576227 | Jane Bagwell Hale | Physical Therapist | 3202 Old Shell Road, Mobile, AL 36607 | 2006-10-02 |
| Find all providers in zip 36607 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629452123 | Prestige Medical LLC | Clinic/Center | 857 Downtowner Blvd Ste G, Mobile, AL 36609-5420 | 2015-07-14 |
| 1720121395 | Extended Family Medical Clinic | Clinic/Center | 108 N Catherine St, Suite A, Mobile, AL 36604-1304 | 2007-02-14 |
| 1821145269 | Springhill Physician Practices, Inc | Clinic/Center | 1000a Cody Rd S, Mobile, AL 36695-3425 | 2007-01-05 |
| 1609489178 | University of South Alabama Health Care Authority | Clinic/Center | 524 Stanton Rd, Mobile, AL 36617-2343 | 2020-08-25 |
| 1689141665 | Usa Hca Obgyn Services LLC | Clinic/Center | 524 Stanton Rd, Mobile, AL 36617-2343 | 2018-10-29 |
| 1447621818 | Derica Parrish | Clinic/Center | 6150 Omni Park Dr, Mobile, AL 36609-5195 | 2015-10-12 |
| 1851612352 | Henry Chiropractic Center Inc | Clinic/Center | 801 Downtowner Blvd, Mobile, AL 36609-5403 | 2010-06-18 |
| 1770739054 | Springhill Physician Practices, Inc. | Clinic/Center | 3715 Dauphin St, Suite 7a, Mobile, AL 36608-1771 | 2008-08-18 |
| 1659562981 | Springhill Center for Womens Health | Clinic/Center | 3715 Dauphin St Ste 7a, Mobile, AL 36608-1775 | 2007-08-01 |
| 1518167220 | Eyston A. Hunte Md Pa | Clinic/Center | 120 N Lafayette St, Mobile, AL 36604-2258 | 2007-07-20 |
| 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.