MARVIN S. KALACHMAN (NPI# 1659370864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659370864 |
| Entity Type | Individual |
| Full Name | MARVIN S. KALACHMAN |
| Credential | PA-C, M.S., DFAAPA |
| Practice Address |
810 Shoney Dr Sw Suite 120 Huntsville AL 35801-5436 |
| Mailing Address |
Po Box 13148 Huntsville AL 35802-4049 |
| Practice Telephone | 2568833231 |
| Practice Fax Number | 2568839577 |
| Mailing Telephone | 2568833231 |
| Mailing Fax Number | 2568839577 |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2013-05-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA-26 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AMERICAN BEHAVIORAL HEALTH FEDERAL BLUE CROSS | 51599673 | 01 | |
| AL | BLUE CROSS BLUE SHIELD | 51505201 | 01 |
| AL | FEDERAL BLUE CROSS (FOR 165 WHITESPORT DR, HUNTSVILLE,AL) | 515-92232 | 01 |
| AL | AMERICAN BEHAVIORAL HEALTH FED BC (FOR 165 WHITESPORT DR, HUNTSV | 515-92232 | 01 |
| Street Address |
810 SHONEY DR SW SUITE 120 |
| City | HUNTSVILLE |
| State | AL |
| Zip Code | 35801-5436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760099089 | Victoria Trantham | Behavior Technician | 810 Shoney Dr Sw, Huntsville, AL 35801-5436 | 2020-09-30 |
| 1417562737 | Kelby Elaine Hogan | Behavior Technician | 810 Shoney Dr Sw, Huntsville, AL 35801-5436 | 2020-09-14 |
| 1881215341 | Jennifer C Onwuka | Behavior Technician | 810 Shoney Dr Sw, Huntsville, AL 35801-5436 | 2020-05-06 |
| 1811383672 | Paul Christopher Bakke | Counselor | 810 Shoney Dr Sw, Suite 120, Huntsville, AL 35801-5436 | 2015-04-08 |
| 1073915518 | Danielle Morrison | Nurse Practitioner | 810 Shoney Dr Sw, Ste 105, Huntsville, AL 35801-5436 | 2014-09-16 |
| 1578970216 | Shelbie Gerken Donze | Nurse Practitioner | 810 Shoney Dr Sw, Suite 105, Huntsville, AL 35801-5436 | 2014-07-15 |
| 1649510967 | South Huntsville Dentistry, P.C. | Clinic/Center | 810 Shoney Dr Sw, Suite 100, Huntsville, AL 35801-5450 | 2013-02-22 |
| 1043306277 | Craig Glen Shadinger | Dentist | 810 Shoney Dr Sw, Suite 100, Huntsville, AL 35801-5450 | 2006-10-05 |
| 1285741371 | Timothy E Sargeant | Chiropractor | 810 Shoney Dr Sw, Suite 105, Huntsville, AL 35801-5436 | 2006-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003422742 | Elena Mihaela Kruse | Nurse Practitioner | 415 Echurch St, Nw Suite 4, Huntsville, AL 35801 | 2020-09-18 |
| 1225657661 | Ashley Danielle Ford | Student in an Organized Health Care Education/Training Program | 301 Governors Drive Se, Huntsville, AL 35801 | 2020-04-15 |
| 1407417702 | Sasha J White | Specialist | 410 Governors Dr. Sw, Huntsville, AL 35801 | 2019-06-26 |
| 1003472978 | Gina Marie Delgado | Nurse Practitioner | Huntsville Hospital Cvicu, 101 Sivley Rd., Huntsville, AL 35801 | 2019-05-15 |
| 1366909863 | Lisa Starkey Suggs | Nurse Practitioner | 3500 Memorial Parkway S.w., Huntsville, AL 35801 | 2019-02-21 |
| 1902373277 | Kelly S Fisher LLC | Counselor | 300 Clinton Avenue, Suite 22 A, Huntsville, AL 35801 | 2018-10-25 |
| 1073097911 | Brittani B Hamrick | Psychologist | 203 Eastside Sq Ste C9, Huntsville, AL 35801 | 2018-09-17 |
| 1548748312 | Jane O. Orton, Licsw, LLC | Social Worker | 120 Holmes Ave Ne, Huntsville, AL 35801 | 2018-08-02 |
| 1184100661 | Regroup Psychological Services | Psychologist | 2006 Franklin St. Se, Suite 110, Huntsville, AL 35801 | 2018-07-17 |
| 1366968398 | Bennett Brent Smith | Physician Assistant | 825 Adams St. Se, Huntsville, AL 35801 | 2017-08-22 |
| Find all providers in zip 35801 | ||||
| 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 |
|---|---|---|---|---|
| 1578170189 | Emily Klae Carnes | Physician Assistant | 102 Breezy Pointe Ln, Huntsville, AL 35811-4604 | 2020-09-28 |
| 1144880774 | Anna Summerford | Physician Assistant | 7738b Madison Blvd, Huntsville, AL 35806-3659 | 2019-06-17 |
| 1366968398 | Bennett Brent Smith | Physician Assistant | 825 Adams St. Se, Huntsville, AL 35801 | 2017-08-22 |
| 1891154894 | Nicolaus D Ruehl | Physician Assistant | 1963 Memorial Pkwy Sw Ste 24, Huntsville, AL 35801-5035 | 2016-02-18 |
| 1992194294 | Jacob Downey Dobbs | Physician Assistant | 13310 S Village Square Rd Se, Huntsville, AL 35803-3813 | 2015-01-09 |
| 1639575939 | Joseph Curry | Physician Assistant | 21 Fm 247 Rd, Huntsville, TX 77320-8701 | 2014-11-13 |
| 1164705513 | Besstina Lyles | Physician Assistant | 2227 Drake Ave Sw Ste 26, Huntsville, AL 35805-5146 | 2011-09-22 |
| 1174833107 | Whitaker Medical | Physician Assistant | 525 Madison St Se, Suite 203, Huntsville, AL 35801-4268 | 2010-10-08 |
| 1548308679 | Claudia Elisabetta Agnew | Physician Assistant | 3601 Cci Dr., Huntsville, AL 35805 | 2007-02-01 |
| 1730273673 | Mindy Smith Wilson | Physician Assistant | 1404 Toney Dr Se, Huntsville, AL 35802-1231 | 2006-10-03 |
| Find all providers in HUNTSVILLE | ||||
| City | HUNTSVILLE |
| Zip Code | 35801 |
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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.