DR. JEFFERSON UNDERWOOD (NPI# 1659456606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659456606 |
| Entity Type | Individual |
| Full Name | DR. JEFFERSON UNDERWOOD |
| Credential | M.D. |
| Practice Address |
2171 Normandie Dr Montgomery AL 36111 |
| Mailing Address |
2173 Normandie Dr Montgomery AL 36111 |
| Practice Telephone | 3342887399 |
| Practice Fax Number | 3342887539 |
| Mailing Telephone | 3342887399 |
| Mailing Fax Number | 3342887539 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2016-04-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 10805 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 528500430 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730744681 | Jefferson R Underwood | Case Manager/Care Coordinator | 325 Sw Frazier Ave, Topeka, KS 66606-1963 | 2019-05-07 |
| Street Address |
2171 NORMANDIE DR |
| City | MONTGOMERY |
| State | AL |
| Zip Code | 36111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578922191 | Travis A Thompson | Dentist | 3439 B Mcgehee Road, Suite 22, Montgomery, AL 36111 | 2016-02-11 |
| 1932579042 | Arthur Mazyck | Radiology | 2159 Woodley Road, Montgomery, AL 36111 | 2015-10-01 |
| 1063823805 | Andrea Olofson | Pathology | 2055 Normandie Dr Ste 214, Montgomery, AL 36111 | 2014-05-14 |
| 1952609505 | The Health Care Authority for Baptist Health, An Affiliate of Uabhs | Psychiatry & Neurology | 4225 Narrow Lane Road, Montgomery, AL 36111 | 2011-03-07 |
| 1801082839 | River Region Hospital | Psychiatric Hospital | 4385 Narrow Lane Road, Montgomery, AL 36111 | 2007-09-24 |
| 1942330568 | Jefferson Underwood, IIi, Md, PC | Internal Medicine | 2173 Normandie Dr, Montgomery, AL 36111 | 2007-03-06 |
| 1548340953 | William John Knox IIi | Otolaryngology | 2163 Normandie Drive, Montgomery, AL 36111 | 2006-10-17 |
| 1669573465 | Bennie R Hamner | Surgery | 2027 Normandie Drive, Montgomery, AL 36111 | 2006-09-26 |
| 1689651408 | Montgomery Aids Outreach, Inc. | Clinic/Center | 2900 Mcgehee Rd, Montgomery, AL 36111 | 2005-12-22 |
| 1669963617 | Dhwani Chotalia | Nurse Practitioner | 2908 Mcgehee Rd, Montgomery, AL 36111 | 2018-05-25 |
| Find all providers in zip 36111 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669854725 | Daugherty Medical Group Pllc | Internal Medicine | 9200 Montgomery Rd Suite 18a, Montgomery, OH 45242 | 2015-06-25 |
| 1548605389 | Albert E. Lester M.d., P.a. | Internal Medicine | 3091 Gaston Ave Ste B, Montgomery, AL 36105-1541 | 2013-05-07 |
| 1205182508 | John Kenneth Porter | Internal Medicine | 1758 Park Pl Ste 100b, Montgomery, AL 36106-1133 | 2012-07-24 |
| 1841565769 | Malcolm Brown Md LLC | Internal Medicine | 2214 Rosemont Dr, Montgomery, AL 36111-1009 | 2012-03-09 |
| 1669747671 | Norman A Garrison Md LLC | Internal Medicine | 9419 Winfield Pl, Montgomery, AL 36117-5177 | 2012-03-09 |
| 1245556307 | Justin William Smith | Internal Medicine | 273 Winton Blount Loop, Montgomery, AL 36117-3507 | 2010-04-14 |
| 1730320946 | Montgomery Clinic LLC | Internal Medicine | 641 Rowena St, Montgomery, LA 71454 | 2009-03-18 |
| 1376706846 | Roopa Dhawan Gandhi | Internal Medicine | 11059 Grandstone Ln, Montgomery, OH 45249-3418 | 2008-07-05 |
| 1619137528 | Celtin Robertson | Internal Medicine | 2820 Fairlane Dr, Ste A8, Montgomery, AL 36116-1631 | 2008-06-13 |
| 1720265416 | Scott Bell Md, P.C. | Internal Medicine | 7020 Sydney Curv, Montgomery, AL 36117-3508 | 2008-01-25 |
| Find all providers in MONTGOMERY | ||||
| City | MONTGOMERY |
| Zip Code | 36111 |
Please comment or provide details below to improve the information on DR. JEFFERSON UNDERWOOD.
| 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.