SETON MEDICAL MANAGEMENT INC. (NPI# 1689075954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689075954 |
| Entity Type | Organization |
| Organization Name | SETON MEDICAL MANAGEMENT INC. |
| Other Organization Name | ONCOLOGY CENTER AT PROVIDENCE PARK |
| Practice Address |
6701 Airport Blvd Suite A-t06 Mobile AL 36608-6705 |
| Mailing Address |
Po Box 850489 Mobile AL 36685-0489 |
| Practice Telephone | 2516331890 |
| Practice Fax Number | 2516331182 |
| Mailing Telephone | 2513423949 |
| Mailing Fax Number | 2516313361 |
| Enumeration Date | 2014-09-05 |
| Last Update Date | 2014-09-05 |
| Authorized Official Name | DR. JAMES L. WALKER (PRESIDENT) |
| Authorized Official Telephone | 2516338880 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 156184 | 05 |
| Other Name | Type Code |
|---|---|
| Oncology Center at Providence Park | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265861009 | Seton Medical Management Inc. | Preventive Medicine | 18 Rambo Dr, Saraland, AL 36571-2147 | 2013-11-02 |
| 1679958136 | Seton Medical Management Inc. | Surgery | 6701 Airport Blvd, Suite B222, Mobile, AL 36608-6705 | 2015-07-27 |
| 1518344498 | Seton Medical Management Inc. | Surgery | 6701 Airport Blvd, Suite B329, Mobile, AL 36608-6705 | 2015-04-30 |
| 1871994475 | Seton Medical Management Inc. | Surgery | 6701 Airport Blvd, Suite B222, Mobile, AL 36608-6705 | 2014-09-15 |
| 1295135911 | Seton Medical Management Inc. | Surgery | 6701 Airport Blvd, Suite B217, Mobile, AL 36608-6705 | 2014-08-29 |
| 1497184592 | Seton Medical Management Inc. | Preventive Medicine | 5100 Rangeline Road N, Mobile, AL 36619-9504 | 2013-11-08 |
| 1205265303 | Seton Medical Management Inc. | Clinic/Center | 6701 Airport Blvd, Suite A-t01, Mobile, AL 36608-6705 | 2013-11-08 |
| 1013346113 | Seton Medical Management Inc. | Nurse Practitioner | 6701 Airport Blvd, Suite C132, Mobile, AL 36608-6705 | 2013-11-08 |
| 1841629946 | Seton Medical Management Inc. | Surgery | 6701 Airport Blvd, Suite D143, Mobile, AL 36608-6705 | 2013-11-08 |
| 1811073554 | Seton Medical Management Inc. | Pharmacist | 6701 Airport Blvd, Suite B124, Mobile, AL 36608-6705 | 2006-10-27 |
| Street Address |
6701 AIRPORT BLVD SUITE A-T06 |
| City | MOBILE |
| State | AL |
| Zip Code | 36608-6705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053313312 | Richard O Nenstiel | Physician Assistant | 6701 Airport Blvd, Suite D146, Mobile, AL 36608 | 2005-06-01 |
| 1508392432 | University of South Alabama Health Care Authority | Internal Medicine | 6701 Airport Blvd, A101, Mobile, AL 36608-6705 | 2017-05-11 |
| 1093241671 | Alabama Providence Healthcare Services | Otolaryngology | 6701 Airport Blvd, Suite B123, Mobile, AL 36608-6705 | 2017-05-03 |
| 1588109599 | Citrin Cardiology PC | Internal Medicine | 6701 Airport Blvd, Suite C138, Mobile, AL 36608-3784 | 2016-12-29 |
| 1629511753 | Alabama Providence Healthcare Services | Specialist | 6701 Airport Blvd, Ste B215, Mobile, AL 36608-6705 | 2016-11-21 |
| 1891245692 | Alabama Providence Healthcare Services | Specialist | 6701 Airport Blvd, Suite D143, Mobile, AL 36608-6705 | 2016-10-05 |
| 1386191740 | Leah Ambrose | Physician Assistant | 6701 Airport Blvd, Suite C138, Mobile, AL 36608-6705 | 2016-09-02 |
| 1386093953 | Terra Lynn Parnell | Nurse Practitioner | 6701 Airport Blvd, Suite D-330, Mobile, AL 36608 | 2016-06-06 |
| 1649634395 | Alabama Providence Healthcare Services | Specialist | 6701 Airport Blvd, Suite A-t06, Mobile, AL 36608-6705 | 2016-04-08 |
| 1558725200 | Alabama Providence Healthcare Services | Specialist | 6701 Airport Blvd, Suite B329, Mobile, AL 36608-6705 | 2016-04-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475524 | Grantham Dental, Inc. | Dentist | 3620 Springhill Memorial Drive South, Mobile, AL 36608 | 2020-10-21 |
| 1114540879 | Dearrius Hines | Home Health Aide | 1370 Lucerne Dr, Mobile, AL 36608 | 2020-05-28 |
| 1558980409 | Rachel Stevens | Registered Nurse | 8507 Tanner Williams Rd, Mobile, AL 36608 | 2020-04-10 |
| 1073170700 | Usa Health Physician Billing Services LLC | Otolaryngology | 5721 Usa Drive North, Hahn 1119, Mobile, AL 36608 | 2019-05-29 |
| 1952885600 | Franklin Primary Health Center Inc. | Dentist | 990 Cody Rd North, Mobile, AL 36608 | 2018-09-19 |
| 1114410040 | Zackary Elkins | Optometrist | 105 W I65 Service Rd N, Mobile, AL 36608 | 2018-06-14 |
| 1023562865 | Covenant Hospice, Inc. | Internal Medicine | 6801 Airport Blvd., Main Tower, 11th Floor North, Mobile, AL 36608 | 2016-08-10 |
| 1730575416 | Rayven Likely | Student in an Organized Health Care Education/Training Program | 1014 Centerwood Dr, Mobile, AL 36608 | 2015-04-09 |
| 1598040461 | Robert S Harlin | Specialist | 75 Clarise Circle, Mobile, AL 36608 | 2011-10-11 |
| 1972884948 | Heidi Michelle Mcdermott | Physical Therapist | 5721 Usa Drive N, Hahn 2050, Mobile, AL 36608 | 2011-09-06 |
| Find all providers in zip 36608 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366887945 | Olivia Claire Ball | Radiology | 5 Mobile Infirmary Cir Ste G805, Mobile, AL 36607-3513 | 2013-05-08 |
| 1295828770 | The Cancer Center of Southern Alabama, Pa | Radiology | 3 Mobile Infirmary Cir Ste 306, Mobile, AL 36607-3515 | 2006-10-02 |
| 1528049939 | John R. Russell | Radiology | 5 Mobile Infirmary Cr. Ste. G-805, Mobile Infirmary Radiation Oncology, Mobile, AL 36607-3513 | 2005-11-11 |
| 1033587563 | Imc-radiation Oncology LLC | Radiology | 5 Mobile Infirmary Cir, Mobile, AL 36607-3513 | 2015-09-15 |
| 1902244114 | James Orey Galle | Radiology | 6701 Airport Blvd Bldg B, Mobile, AL 36608-6705 | 2013-06-10 |
| 1649405028 | Weisi Yan | Radiology | 1660 Spring Hill Ave, Mobile, AL 36604-1405 | 2009-05-28 |
| 1578629556 | Southern Cancer Center, PC | Radiology | 6701 Airport Blvd, Mobile, AL 36608-6705 | 2006-12-28 |
| 1770597353 | Robert A Gilbert | Radiology | 1660 Spring Hill Ave, Mobile, AL 36604-1405 | 2006-07-28 |
| 1003820697 | Frank James Pitruzzello | Radiology | 6701 Airport Blvd Bldg B, Mobile, AL 36608-6705 | 2006-07-28 |
| 1336174242 | Roger Ove | Radiology | 1660 Spring Hill Ave, University of South Alabama Mitchell Cancer Institute, Mobile, AL 36604-1405 | 2006-07-11 |
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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.