ELIZABETH CHILDRESS WESTERN


Address: 701 University Blvd E, Suite 507, Tuscaloosa, AL 35401-7432
Phone: 2053303650

ELIZABETH CHILDRESS WESTERN (NPI# 1689903833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1689903833
Entity Type Individual
Full Name ELIZABETH CHILDRESS WESTERN
Credential M.D.
Practice Address 701 University Blvd E
Suite 507
Tuscaloosa
AL 35401-7432
Practice Telephone 2053303650
Practice Fax Number 2053303655
Mailing Telephone 2053303650
Mailing Fax Number 2053303655
Enumeration Date 2009-12-17
Last Update Date 2012-09-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 30931 AL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
AL MEDICARE-GROUP 102G701388 01
AL MEDICAID-GROUP 138413 01
AL MEDICARE-INDIV. 102I081387 01
AL MEDICAID INDIV. 138652 01
AL BC/BS OF AL 511-27182 01

Office Location

Street Address 701 UNIVERSITY BLVD E
SUITE 507
City TUSCALOOSA
State AL
Zip Code 35401-7432

Providers in the same location

NPI Name Taxonomy Address Enumeration
1720088834 Donald Charles Gross Surgery 701 University Blvd E, Suite 606, Tuscaloosa, AL 35401-2086 2005-07-29
1871019943 Haley Townsend Nurse Practitioner 701 University Blvd E, Tuscaloosa, AL 35401-2086 2017-08-20
1437505138 Jaime Petrosky Physician Assistant 701 University Blvd E, Suite 606, Tuscaloosa, AL 35401-2086 2016-05-11
1063868966 Aletta Susan Brewer Nurse Practitioner 701 University Blvd E, Suite 211, Tuscaloosa, AL 35401-2086 2016-05-10
1114330008 West Alabama Physician Associates LLC Surgery 701 University Blvd E, Suite 604, Tuscaloosa, AL 35401-2086 2014-06-09
1184036865 West Alabama Physician Associates LLC Internal Medicine 701 University Blvd E, Suite 809, Tuscaloosa, AL 35401-2086 2014-05-29
1124372867 Tuscaloosa Breast Center PC Specialist 701 University Blvd E, Suite 606, Tuscaloosa, AL 35401-2086 2012-11-02
1770831968 Erin Flowers Smith Pharmacist 701 University Blvd E, Tuscaloosa, AL 35401-2086 2012-08-21
1437417086 Capstone Surgical Associates, LLC Surgery 701 University Blvd E, Suite 602, Tuscaloosa, AL 35401-7406 2012-05-01
1952557498 Jeremy Anderson Kelley Nurse Practitioner 701 University Blvd E, Suite 400, Tuscaloosa, AL 35401-2086 2008-08-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1942768031 Serenity and Hope LLC Clinic/Center 2703 7th Street, Tuscaloosa, AL 35401 2019-03-07
1356834428 Heather Glenn Macleod Social Worker 303 Hargrove Rd E Ste A, Tuscaloosa, AL 35401 2018-06-12
1154832921 Imc of Alabama Physical Therapist 5101 21st Street, Tuscaloosa, AL 35401 2017-10-19
1316466238 Parents Resource Institute for Drug Education (pride) of Tuscaloosa Community/Behavioral Health 620 14th Street, Suite E, Tuscaloosa, AL 35401 2017-09-12
1871967075 Jeri Zemke Specialist/Technologist 504 University Blvd, Tuscaloosa, AL 35401 2015-11-25
1356719033 Jimmy Dean Winters Nurse Practitioner Five Horizons Health Services, 2720 6th Street, Tuscaloosa, AL 35401 2015-09-11
1831505429 Jennifer Baggett Speech-Language Pathologist 603 Hackberry Lane, Tuscaloosa, AL 35401 2014-07-03
1184045684 Samantha Pasteur Massage Therapist 2601 12 St, Tuscaloosa, AL 35401 2013-12-31
1386089282 John Logan Bailey Pharmacist 809 University Boulevard, Dch Regional Medical Center, Tuscaloosa, AL 35401 2013-05-06
1104170539 Kristin C Townsend Technician, Other 500 -b Paul Bryant Drive East, Tuscaloosa, AL 35401 2012-11-07
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528544475 Tuscaloosa Primary Care, LLC Family Medicine 100 Towncenter Blvd Ste 300, Tuscaloosa, AL 35406-1835 2018-07-13
1851822100 American Family Care, Inc. Family Medicine 710 15th Street East, Tuscaloosa, AL 35401-0000 2017-03-27
1700279577 Hort Md, PC Family Medicine 2224 15th St, Tuscaloosa, AL 35401-4611 2015-03-18
1386056026 Remona Peterson Family Medicine 6521 Highway 69 S Ste M, Tuscaloosa, AL 35405 2014-05-29
1881039048 West Alabama Physician Associates LLC Family Medicine 1120 Ruby Tyler Pkwy, Tuscaloosa, AL 35404-2959 2013-05-01
1659541563 James Peter Whitley Family Medicine 2731 Mlk Jr. Blvd, Tuscaloosa, AL 35401 2008-03-06
1356493514 Bobby E. Hill, M.d., P.C. Family Medicine 1647 Mcfarland Blvd N, Suite #1-c, Tuscaloosa, AL 35406-2248 2007-01-17
1295801579 Steve R Lovelady Family Medicine 1490 N Bank Pkwy, Suite 290, Tuscaloosa, AL 35406-2430 2006-11-28
1912093287 Charles Craig Hudson Family Medicine 1708 Duval St, Tuscaloosa, AL 35406-2037 2006-10-05
1316047285 Taylorville Family Medicine, PC Family Medicine 7700 Highway 69 S, Suite C, Tuscaloosa, AL 35405-8783 2006-09-22
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Competitor

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City TUSCALOOSA
Zip Code 35401

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Dataset Information

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.

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