KEVIN E PREWETT (NPI# 1710916408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710916408 |
| Entity Type | Individual |
| Full Name | KEVIN E PREWETT |
| Credential | MD |
| Practice Address |
5 Mobile Infirmary Cir Mobile AL 36607-3513 |
| Mailing Address |
Po Box 10583 Birmingham AL 35202-0583 |
| Practice Telephone | 2514352646 |
| Practice Fax Number | 2514356478 |
| Mailing Telephone | 2514352646 |
| Mailing Fax Number | 2514356478 |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2013-01-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | MD.24589 | AL | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | MD.24589 | AL | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | MD.24589 | AL | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | MD.24589 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 009991605 | 05 | |
| AL | TRICARE SOUTH | 1710916408 | 01 |
| AL | 009984160 | 05 | |
| AL | BCBS | 515-07857 | 01 |
| AL | 009936037 | 05 | |
| AL | 009936038 | 05 | |
| AL | BCBS | 510-01020 | 01 |
| AL | BCBS | 510-03492 | 01 |
| AL | 009938388 | 05 | |
| AL | 009936036 | 05 | |
| AL | BCBS | 510-03483 | 01 |
| AL | BCBS | 510-48740 | 01 |
| AL | BCBS | 515-97202 | 01 |
| Street Address |
5 MOBILE INFIRMARY CIR |
| City | MOBILE |
| State | AL |
| Zip Code | 36607-3513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639174014 | Kenneth Carl Brewington | Obstetrics & Gynecology | 5 Mobile Infirmary Cir, Mobile, AL 36607-3513 | 2005-06-14 |
| 1972118891 | Anthony A Mcpherson | Nurse Practitioner | 5 Mobile Infirmary Cir, Mobile, AL 36607-3513 | 2020-09-09 |
| 1700404563 | My An T Pham | Pharmacist | 5 Mobile Infirmary Cir, Mobile, AL 36607-3513 | 2020-07-08 |
| 1215559968 | Mobile Infirmary Association | Clinical Medical Laboratory | 5 Mobile Infirmary Cir, Mobile, AL 36607-3513 | 2020-05-15 |
| 1245866714 | Kierriah Callier Dortch | Registered Nurse | 5 Mobile Infirmary Cir, Mobile, AL 36607-3513 | 2020-03-17 |
| 1043843295 | Richard Williams | Nurse Anesthetist, Certified Registered | 5 Mobile Infirmary Cir, Mobile, AL 36607-3513 | 2020-02-17 |
| 1720637572 | Kaitlin Michelle Reed | Speech-Language Pathologist | 5 Mobile Infirmary Cir, Mobile, AL 36607-3513 | 2019-09-04 |
| 1710535828 | Charlotte Beverly | Nurse Practitioner | 5 Mobile Infirmary Cir, Mobile, AL 36607 | 2019-09-02 |
| 1063064376 | Melanie Ann Mccall | Pharmacist | 5 Mobile Infirmary Cir, Mobile, AL 36607-3513 | 2019-07-16 |
| 1962060822 | Lauren Wilson Clarke | Nurse Practitioner | 5 Mobile Infirmary Cir, Mobile, AL 36607-3513 | 2019-06-04 |
| Find all providers in the same location | ||||
| 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 | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497175236 | Paul Nicholas Lee Jr. | Emergency Medicine | 1626 Parkmoor Ct, Mobile, AL 36695-4385 | 2014-04-20 |
| 1487988499 | Franklin Primary Health Center Inc | Emergency Medicine | 300 Bay Shore Ave Bldg 306, Mobile, AL 36607-2009 | 2009-09-23 |
| 1013012657 | Richard Oyler | Emergency Medicine | 9985 Airport Blvd, Mobile, AL 36608-9525 | 2006-09-14 |
| 1689779332 | David Nels Olson | Emergency Medicine | Dept Emerg Med,usa Medical Center, 2451 Fillingim Street, Mobile, AL 36617 | 2006-09-14 |
| 1831122795 | Marty D Mcdonald | Emergency Medicine | 4270 Cottage Hill Rd, Mobile, AL 36609-4286 | 2006-07-07 |
| 1013940998 | Stephen T Simpson Jr. | Emergency Medicine | 1261 Hillcrest Road Suite C, Mobile, AL 36695 | 2006-07-07 |
| 1255374211 | Christen A Zuschke | Emergency Medicine | 2829 Churchbell Ct, Mobile, AL 36695-2528 | 2006-06-14 |
| 1184674574 | Sharon P. Lawrence | Emergency Medicine | 900 Montlimar Dr, Mobile, AL 36609-1705 | 2006-05-10 |
| 1457333650 | Dorothy Shannon Waters | Emergency Medicine | 2350 Schillinger Road S, Mobile, AL 36695 | 2005-11-15 |
| 1528055753 | Roger L Berkow | Emergency Medicine | 1601 Center St Ste 1s, Mobile, AL 36604 | 2005-10-03 |
| 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.