FORT PAYNE HBP LLC (NPI# 1740748821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740748821 |
| Entity Type | Organization |
| Organization Name | FORT PAYNE HBP LLC |
| Practice Address |
200 Medical Center Dr Sw Fort Payne AL 35968-3458 |
| Mailing Address |
Po Box 5009 Brentwood TN 37024-5009 |
| Practice Telephone | 2569972400 |
| Mailing Telephone | 6152211400 |
| Enumeration Date | 2019-03-07 |
| Last Update Date | 2019-03-07 |
| Authorized Official Name | LAURA FEY (DIRECTOR REVENUE CYCLE) |
| Authorized Official Telephone | 6152211400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
Allopathic & Osteopathic Physicians |
| Street Address |
200 MEDICAL CENTER DR SW |
| City | FORT PAYNE |
| State | AL |
| Zip Code | 35968-3458 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710901178 | Fort Payne Hospital Corporation | General Acute Care Hospital | 200 Medical Center Dr Sw, Fort Payne, AL 35968-3458 | 2006-07-27 |
| 1255959144 | Fort Payne Hospital Corporation | Medicare Defined Swing Bed Unit | 200 Medical Center Dr Sw, Fort Payne, AL 35968-3458 | 2020-07-08 |
| 1245850940 | Andrew Thomas Hunter | Nurse Anesthetist, Certified Registered | 200 Medical Center Dr Sw, Fort Payne, AL 35968-3458 | 2020-04-22 |
| 1124678628 | Micah Miranda Hilyer | Nurse Practitioner | 200 Medical Center Dr Sw, Fort Payne, AL 35968-3458 | 2019-09-17 |
| 1467937250 | Karen Shelley | Nurse Practitioner | 200 Medical Center Dr Sw, Fort Payne, AL 35968-3458 | 2018-09-27 |
| 1275013849 | Hannah Nicole Shultz | Speech-Language Pathologist | 200 Medical Center Dr Sw, Fort Payne, AL 35968-3458 | 2018-08-14 |
| 1962982504 | Kimberly Bryan | Physical Therapist | 200 Medical Center Dr Sw, Fort Payne, AL 35968-3458 | 2018-08-14 |
| 1750869905 | Encore Rehabilitation Inc | Physical Therapy Assistant | 200 Medical Center Dr Sw, Fort Payne, AL 35968-3458 | 2018-07-31 |
| 1902342983 | Jeremy Allen Shutlz | Nurse Practitioner | 200 Medical Center Dr Sw, Fort Payne, AL 35968-3458 | 2017-01-13 |
| 1194147041 | Nicholas Chivers | Nurse Anesthetist, Certified Registered | 200 Medical Center Dr Sw, Fort Payne, AL 35968-3458 | 2014-01-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417382623 | Lori Land Camp | Pharmacist | 101 Cracker Barrel Row, Ft Payne, AL 35968 | 2013-09-06 |
| 1841424959 | Ashley Renee Cole | Emergency Medicine | 590 Medical Center Dr, Fort Payne, AL 35968 | 2009-05-05 |
| 1871758938 | Michael Steven Digby | Dermatology | 1403 Old Water Works Rd Sw, Fort Payne, AL 35968 | 2008-07-28 |
| 1356516611 | Robyn Reesman, O.d.,inc. | Optometrist | 2001 Glenn Blvd. Sw, Fort Payne, AL 35968 | 2008-04-28 |
| 1124219902 | Rebecca Burns Ingram | Occupational Therapist | 2804 Greenhill Blvd Nw Ste 102, Fort Payne, AL 35968 | 2007-08-06 |
| 1467657957 | Palmer Orthopaedic & Sports Medicine, PC | Orthopaedic Surgery | 315 Medical Center Dr. Sw, Fort Payne, AL 35968 | 2007-06-15 |
| 1225171309 | Dekalb County Health Dept Offsite Epsdt | Public Health or Welfare | 2401 Calvin Dr, S.w., Ft. Payne, AL 35968 | 2007-02-15 |
| 1376612648 | American Hospice -- Fort Payne | Hospice Care, Community Based | 103 3rd Street North West, Suite 202, Fort Payne, AL 35968 | 2006-11-08 |
| 1316978588 | Bhc-palmer Orthopaedics and Sports Medicine | Specialist | 315 Medical Park, Fort Payne, AL 35968 | 2006-07-06 |
| 1487694782 | Fort Payne Hospital Corporation | Hospitalist | 200 Medical Center Dr., Fort Payne, AL 35968 | 2006-06-07 |
| Find all providers in zip 35968 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740642180 | Derek Hunt | Emergency Medicine | 709 Sugar Bend Cir Sw, Madison, AL 35756-5311 | 2016-03-24 |
| 1740595362 | Thomas Kenyon Rose | Emergency Medicine | 130 Aniska Dr, Gadsden, AL 35901-9133 | 2010-08-09 |
| 1871706960 | Eric Wallace | Emergency Medicine | Paula Bldg 230, 728 Richard Arrington Blvd, Birmingham, AL 35294-0001 | 2007-05-07 |
| 1275610602 | Nilam Chiman Patel | Emergency Medicine | 2427 Glasscott Pt, Hoover, AL 35226-6323 | 2006-11-01 |
| 1306922380 | Russell Lee Page II | Emergency Medicine | 25273 Fifth Ave, Florala, AL 36422 | 2006-10-31 |
| 1518981174 | Simmons Ambulance Service | Emergency Medicine | 1956 Sawyer Dr, Monroeville, AL 36460-7984 | 2006-07-27 |
| 1205803327 | D'livro Lemat Beauchamp | Emergency Medicine | 4705 Woodmere Blvd, Montgomery, AL 36106-3078 | 2006-03-07 |
| 1740277607 | Adam Ross Nortick | Emergency Medicine | 339 Walker Chapel Plz Ste 115, Fultondale, AL 35068-3402 | 2005-10-05 |
| 1750980819 | Ivy Creek Specialty Care | Emergency Medicine | 201 Mariarden Rd, Dadeville, AL 36853-6244 | 2020-10-20 |
| 1396342184 | Ivy Creek Specialty Care | Emergency Medicine | 500 Hospital Dr, Wetumpka, AL 36092-1625 | 2020-10-05 |
| Find all providers with the same taxonomy | ||||
| City | FORT PAYNE |
| Zip Code | 35968 |
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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.