MAIN STREET CLINIC, LLC (NPI# 1740895291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740895291 |
| Entity Type | Organization |
| Organization Name | MAIN STREET CLINIC, LLC |
| Practice Address |
1508 Cogswell Ave Pell City AL 35125-1243 |
| Practice Telephone | 2564184300 |
| Practice Fax Number | 8888278932 |
| Enumeration Date | 2020-09-11 |
| Last Update Date | 2020-09-11 |
| Authorized Official Name | MUHAMMAD E ATA (OWNER) |
| Authorized Official Telephone | 2564184300 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356903827 | Main Street Clinic, LLC | Clinic/Center | 107 West 4th St, Winona, MN 55987 | 2019-07-03 |
| 1477930246 | Main Street Clinic, LLC | Nurse Practitioner | 900 E Main St, Cumberland, KY 40823-1714 | 2015-04-30 |
| 1396022034 | Main Street Clinic, LLC | Clinic/Center | 115 Main St, Columbia, LA 71418 | 2011-11-09 |
| Street Address |
1508 COGSWELL AVE |
| City | PELL CITY |
| State | AL |
| Zip Code | 35125-1243 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154317758 | Mary Sue Suggs | Family Medicine | 1508 Cogswell Ave, Pell City, AL 35125-1243 | 2005-09-20 |
| 1952917502 | Miranda Eddy Talmage | Nurse Practitioner | 1508 Cogswell Ave, Pell City, AL 35125-1243 | 2020-09-18 |
| 1003242678 | Laura Paige Farris | Nurse Practitioner | 1508 Cogswell Ave, Pell City, AL 35125-1243 | 2013-09-16 |
| 1306145289 | Main Street Medical Clinic LLC | Clinic/Center | 1508 Cogswell Ave, Pell City, AL 35125-1243 | 2011-03-18 |
| 1205854544 | Linda J Schultz | Internal Medicine | 1508 Cogswell Ave, Pell City, AL 35125-1243 | 2006-07-17 |
| 1861472219 | Jana Gail Zeitvogel | Nurse Practitioner | 1508 Cogswell Ave, Pell City, AL 35125-1243 | 2006-01-20 |
| 1447246053 | Mary Sue Suggs | Family Medicine | 1508 Cogswell Ave, Pell City, AL 35125-1243 | 2005-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629507082 | Christoph Scott Koogler | Pharmacist | 165 Vaughn Lane, Pell City, AL 35125 | 2017-06-08 |
| 1104133693 | State of Alabama Department of Public Health | Nurse Practitioner | 1175 23rd Street North, St. Clair County Health Department, Pell City, AL 35125 | 2010-09-07 |
| 1801918776 | David Timothy Sawyer | Dentist | 402a Cogswell Ave, Pell City, AL 35125 | 2007-04-04 |
| 1528106341 | Patricia Yvonne Hamilton | Counselor | 1540 Center Point Pkway, Suite 102, Birmingham, AL 35125 | 2007-02-02 |
| 1316028566 | Glenn Hendrick Magargee | Counselor | 8 16th Street, Pell City, AL 35125 | 2006-10-17 |
| 1508965633 | Derek Matthew Morris | Pharmacist | 505 Martin Street, Pell City, AL 35125 | 2006-09-22 |
| 1699882738 | Hasmukh Nagindas Jariwala | Internal Medicine | 2811 Dr John Haynes Dr, Suite 102, Pell City, AL 35125 | 2006-08-24 |
| 1912914185 | Sara V Thompson | Nurse Practitioner | 70 Plaza Drive, Pell City, AL 35125 | 2006-08-01 |
| 1972547636 | Elisabeth May Douglass | Physical Therapist | 85 Plaza Drive, Pell City, AL 35125 | 2006-06-15 |
| 1851376610 | Barry G Collins | Internal Medicine | 7067 Veterans Parkway, Suite 200, Pell City, AL 35125 | 2005-12-14 |
| Find all providers in zip 35125 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013986827 | Farzana Malik | Pediatrics | 2850 Dr John Haynes Dr, Pell City, AL 35125-1438 | 2006-03-15 |
| 1588612980 | Irfan Ur Rahim | Pediatrics | 2850 Dr John Haynes Dr, Pell City, AL 35125-1438 | 2006-05-05 |
| 1811945660 | Rubina Siddiqui | Pediatrics | 2850 Dr John Haynes Dr, Pell City, AL 35125-1438 | 2006-05-04 |
| 1649238924 | The Children's Hospital of Alabama | Pediatrics | 2850 Dr John Haynes Dr, Pell City, AL 35125-1438 | 2006-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811595226 | Sunshine Pediatrics, LLC | Pediatrics | 3983 Nash Creek Dr, Opelika, AL 36804-4859 | 2020-10-16 |
| 1922615749 | Smart Care, LLC | Pediatrics | 801 North St E, Talladega, AL 35160-2529 | 2020-09-25 |
| 1124667415 | Brittany Johnson Mccullough | Pediatrics | 134 Foothills Pkwy, Chelsea, AL 35043-8179 | 2020-01-03 |
| 1982240941 | Heritage Pediatrics LLC | Pediatrics | 3358 Highway 280, Suite 108, Alexander City, AL 35010 | 2019-11-25 |
| 1952945602 | East Montgomery Pediatrics LLC | Pediatrics | 337 St Lukes Drive, Montgomery, AL 36117 | 2019-11-05 |
| 1326699190 | Kids Cove Pediatrics | Pediatrics | 19 Abby Glen Way, Gurley, AL 35748-8035 | 2019-09-24 |
| 1386290781 | Deshazo Medical | Pediatrics | 4387 Boulder Lake Cir, Vestavia, AL 35242-2116 | 2019-08-13 |
| 1477013720 | Decatur Morgan Pediatrics | Pediatrics | 1215 7th St Se Ste 210, Decatur, AL 35601-3385 | 2019-03-22 |
| 1801367107 | Tera Walters Therapy LLC | Pediatrics | 2523 D'iberville Drive North, Mobile, AL 36695 | 2018-12-12 |
| 1629573928 | Kaitlyn Brown Parker | Pediatrics | 2451 Usa Medical Center Dr Rm 714, Mobile, AL 36617-2300 | 2018-03-28 |
| Find all providers with the same taxonomy | ||||
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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.