DRUID CITY VASCULAR, P.C. (NPI# 1770040255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770040255 |
| Entity Type | Organization |
| Organization Name | DRUID CITY VASCULAR, P.C. |
| Practice Address |
701 University Blvd E Ste 608 Tuscaloosa AL 35401-7411 |
| Practice Telephone | 2057996381 |
| Practice Fax Number | 2057526244 |
| Enumeration Date | 2019-02-21 |
| Last Update Date | 2019-02-21 |
| Authorized Official Name | DR. EDWARD A CARRAWAY (PRESIDENT) |
| Authorized Official Telephone | 2057996381 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| Street Address |
701 UNIVERSITY BLVD E STE 608 |
| City | TUSCALOOSA |
| State | AL |
| Zip Code | 35401-7411 |
| 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 |
| Find all providers in zip 35401 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174608871 | Thoracic & Cardiovascular Associates of Tuscaloosa PC | Internal Medicine | 701 University Blvd East, Dch Medical Tower Suite 602, Tuscaloosa, AL 35401 | 2006-10-25 |
| 1215187497 | Alabama Heart Care LLC | Internal Medicine | 4810 Harkey Lane, Tuscaloosa, AL 35406 | 2008-09-24 |
| 1275746992 | James Bradley Proctor | Internal Medicine | 701 University Blvd. East, Suite 400, Tuscaloosa, AL 35401-7428 | 2007-05-08 |
| 1881658490 | John A Mantle | Internal Medicine | 701 University Blvd E, Suite 400, Tuscaloosa, AL 35401 | 2006-04-12 |
| 1740274133 | Anand Pandey | Internal Medicine | 4810 Harkey Lane, Tuscaloosa, AL 35406 | 2005-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124674098 | Jamie Torres | Internal Medicine | 1118 Ross Clark Cir Ste 403, Dothan, AL 36301-3038 | 2019-08-15 |
| 1962933796 | Robert Derenbecker | Internal Medicine | 1808 7th Avenue South Bdb 201, Birmingham, AL 35294-0010 | 2017-03-23 |
| 1770944340 | Jackson Hospital and Clinic, Inc | Internal Medicine | 74238 Tallassee Hwy, Wetumpka, AL 36092-5504 | 2016-03-10 |
| 1750742318 | Jackson Hospital and Clinic Inc | Internal Medicine | 707 Mcqueen Smith Rd S, Prattville, AL 36066-7503 | 2016-03-10 |
| 1053791764 | Multi-specialty Care-cardiac Care In South, LLC | Internal Medicine | 4490 Al Highway 22, Valley Grande, AL 36701-0501 | 2015-06-08 |
| 1922497312 | Michael Mckinney Cardiology PC | Internal Medicine | 1110 Lakeview Cres, Birmingham, AL 35205-1119 | 2015-01-22 |
| 1194160580 | David Huntsman Jackson | Internal Medicine | 3647 Dunbarton Dr, Mountain Brk, AL 35223-2891 | 2013-04-30 |
| 1700136728 | Farnoosh Rahimi | Internal Medicine | 2451 Fillingim St Bldg C, Mobile, AL 36617 | 2012-09-17 |
| 1720333867 | Rayan Saab | Internal Medicine | 801 Princeton Ave Sw Ste 707, Birmingham, AL 35211-1395 | 2012-07-15 |
| 1003187642 | Anand Shanker Balachandran | Internal Medicine | 333 Whitesport Dr Sw Ste 304, Huntsville, AL 35801-3455 | 2012-01-12 |
| Find all providers with the same taxonomy | ||||
| City | TUSCALOOSA |
| Zip Code | 35401 |
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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.