VIRGIL THOMAS BACCUS (NPI# 1780604223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780604223 |
| Entity Type | Individual |
| Full Name | VIRGIL THOMAS BACCUS |
| Credential | MD |
| Practice Address |
1890 Al Hwy 157 Suite 220 Cullman AL 35058 |
| Practice Telephone | 2567392626 |
| Practice Fax Number | 2567396588 |
| Mailing Telephone | 2567392626 |
| Mailing Fax Number | 2567396588 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 5397 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | AETNA | 4044923 | 01 |
| Street Address |
1890 AL HWY 157 SUITE 220 |
| City | CULLMAN |
| State | AL |
| Zip Code | 35058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295033579 | Nichole C Brooks | Nurse Practitioner | 1890 Al Hwy 157, Suite 300, Cullman, AL 35058 | 2011-03-10 |
| 1881797405 | Cullman Ob Gyn PC | Specialist | 1890 Al Hwy 157, Ste 220, Cullman, AL 35058 | 2006-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659906980 | Paige Makenzie Schnittker | Nurse Practitioner | 1958 Al-157, Cullman, AL 35058 | 2020-03-06 |
| 1629617444 | Haven Counseling Services of Cullman, LLC | Community/Behavioral Health | 18291 Us Hwy 31, Cullman, AL 35058 | 2019-12-26 |
| 1174095681 | Rizzianne Pineda Miller | Nurse Anesthetist, Certified Registered | 1912 Al-157, Cullman, AL 35058 | 2018-12-21 |
| 1669974135 | Cullman Regional Medical Center, Inc. | Clinic/Center | 1958 Al Hwy 157, Cullman, AL 35058 | 2018-03-01 |
| 1346683125 | Teri L Mobley | Nurse Practitioner | 2021 Alabama Hwy 157, Cullman, AL 35058 | 2013-04-11 |
| 1811229891 | Affordable Family Dentistry P.C. | Dentist | 1096 Country Road 1579, Cullmar, AL 35058 | 2010-02-02 |
| 1548409873 | Birmingham Radiological Group, PC | Clinic/Center | 1809 Dahlke Drive Ne, Cullman, AL 35058 | 2009-02-10 |
| 1235212390 | Carmen Duke Moss | Dentist | 18708 Us Hwy 31 N, Cullman, AL 35058 | 2006-10-23 |
| 1174624282 | Vincent Thomas Karolewics | Radiology | 1811 Parkway Cir, Cullman, AL 35058 | 2006-09-25 |
| 1205937315 | Cullman Radiation Therapy Services, P.C. | Radiology | 1811 Park Way Cir, Cullman, AL 35058 | 2006-09-25 |
| Find all providers in zip 35058 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558476200 | Shane Lee Sheffield | Obstetrics & Gynecology | 1800 Al Highway 157 Ste 302, Cullman, AL 35058-1273 | 2006-08-21 |
| 1497109912 | Brittany Massengill | Obstetrics & Gynecology | 1800 Al Highway 157 Ste 302, Cullman, AL 35058-1273 | 2016-04-21 |
| 1336255728 | John Grant Wideman | Obstetrics & Gynecology | 1800 Al Highway 157 Ste 302, Cullman, AL 35058-1273 | 2006-08-21 |
| 1609880194 | Howard F. Williamson Jr. | Obstetrics & Gynecology | 1800 Al Hwy 157, Ste 302, Cullman, AL 35058-1273 | 2006-07-28 |
| 1134197361 | Randy James Yarbrough | Obstetrics & Gynecology | 1800 Al Highway 157, Suite 302, Cullman, AL 35058 | 2006-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235667544 | Jackson Hospital & Clinic, Inc. | Obstetrics & Gynecology | 80 Herren Hill Rd Ste C, Tallassee, AL 36078-1264 | 2017-05-31 |
| 1902338163 | Women4women Obgyn, LLC | Obstetrics & Gynecology | 320 Pelham Avenue, Sw, Suite 300, Huntsville, AL 35801 | 2017-03-28 |
| 1033563317 | Lucy Johnston Sanders | Obstetrics & Gynecology | 806 Saint Vincents Dr Ste 500, Birmingham, AL 35205-1616 | 2016-04-22 |
| 1578917944 | Jordan Tyler Hamilton | Obstetrics & Gynecology | 401 Sivley Rd Sw Ste 1, Huntsville, AL 35801-5108 | 2016-04-21 |
| 1912351859 | Brittany Elizabeth Swartout | Obstetrics & Gynecology | 401 Lowell Drive, Suite 1, Huntsville, AL 35801 | 2016-04-18 |
| 1770957177 | Xochitl Dupre | Obstetrics & Gynecology | 1874 Beltline Road Sw, Suite 105, Decatur, AL 35601 | 2015-11-23 |
| 1497136774 | Christa S. Littrell | Obstetrics & Gynecology | 910 Adams Street Suite 300, Huntsville, AL 35801 | 2015-06-12 |
| 1124415336 | Shweta Naran Patel | Obstetrics & Gynecology | 1700 6th Avenue South, Wic 9103, Birmingham, AL 35233-1802 | 2015-04-26 |
| 1386038214 | Elise Rebecca Clem | Obstetrics & Gynecology | 1874 Beltline Rd Sw Ste 105, Decatur, AL 35601-5514 | 2015-03-28 |
| 1104233717 | Garrison Stephen Cowen | Obstetrics & Gynecology | 701 East 19th Street, Jasper, AL 35501 | 2014-07-15 |
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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.