VAN RUSSELL WADLINGTON (NPI# 1780648212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780648212 |
| Entity Type | Individual |
| Full Name | VAN RUSSELL WADLINGTON |
| Credential | M.D. |
| Practice Address |
501 Clark St Ne Cullman AL 35055-1921 |
| Mailing Address |
503 Clark St Ne Cullman AL 35055-1921 |
| Practice Telephone | 2567399898 |
| Practice Fax Number | 2567399556 |
| Mailing Telephone | 2567390801 |
| Mailing Fax Number | 2567390027 |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2018-04-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
18187 | AL | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 18187 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BLUE CROSS BLUE SHIELD | 51521246 | 01 |
| AL | 000046855 | 05 | |
| AL | BLUE CROSS/BLUE SHIELD | 51550456 | 01 |
| AL | BLUE CROSS/BLUE SHIELD | 51514426 | 01 |
| AL | 009961805 | 05 |
| Street Address |
501 CLARK ST NE |
| City | CULLMAN |
| State | AL |
| Zip Code | 35055-1921 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013482694 | Timothy Brett Hunt | Counselor | 1912 Commerce Avenue Nw, Cullman, AL 35055 | 2018-10-10 |
| 1073017919 | Kaitlin Roberts | Occupational Therapist | 1640 2nd Ave Sw, Cullman, AL 35055 | 2018-03-23 |
| 1922514488 | Dialysis Clinic Inc | Clinic/Center | 208 Broadway Drive, Sw, Cullman, AL 35055 | 2017-12-20 |
| 1447789870 | Alexis Lindsey | Specialist | 1909 Commerce Avenue Nw, Cullman, AL 35055 | 2017-06-08 |
| 1003297144 | Thomas Ricky Cosper | Counselor | 1528 Peachtree Lane Ste #104, Cullman, AL 35055 | 2015-06-15 |
| 1053574434 | Joshua Michael Robinson | Dentist | 1851 Main Ave Se, Suite A, Cullman, AL 35055 | 2008-07-07 |
| 1902088206 | Dr Henry S Beeler | Family Medicine | 1900 Main Ave, Ste 3, Cullman, AL 35055 | 2007-11-29 |
| 1982896627 | Ronald Wilson Carter | Dentist | 305 6th Ave Se, Cullman, AL 35055 | 2007-08-16 |
| 1710048640 | Home Oxygen Inc | Durable Medical Equipment & Medical Supplies | 408 2nd Avenue Nw, Suite B, Cullman, AL 35055 | 2006-12-13 |
| 1912071150 | Econo Med Inc | Pharmacy | 1824 Main Avenue Sw, Cullman, AL 35055 | 2006-11-20 |
| Find all providers in zip 35055 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700921947 | North Alabama Radiology | Radiology | 1910 Cherokee Ave Sw, Cullman, AL 35055-5502 | 2007-02-21 |
| 1518074012 | Health Imaging Services LLC | Radiology | 1930 Al Highway 157, Cullman, AL 35058-0609 | 2006-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871190256 | Charles M Thorn | Radiology | 204 Debbie Dr, Deatsville, AL 36022-2567 | 2020-10-08 |
| 1184264152 | Locus Center, LLC | Radiology | 3064 Lorna Rd Ste E, Vestavia Hills, AL 35216-4529 | 2020-01-08 |
| 1497241756 | Anurag Chahal | Radiology | Department of Radiology 619 19th Street South, Birmingham, AL 35249-0001 | 2018-07-10 |
| 1427595511 | Lemak Sports Medicine LLC | Radiology | 2215 Decatur Hwy Ste 117, Gardendale, AL 35071-2384 | 2017-01-26 |
| 1346782307 | Birmingham Physicians Radiology Pllc | Radiology | 3425 Colonnade Pkwy, Birmingham, AL 35243-2356 | 2016-11-08 |
| 1558720953 | Brookwood Baptist Imaging, LLC | Radiology | 7131 Cahaba Valley Rd. Suite 101, Hoover, AL 35242 | 2016-02-15 |
| 1255799847 | Central Alabama Diagnostics LLC | Radiology | 2715 Legends Pkwy, Prattville, AL 36066-7755 | 2016-02-10 |
| 1932579042 | Arthur Mazyck | Radiology | 2159 Woodley Road, Montgomery, AL 36111 | 2015-10-01 |
| 1528445145 | Dothan Diagnostic Imaging Radiology, Pllc | Radiology | 217 Graceland Dr Ste 4, Dothan, AL 36305-7376 | 2015-05-04 |
| 1194111245 | Darrel Alexander Ceballos | Radiology | 619 19th Street South Jt N382, Birmingham, AL 35294-2238 | 2015-04-15 |
| 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.