CENTER STAR FAMILY PRACTICE, INC (NPI# 1801950167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801950167 |
| Entity Type | Organization |
| Organization Name | CENTER STAR FAMILY PRACTICE, INC |
| Practice Address |
6459 Highway 72 Killen AL 35645-8258 |
| Mailing Address |
Po Box 70 Killen AL 35645-0070 |
| Practice Telephone | 2562720275 |
| Practice Fax Number | 2562720277 |
| Mailing Telephone | 2562720275 |
| Mailing Fax Number | 2562720277 |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2011-02-22 |
| Authorized Official Name | DEBRA P. DINGES (OWNER) |
| Authorized Official Telephone | 2562720275 |
| Authorized Official Credential | C.R.N.P |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 1035809 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 529919990 | 05 |
| Street Address |
6459 HIGHWAY 72 |
| City | KILLEN |
| State | AL |
| Zip Code | 35645-8258 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083661425 | Elizabeth A Buffler | Family Medicine | 6459 Highway 72, Killen, AL 35645-8258 | 2006-05-30 |
| 1811516925 | Ecm Health Group LLC | Clinic/Center | 6459 Highway 72, Killen, AL 35645-8258 | 2020-04-09 |
| 1003354788 | Jana Marie Berry | Nurse Practitioner | 6459 Highway 72, Killen, AL 35645-8258 | 2017-02-02 |
| 1477850881 | Misty L. Coats | Nurse Practitioner | 6459 Highway 72, Killen, AL 35645-8258 | 2011-02-21 |
| 1740227016 | Debra Dinges | Nurse Practitioner | 6459 Highway 72, Killen, AL 35645-8258 | 2006-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770030843 | Advantage Health Solutions,llc | Family Medicine | 6492 Hwy 72, Killen, AL 35645 | 2016-09-07 |
| 1871713032 | Obrien Orthopedic PC | Orthopaedic Surgery | 6490 Highway 72, Athens, AL 35645 | 2007-04-27 |
| 1376656793 | W Barry Wood | Pharmacist | 1621 Hwy 72, Killen, AL 35645 | 2006-08-17 |
| 1811975881 | Misty White Robertson | Nurse Practitioner | 351 Highway 64, Killen, AL 35645 | 2006-01-09 |
| 1467443424 | David Alan Hollis | Family Medicine | 148 J C Mauldin Highway, Killen, AL 35645 | 2005-10-31 |
| 1093717696 | Steve E Wampler | Emergency Medicine | 351 Hwy 64, Killen, AL 35645 | 2005-08-12 |
| 1942408877 | Meares Family Chiropractic, Inc | Chiropractor | 5750 Highway 72 East, Killen, AL 35645 | 2007-07-03 |
| 1639234982 | Greenhill Family Clinic, LLC | Clinic/Center | 351 Highway 64, Killen, AL 35645 | 2006-12-27 |
| 1841203155 | Elizabeth Nelson Plott | Pharmacist | 1161 Highway 72, Killen, AL 35645 | 2006-08-15 |
| 1295782696 | Alton Paul Reed | Emergency Medicine | 9173 Turtle Point Dr, Killen, AL 35645-2853 | 2006-05-30 |
| Find all providers in zip 35645 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770030843 | Advantage Health Solutions,llc | Family Medicine | 6492 Hwy 72, Killen, AL 35645 | 2016-09-07 |
| 1053727446 | Complete Medical Health,llc | Family Medicine | 6492 Us Hwy 72, Killen, AL 35645-7740 | 2014-07-07 |
| 1891914362 | Killen Clinic | Family Medicine | 148 J C Mauldin Hwy, Killen, AL 35645-9106 | 2007-04-24 |
| 1083661425 | Elizabeth A Buffler | Family Medicine | 6459 Highway 72, Killen, AL 35645-8258 | 2006-05-30 |
| 1467443424 | David Alan Hollis | Family Medicine | 148 J C Mauldin Highway, Killen, AL 35645 | 2005-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164023529 | Aderholt Medical, LLC | Family Medicine | 320 Old Us-31 N, Athens, AL 35611 | 2020-11-03 |
| 1043810195 | Tempus Primary Care | Family Medicine | 4101 Balmoral Dr Sw Ste B, Huntsville, AL 35801-6535 | 2020-10-28 |
| 1497354617 | Southcoast Medical Services | Family Medicine | 34463 Us Highway 98 Ste G, Lillian, AL 36549-4049 | 2020-10-19 |
| 1154929131 | Jackson Tuley Cornelison | Family Medicine | 41 Eminence Way Ste A, Pell City, AL 35128-2338 | 2020-10-13 |
| 1740895200 | Escambia County Alabama Community Hospitals, Inc | Family Medicine | 609 E. Laurel Street, Atmore, AL 36502 | 2020-09-11 |
| 1336752088 | Christy Nicole Johnson | Family Medicine | 634 Drew Dr, Hollywood, AL 35752-6556 | 2020-08-24 |
| 1053920264 | Mms Life, LLC | Family Medicine | 401 Evergreen Ave, Brewton, AL 36426-2066 | 2020-07-24 |
| 1164040986 | Marshall Primary Care | Family Medicine | 7938 Al Highway 69 Ste 350, Guntersville, AL 35976-7135 | 2020-07-08 |
| 1750907507 | Agape Medicine, LLC | Family Medicine | 42598 State Highway 75, Snead, AL 35952-6566 | 2020-06-17 |
| 1750906921 | Doctors Making Home Visits 1st Inc | Family Medicine | 922 S Perry St, Montgomery, AL 36104-5022 | 2020-06-12 |
| 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.