EASTERN SHORE INTERNAL MEDICINE, LLC (NPI# 1891090403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891090403 |
| Entity Type | Organization |
| Organization Name | EASTERN SHORE INTERNAL MEDICINE, LLC |
| Practice Address |
374 Greeno Rd S Fairhope AL 36532-1916 |
| Practice Telephone | 2519901770 |
| Practice Fax Number | 2519901771 |
| Mailing Telephone | 2519901770 |
| Mailing Fax Number | 2519901771 |
| Enumeration Date | 2011-01-13 |
| Last Update Date | 2011-02-21 |
| Authorized Official Name | DR. RICHARD L. SNELLGROVE (PHYSICIAN) |
| Authorized Official Telephone | 2519901770 |
| Authorized Official Credential | M.D, |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 00016922 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BC/BS | 510-38007 | 01 |
| AL | 000038007 | 05 | |
| AL | UNITED HEALTHCARE | 25-10092 | 01 |
| Street Address |
374 GREENO RD S |
| City | FAIRHOPE |
| State | AL |
| Zip Code | 36532-1916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174587067 | Mercy Medical, A Corporation | Home Health | 374 Greeno Rd S, Fairhope, AL 36532-1916 | 2006-04-17 |
| 1124644802 | Margaret Davis Kellar | Nurse Practitioner | 374 Greeno Rd S, Fairhope, AL 36532-1916 | 2020-06-18 |
| 1740827799 | Kathryn Steele | Counselor | 374 Greeno Rd S, Fairhope, AL 36532-1916 | 2019-12-09 |
| 1750856324 | Patricia Reed | Nurse Practitioner | 374 Greeno Rd S, Fairhope, AL 36532-1916 | 2018-10-09 |
| 1710470935 | Alexandra Hart Lee | Social Worker | 374 Greeno Rd S, Fairhope, AL 36532-1916 | 2018-06-12 |
| 1508357781 | Heather F Harcourt | Social Worker | 374 Greeno Rd S, Fairhope, AL 36532-1916 | 2018-05-23 |
| 1831689447 | Ellen Ann Walker | Counselor | 374 Greeno Rd S, Fairhope, AL 36532 | 2018-05-18 |
| 1073064234 | Comfort Care Coastal Home Health | Home Health | 374 Greeno Rd S, Fairhope, AL 36532-1916 | 2016-10-21 |
| 1851789440 | Carly Marie Collins | Social Worker | 374 Greeno Rd S, Fairhope, AL 36532 | 2015-01-05 |
| 1982847638 | Aneek R Shoemaker | Psychiatry & Neurology | 374 Greeno Rd S, Fairhope, AL 36532-1916 | 2009-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376000729 | Abby Stockman | Marriage & Family Therapist | 372 S. Greeno Road, Fairhope, AL 36532 | 2019-02-21 |
| 1962973990 | Pain Consultants of Alabama | Non-Pharmacy Dispensing Site | 320 North Greeno Rd., Fairhope, AL 36532 | 2018-12-17 |
| 1881182236 | Interface Medical Consulting LLC | Family Medicine | 12141 Cri, Fairhope, AL 36532 | 2018-05-01 |
| 1063937167 | Julia W Stone, LLC | Counselor | 21180 Al State Hwy 181, Suite 2, Fairhope, AL 36532 | 2017-08-09 |
| 1568985349 | Eastern Shore Oral, Facial and Implant Surgery Center, P.C. | Clinic/Center | 24172 4th Street, Fairhope, AL 36532 | 2017-07-24 |
| 1205209509 | Comfort Care Coastal Hospice, LLC | Hospice Care, Community Based | 22502 U.S. Highway 98, Fairhope, AL 36532 | 2015-11-09 |
| 1609248632 | Sabrina Reeves | Physician Assistant | 77 Magnolia Ave, Fairhope, AL 36532 | 2015-10-29 |
| 1386025146 | Laura Lasecki Wimmer | Podiatrist | 23937 Us Highway 98 Ste 1, Fairhope, AL 36532 | 2015-06-17 |
| 1386024719 | Gulf Coast Homecare LLC Dba Firstlight Homecare of Mobile Eastern Shor | In Home Supportive Care | 924 Plantation Blvd., Suite C, Fairhope, AL 36532 | 2015-06-01 |
| 1386021525 | June Lassiter | Nurse Practitioner | 22823 Ecor Rouge Lane, Fairhope, AL 36532 | 2015-04-27 |
| Find all providers in zip 36532 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1093324287 | Prestige Telemedicine Group LLC | Internal Medicine | 303 Cumberland Rd, Fairhope, AL 36532-3442 | 2020-07-23 |
| 1790954345 | Baldwin Internal Medicine Associates | Internal Medicine | 374 S Greeno Rd, Fairhope, AL 36532-1916 | 2008-02-28 |
| 1740477140 | Nicole Vannor Kersh | Internal Medicine | 82 Plantation Pointe # 300, Fairhope, AL 36532-2962 | 2007-09-28 |
| 1932264918 | Robert Henry Meichner | Internal Medicine | 8050 Springrun Road, Fairhope, AL 36532 | 2006-12-27 |
| 1912096777 | Margaret Claire Meyers | Internal Medicine | 685 Greenwood Ave, Fairhope, AL 36532-2812 | 2006-10-12 |
| 1356447528 | Chad David Reaves | Internal Medicine | 188 Hospital Dr Ste 402, Fairhope, AL 36532-2018 | 2006-09-15 |
| 1366499477 | Richard Lewis Snellgrove | Internal Medicine | 341 Greeno N Rd C, Fairhope, AL 36532-2979 | 2006-05-27 |
| 1467410530 | John Charles Mcduff | Internal Medicine | 300 S Greeno Rd, Suite B, Fairhope, AL 36532-1905 | 2006-05-01 |
| 1356309496 | Suzanne Tormoen | Internal Medicine | 908 Plantation Blvd, Fairhope, AL 36532 | 2006-05-01 |
| 1104820869 | Steven Philip Wittmer | Internal Medicine | 150 S Ingleside St Ste 6, Fairhope, AL 36532-1804 | 2005-06-10 |
| Find all providers in FAIRHOPE | ||||
Please comment or provide details below to improve the information on EASTERN SHORE INTERNAL MEDICINE, LLC.
| 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.