DR. PAUL A SOUTHALL (NPI# 1902800618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902800618 |
| Entity Type | Individual |
| Full Name | DR. PAUL A SOUTHALL |
| Credential | MD |
| Practice Address |
205 Marengo St Florence AL 35630-6033 |
| Mailing Address |
Po Box 786 Birmingham AL 35201-0786 |
| Practice Telephone | 8663135265 |
| Practice Fax Number | 2053135298 |
| Mailing Telephone | 8663135265 |
| Mailing Fax Number | 2053135298 |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2007-10-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 14708 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | CHG BCBSAL | 51504279 | 01 |
| AL | SHO BCBSAL | 51525598 | 01 |
| Street Address |
205 MARENGO ST |
| City | FLORENCE |
| State | AL |
| Zip Code | 35630-6033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447252788 | Warren T Norman | Specialist | 205 Marengo St, Florence, AL 35630-6033 | 2005-06-01 |
| 1922574276 | Lauren Ashton Rhodes | Nurse Practitioner | 205 Marengo St, Florence, AL 35630-6033 | 2018-10-15 |
| 1427566678 | Charly Samantha Wylie | Nurse Anesthetist, Certified Registered | 205 Marengo St, Florence, AL 35630-6033 | 2018-01-22 |
| 1194238790 | Stacey Monique Barnett | Nurse Practitioner | 205 Marengo St, Florence, AL 35630-6033 | 2017-11-06 |
| 1942747290 | Oliver Pharr Matthews IIi | Nurse Anesthetist, Certified Registered | 205 Marengo St, Florence, AL 35630-6033 | 2017-01-25 |
| 1962947986 | Dana Lawler | Nurse Practitioner | 205 Marengo St, Florence, AL 35630-6033 | 2016-12-29 |
| 1881051365 | Lindsey Mayo Bonner | Nurse Anesthetist, Certified Registered | 205 Marengo St, Florence, AL 35630-6033 | 2016-01-28 |
| 1558728626 | Katelyn Danielle Cresswell | Physician Assistant | 205 Marengo St, Florence, AL 35630-6033 | 2016-01-20 |
| 1902263163 | Joel Sessions | Physician Assistant | 205 Marengo St, Florence, AL 35630-6033 | 2016-01-19 |
| 1750773743 | My Care Alabama, Inc | Case Management | 205 Marengo St, Florence, AL 35630-6033 | 2015-02-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346880531 | Rachel E Belue | Counselor | 409 N. Court Street, Florence, AL 35630 | 2020-01-15 |
| 1154857746 | Danish Henry | Internal Medicine | North Alabama Medical Center, 1701 Veterans Dr, Florence, AL 35630 | 2017-05-03 |
| 1396118261 | Three Oaks Pharmacy LLC | Pharmacy | 861 Cox Creek Parkway, Florence, AL 35630 | 2015-11-02 |
| 1235501891 | Wellness Walk-in Clinic, LLC | Nurse Practitioner | 2612 Hough Road, Florence, AL 35630 | 2015-10-22 |
| 1972995207 | Elyse Angel | Pharmacist | 109 East Dr Hicks Blvd, Florence, AL 35630 | 2015-02-24 |
| 1750772380 | Whitlee Laina Kelley | Case Manager/Care Coordinator | 112 Titan Drive, Florence, AL 35630 | 2015-02-18 |
| 1942612155 | Hillary Jean Delarosa | Internal Medicine | 162 Titan Drive, Florence, AL 35630 | 2014-05-22 |
| 1952723678 | Sharron M Boatwright | Nurse Practitioner | 1949 Florence Boulevard, Occupational Health Center LLC, Florence, AL 35630 | 2014-01-15 |
| 1194160523 | Caryn Barnett | Physical Therapist | 412 S. Court Street, Suite 403, Florence, AL 35630 | 2013-04-29 |
| 1396074662 | Heather White Bryant | Counselor | 118 East Mobile St, Suite 106, Florence, AL 35630 | 2009-12-16 |
| Find all providers in zip 35630 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639692767 | Northwest Alabama Emergency Medicine LLC | Emergency Medicine | 1751 Veterans Dr, Florence, AL 35630-4928 | 2017-07-20 |
| 1851822696 | Jonathan Walrath | Emergency Medicine | 48 Achates Dr, Florence, KY 41042-9753 | 2017-03-23 |
| 1245501972 | Anthem Emergency Medicine Specialists, LLC | Emergency Medicine | 4545 N. Hunt Hwy., Florence, AZ 85132 | 2012-01-26 |
| 1629102363 | Louis Eduardo Velasco IIi | Emergency Medicine | 4545 N Hunt Hwy, Florence, AZ 85132 | 2007-03-15 |
| 1235204827 | Walter Duayne Storm | Emergency Medicine | 971 Jason Lopez Cir, Bldg B, Florence, AZ 85132-2501 | 2006-11-21 |
| 1750304804 | Donald Terry Kendrick | Emergency Medicine | 6298 W Saratoga Way, Florence, AZ 85232-6620 | 2006-07-26 |
| 1437102779 | Melody Sue Hoover | Emergency Medicine | 8460 Us Highway 42, Florence, KY 41042-9642 | 2006-05-18 |
| 1164474441 | Philip Mark Goldman | Emergency Medicine | 7649 Plow Share Ct, Florence, KY 41042-8067 | 2006-05-16 |
| 1396707006 | Richard L. Rogers | Emergency Medicine | 1001 W Sumter St, Florence, SC 29501-2205 | 2006-04-06 |
| 1033180104 | Charles Frederick Albert | Emergency Medicine | 210 Indian Springs Dr, Florence, AL 35634-2056 | 2006-01-27 |
| Find all providers in FLORENCE | ||||
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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.