DECATUR GENERAL HOSPITAL (NPI# 1902947542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902947542 |
| Entity Type | Organization |
| Organization Name | DECATUR GENERAL HOSPITAL |
| Other Organization Name | DECATUR HEART AND VASCULAR |
| Practice Address |
1121 Somerville Rd Se Decatur AL 35601-3256 |
| Practice Telephone | 2563405185 |
| Practice Fax Number | 2563013870 |
| Mailing Telephone | 2563405185 |
| Mailing Fax Number | 2563013870 |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2007-08-02 |
| Authorized Official Name | JAMES HAHN (CEO) |
| Authorized Official Telephone | 2563412000 |
| Is Organization Subpart | Y |
| Parent Organization Name | DECATUR GENERAL HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BCBS | G037 | 01 |
| Other Name | Type Code |
|---|---|
| Decatur Heart and Vascular | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053608968 | Decatur General Hospital | Family Medicine | 1211 Highway 31 Nw, Hartselle, AL 35640-4420 | 2011-06-30 |
| 1972744084 | Decatur General Hospital | Obstetrics & Gynecology | 1107 14th Avenue Se, Suite 320, Decatur, AL 35601 | 2009-03-19 |
| 1255583324 | Decatur General Hospital | Obstetrics & Gynecology | 1202 13th Aveneue Se, Decatur, AL 35601 | 2008-10-21 |
| 1417209081 | Decatur General Hospital | Obstetrics & Gynecology | 1304 13th Ave Se, Suite C, Decatur, AL 35601-4359 | 2012-10-08 |
| 1164777066 | Decatur General Hospital | Clinic/Center | 1201 7th St Se, Decatur, AL 35601 | 2012-07-17 |
| 1780940494 | Decatur General Hospital | Pediatrics | 1215 7th St Se, Suite 230, Decatur, AL 35601-3337 | 2012-04-06 |
| 1356614077 | Decatur General Hospital | Internal Medicine | 1006 Hill St Sw, Hartselle, AL 35640-2802 | 2012-02-10 |
| 1649542127 | Decatur General Hospital | Internal Medicine | 1215 7th St Se, Suite 140, Decatur, AL 35601-3337 | 2012-01-31 |
| 1598041774 | Decatur General Hospital | Family Medicine | 1215 7th St Se, Suite 140, Decatur, AL 35601-3337 | 2011-11-01 |
| 1295023984 | Decatur General Hospital | Urology | 1107 14th Ave Se, Suite G200, Decatur, AL 35601-3309 | 2011-07-14 |
| Street Address |
1121 SOMERVILLE RD SE |
| City | DECATUR |
| State | AL |
| Zip Code | 35601-3256 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538148531 | Luis Nicolas Villanueva | Internal Medicine | 1121 Somerville Rd Se, Suite 1, Decatur, AL 35601-3256 | 2006-01-10 |
| 1881664258 | Tracy Lynn Neal | Internal Medicine | 1121 Somerville Rd Se, Suite #1, Decatur, AL 35601-3256 | 2006-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376000679 | Monica Dawn Ross | Counselor | 106 Lee St. Ne, Suite C, Decatur, AL 35601 | 2019-02-23 |
| 1063950319 | Samantha Elizabeth Pickett | Nurse Practitioner | 1115 Beltline Rd Se, Ste 400, Decatur, AL 35601 | 2017-02-07 |
| 1497208250 | Beronica Goodwin | Home Health Aide | 1102b Suite #2 4th Ave Se, Decatur, AL 35601 | 2016-07-28 |
| 1770957177 | Xochitl Dupre | Obstetrics & Gynecology | 1874 Beltline Road Sw, Suite 105, Decatur, AL 35601 | 2015-11-23 |
| 1104224708 | River City Psychiatry, Inc. | Community/Behavioral Health | 115 Johnston Street, Se, Suite 202, Decatur, AL 35601 | 2014-12-12 |
| 1760882690 | Derrick Aaron Randolph | Registered Nurse | 1207 7th St S.e., Decatur/morgan Hospital - Parkway Campus, Decatur, GA 35601 | 2014-08-28 |
| 1427465434 | Martha Read | Family Medicine | 2208 Danville Rd Sw Ste A, Decatur, AL 35601 | 2014-07-22 |
| 1205242948 | Pure Heart Home Care of Alabama, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 107 B 14th Street Sw, Decatur, AL 35601 | 2014-07-02 |
| 1720492242 | Christopher John Phillips | Emergency Medicine | 1201 7th Street Se, Decatur, AL 35601 | 2014-06-12 |
| 1366794711 | Complete Dental Decatur LLC | Dentist | 1241 Point Mallard Parkway, Suite. 105, Decatur, AL 35601 | 2012-10-10 |
| Find all providers in zip 35601 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104829886 | Tansel Turgut | Internal Medicine | 2300 N Edward St, Ste 2400, Decatur, IL 62526-4163 | 2005-05-24 |
| 1679198659 | Excel Heart and Vascular Pllc | Internal Medicine | 609 Medical Center Dr, Decatur, TX 76234-3836 | 2020-06-15 |
| 1811385552 | Apple Cardiac Care | Internal Medicine | 609 Medical Center Dr, Decatur, TX 76234-3836 | 2015-01-05 |
| 1386888444 | Phuong-khanh Jessica Farley | Internal Medicine | 2301 S Fm 51 Ste 400, Decatur, TX 76234-3864 | 2009-04-20 |
| 1033176656 | John S Waters | Internal Medicine | 2300 N Edward St, Ste 2400, Decatur, IL 62526-4163 | 2006-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730746454 | Usa Health Physician Billing Services LLC | Internal Medicine | 2451 University Hospital Dr Bldg C, Mobile, AL 36617-2300 | 2019-05-29 |
| 1689173684 | Cardiac Cin of Mobile LLC | Internal Medicine | 202c Government St, Mobile, AL 36602-2614 | 2018-02-05 |
| 1386809176 | Farah Al Khitan | Internal Medicine | 300 Medical Center Dr 401, Gadsden, AL 35903-1104 | 2008-07-22 |
| 1508993668 | Appalachian Cardiovascular Associates | Internal Medicine | 1990 Gault Ave N, Suite 200, Fort Payne, AL 35967-3418 | 2007-02-27 |
| 1619923844 | Craig Raymond Peterson | Internal Medicine | 19725 South Greeno Road, Fairhope, AL 36532-3843 | 2006-05-26 |
| 1639120819 | Cynthia June Anastas | Internal Medicine | 2045 Cecil Ashburn Dr Se, Suite 201, Huntsville, AL 35802-2563 | 2006-05-13 |
| 1659833515 | Cal Care of Al II, LLC | Internal Medicine | 202c Government St, Mobile, AL 36602-2614 | 2019-04-01 |
| 1700348679 | Cal Care of Al, LLC | Internal Medicine | 202c Government St, Mobile, AL 36602-2614 | 2019-04-01 |
| 1386085793 | Ashwini Sharma | Internal Medicine | 273 Winton M Blount Loop, Montgomery, AL 36117-3507 | 2013-07-13 |
| 1144563792 | Hussein Abu Daya | Internal Medicine | 2000 6th Ave S, Birmingham, AL 35233-2110 | 2013-04-02 |
| 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.