DALE MEDICAL CENTER (NPI# 1912169038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912169038 |
| Entity Type | Organization |
| Organization Name | DALE MEDICAL CENTER |
| Other Organization Name | ANDREW A DUERR |
| Practice Address |
2126 W Roy Parker Rd Suite 207 Ozark AL 36360-8566 |
| Mailing Address |
Po Box 460 Ozark AL 36361-0460 |
| Practice Telephone | 3344456329 |
| Practice Fax Number | 3344456001 |
| Mailing Telephone | 3344456329 |
| Mailing Fax Number | 3344456001 |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2008-06-30 |
| Authorized Official Name | MR. VERNON JOHNSON (CEO) |
| Authorized Official Telephone | 3347742601 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 25234 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 529924880 | 05 |
| Other Name | Type Code |
|---|---|
| andrew a duerr | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003264136 | Dale Medical Center | Nurse Practitioner | 633 South Union Ave, Ozark, AL 36360 | 2016-05-31 |
| 1821363524 | Dale Medical Center | Family Medicine | 320 White Ave, Ozark, AL 36360-0908 | 2012-03-13 |
| 1346389632 | Dale Medical Center | Pediatrics | 322 White Ave, Ozark, AL 36360-0908 | 2007-02-05 |
| 1972603991 | Dale Medical Center | Hospice Care, Community Based | 368 James St, Ozark, AL 36360-2015 | 2006-09-22 |
| 1538275342 | Dale Medical Center | Family Medicine | 218 Hospital Ave Ste B, Ozark, AL 36360-2072 | 2006-08-22 |
| 1215479357 | Dale Medical Center | Medicare Defined Swing Bed Unit | 126 Hospital Ave, Ozark, AL 36360-2018 | 2016-11-07 |
| 1366724684 | Dale Medical Center | Surgery | 2126 W Roy Parker Rd, Ste 204, Ozark, AL 36360-8566 | 2011-09-13 |
| 1033449467 | Dale Medical Center | Obstetrics & Gynecology | 2126 W Roy Parker Rd, Ste 204, Ozark, AL 36360-8566 | 2010-01-07 |
| 1164651568 | Dale Medical Center | Family Medicine | 218 Hospital Ave, Ste B, Ozark, AL 36360-2064 | 2009-07-07 |
| 1598994279 | Dale Medical Center | Surgery | 2126 W Roy Parker Rd, Ste 203, Ozark, AL 36360-8566 | 2009-07-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | DALE MEDICAL CENTER | 126 Hospital Ave, Ozark, AL 36360-2018 |
| Street Address |
2126 W ROY PARKER RD SUITE 207 |
| City | OZARK |
| State | AL |
| Zip Code | 36360-8566 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396747382 | Juan A Fernandez | Urology | 2126 W Roy Parker Rd, Suite 202, Ozark, AL 36360-8566 | 2005-08-10 |
| 1366724684 | Dale Medical Center | Surgery | 2126 W Roy Parker Rd, Ste 204, Ozark, AL 36360-8566 | 2011-09-13 |
| 1033449467 | Dale Medical Center | Obstetrics & Gynecology | 2126 W Roy Parker Rd, Ste 204, Ozark, AL 36360-8566 | 2010-01-07 |
| 1598994279 | Dale Medical Center | Surgery | 2126 W Roy Parker Rd, Ste 203, Ozark, AL 36360-8566 | 2009-07-02 |
| 1114063997 | Juan A. Fernandez, Md Advanced Urology, PC | Urology | 2126 W Roy Parker Rd, Suite 202, Ozark, AL 36360-8566 | 2007-01-29 |
| 1356490627 | Azalea Physicians for Women, P.C. | Obstetrics & Gynecology | 2126 W Roy Parker Rd, Suite 204, Ozark, AL 36360-8566 | 2007-01-09 |
| 1952311631 | South Alabama Orthopedics & Sports Medicine, PC | Orthopaedic Surgery | 2126 W Roy Parker Rd, Suite 201, Ozark, AL 36360-8566 | 2006-08-08 |
| 1609830157 | David Alan Clark | Orthopaedic Surgery | 2126 W Roy Parker Rd, Suite 201, Ozark, AL 36360-8566 | 2006-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699385906 | Wei Xuan Lim | Behavior Technician | 850 Andrews Ave, Suite 2, Ozark, AL 36360 | 2020-08-03 |
| 1831638220 | Rebekah Layne Windsor | Occupational Therapist | 193 Sam Lisenby Road, Sumlar Therapy, Ozark, AL 36360 | 2017-02-17 |
| 1003264136 | Dale Medical Center | Nurse Practitioner | 633 South Union Ave, Ozark, AL 36360 | 2016-05-31 |
| 1578948436 | Jones Mobile Phlebotomy Servies, Inc. | Technician, Pathology | 343 Acker Ave, Ozark, ALABAMA 36360 | 2015-07-21 |
| 1740623701 | Dr. Tucker and Associates, Inc. | Counselor | 1566 A East Andrews Avenue, Ozark, AL 36360 | 2013-04-09 |
| 1093036592 | City of Ozark City Clerk | Ambulance | 188 Peacock Parkway, Ozark, AL 36360 | 2010-06-18 |
| 1811144934 | Roger William Wiley | Optometrist | 578 Andrews Ave., Ozark, AL 36360 | 2008-08-20 |
| 1821295940 | Ozark City | Local Education Agency (LEA) | 1044 Andrews Ave, Ozark, AL 36360 | 2007-07-02 |
| 1548303761 | Dale County Health Dept Mat | Public Health or Welfare | 200 Katherine Avenue, Ozark, AL 36360 | 2007-02-15 |
| 1952462954 | Alan Conrad | Chiropractor | 1817 Andrews Ave, Ozark, AL 36360 | 2006-12-13 |
| Find all providers in zip 36360 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154368405 | Radu Constantine | Surgery | 2126 W Roy Parker Rd Ste 203, Ozark, AL 36360-8566 | 2006-06-02 |
| 1366724684 | Dale Medical Center | Surgery | 2126 W Roy Parker Rd, Ste 204, Ozark, AL 36360-8566 | 2011-09-13 |
| 1598994279 | Dale Medical Center | Surgery | 2126 W Roy Parker Rd, Ste 203, Ozark, AL 36360-8566 | 2009-07-02 |
| 1073522546 | John C Smith | Surgery | 201 S 7th St, Ozark, AR 72949-3131 | 2006-08-05 |
| 1720020134 | Danilo Sulit | Surgery | 801 W River St, Ozark, AR 72949-3023 | 2006-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689206740 | Robert Heuermann Md LLC | Surgery | 107 Patty Lane, Talladega, AL 35160 | 2020-02-06 |
| 1497311989 | I & B Testing LLC | Surgery | 975 9th Ave Sw Ste 507, Bessemer, AL 35022-7837 | 2019-05-10 |
| 1306336011 | Jinwoo Hur | Surgery | 2305 Vincente Dr, Auburn, AL 36830-1449 | 2018-05-17 |
| 1194256438 | Jackson Hospital and Clinic Inc. | Surgery | 1722 Pine St Ste 201, Montgomery, AL 36106-1158 | 2017-03-27 |
| 1528413051 | Vinh Nguyen Md PC | Surgery | 100 Pilot Medical Dr Ste 285, Birmingham, AL 35235-3475 | 2016-05-03 |
| 1083087340 | Alabama Bariatrics and Minimally Invasive Surgery, PC | Surgery | 705 Bank St Ne, Decatur, AL 35601-1609 | 2015-11-09 |
| 1245608306 | Grandview Surgery LLC | Surgery | 316 Alpine St, Irondale, AL 35210-3210 | 2015-09-07 |
| 1891174488 | Vivian B Yeilding | Surgery | 2022 Brookwood Medical Ctr Dr Ste 207, Birmingham, AL 35209-6807 | 2015-05-28 |
| 1184013138 | Duerr Surgical, LLC | Surgery | 1008 Boll Weevil Cir Ste D, Enterprise, AL 36330-3400 | 2015-01-14 |
| 1356757991 | Michael Trace Stafford | Surgery | 1123 Belleville Ave, Brewton, AL 36426-1505 | 2014-07-03 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DALE MEDICAL CENTER.
| 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.