ADVANTAGE DIABETIC AND MEDICAL (NPI# 1972526861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972526861 |
| Entity Type | Organization |
| Organization Name | ADVANTAGE DIABETIC AND MEDICAL |
| Practice Address |
107 N Florida St Mobile AL 36607-3009 |
| Practice Telephone | 2516612238 |
| Practice Fax Number | 2516612177 |
| Mailing Telephone | 2516612238 |
| Mailing Fax Number | 2516612177 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2012-03-20 |
| Authorized Official Name | ANNE S WEAVER (PRESIDENT) |
| Authorized Official Telephone | 2516612238 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers | ||
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 595 | AL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 009973425 | 05 | |
| AL | BCBS PROVIDER ID | 51524260 | 01 |
| Street Address |
107 N FLORIDA ST |
| City | MOBILE |
| State | AL |
| Zip Code | 36607-3009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821404559 | Cindy Strahan | Occupational Therapy Assistant | 2900 Sping Hill Ave, Mobile, AL 36607 | 2014-07-02 |
| 1043649072 | Rebecca Clara Eskridge | Speech-Language Pathologist | 200 C East Portier Ct., Mobile, AL 36607 | 2013-11-12 |
| 1497016794 | Gregory Mark Quatrino | Surgery | 3 Mobile Infirmary Cir Ste 212, Mobile, AL 36607 | 2012-06-03 |
| 1457682197 | Joseph Michael Mckean | Dentist | 3050 Dauphin Square Connector, Mobile, AL 36607 | 2010-01-20 |
| 1679711956 | Sheldon Scott Bradley | Nurse Practitioner | 1 Infirmary Circle, Mobile Infirmary Er, Mobile, AL 36607 | 2009-01-26 |
| 1508058132 | Wanda K Miller | Occupational Therapist | 1903 Springhill Ave, Mobile, AL 36607 | 2007-08-17 |
| 1811035322 | George N Lukes | Dentist | 2653a Old Shell Road, Mobile, AL 36607 | 2007-02-05 |
| 1487702999 | Carl Maltese | Specialist | 1901 Springhill Ave, Mobile, AL 36607 | 2007-01-08 |
| 1790871242 | Cheryl Lambert Thames | Physical Therapist | 2006 Airport Blvd., Mobile, AL 36607 | 2006-10-04 |
| 1760576227 | Jane Bagwell Hale | Physical Therapist | 3202 Old Shell Road, Mobile, AL 36607 | 2006-10-02 |
| Find all providers in zip 36607 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801444062 | L&d Enterprise, Inc. | Durable Medical Equipment & Medical Supplies | 225 Dauphin St, Suite 300, Mobile, AL 36602 | 2019-08-30 |
| 1104470921 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 6395 Airport Blvd Ste A, Mobile, AL 36608-3131 | 2019-07-30 |
| 1003388067 | Alabama Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 4645 Airport Blvd, Mobile, AL 36608-2222 | 2018-12-31 |
| 1871016964 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 5440 A Highway 90 W, Mobile, AL 36619-4228 | 2017-07-20 |
| 1205359395 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1351 N University Blvd, Mobile, AL 36618-2609 | 2017-07-20 |
| 1730602830 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2912 Dauphin Island Pkwy Ste L, Mobile, AL 36605-3839 | 2017-07-20 |
| 1235652462 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3151 Dauphin St, Mobile, AL 36606-4081 | 2017-07-19 |
| 1992257349 | Anesthesia Services Associates, Pllc. | Durable Medical Equipment & Medical Supplies | 110 N Lafayette St, Mobile, AL 36604-2208 | 2016-11-02 |
| 1265985162 | Soleo Health Inc | Durable Medical Equipment & Medical Supplies | 2866 Dauphin Center, Suite H, Mobile, AL 36606-2482 | 2016-07-27 |
| 1427404722 | Precision Orthotics & Prosthetics,llc | Durable Medical Equipment & Medical Supplies | 1557 Springhill Avenue, Mobile, AL 36604 | 2016-05-05 |
| Find all providers in MOBILE | ||||
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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.