REGENERATIVE MEDICAL INSTITUTE FOR PAIN & NEUROPATHY, LLC (NPI# 1982110284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1982110284 |
Entity Type | Organization |
Organization Name | REGENERATIVE MEDICAL INSTITUTE FOR PAIN & NEUROPATHY, LLC |
Practice Address |
1849 Data Dr Ste 1 Hoover AL 35244 |
Mailing Address |
1849 Data Dr Ste 1 Hoover AL 35244-1202 |
Practice Telephone | 2057748222 |
Practice Fax Number | 2053194899 |
Mailing Telephone | 2057748222 |
Mailing Fax Number | 2053194899 |
Enumeration Date | 2017-12-21 |
Last Update Date | 2018-06-20 |
Authorized Official Name | DR. SHAUNDA ELYSE KELLY (PRESIDENT/CEO) |
Authorized Official Telephone | 2057748222 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2082S0099X |
Plastic Surgery Specialization: Plastic Surgery Within the Head and Neck |
30056 | AL | Allopathic & Osteopathic Physicians |
Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
Street Address |
1849 DATA DR STE 1 |
City | HOOVER |
State | AL |
Zip Code | 35244 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407349830 | Crystal Harris Stubbs | Nurse Practitioner | 1849 Data Dr Ste 1, Hoover, AL 35244-1202 | 2018-06-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720691991 | Husam Jebril | Pharmacist | 5445 Park Side Road, Hoover, AL 35244 | 2020-08-27 |
1588272546 | Tyana Thomas | Behavior Technician | 1820 Southpark Dr, Hoover, Al 35244, Hoover, AL 35244 | 2020-07-16 |
1912520115 | Magic City Physical Therapy | Home Health | 1217 Willow Leaf Circle, Birmingham, AL 35244 | 2020-05-21 |
1851941660 | Carehere LLC | Family Medicine | Carehere Clinic- Mercedes Hoover, 130 Riverchase Parkway East, Hoover, AL 35244 | 2019-09-13 |
1033690888 | Danielle Waldrep Rich | Speech-Language Pathologist | 605 Russet Lake Drive, Hoover, AL 35244 | 2018-08-28 |
1699253559 | Lauren M Martinez | Social Worker | 2524 Valleydale Rd. Suite 100, Birmingham, AL 35244 | 2018-08-02 |
1891217014 | Kristen Michelle Woods | Counselor | 3825 Lorna Rd Ste 240, Birmingham, AL 35244 | 2017-07-10 |
1255868170 | Home Sweet Home Senior Care | Home Health | 1 Chase Corporate Drive, Suite 400, Birmingham, AL 35244 | 2017-05-23 |
1801347455 | Megan Sarah St John | Nurse Practitioner | 2321 Alabama Highway 150, Birmingham, AL 35244 | 2016-10-19 |
1982059986 | Jody Boyles | Specialist/Technologist | 2949 John Hawkins Parkway, Hoover, AL 35244 | 2016-04-27 |
Find all providers in zip 35244 |
Taxonomy Code | 261QM1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Multi-Specialty |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770195737 | Alabama Game Changers | Clinic/Center | 2111 Parkway Office Cir Ste 150, Hoover, AL 35244-2920 | 2020-08-20 |
1689137705 | Wecare Tlc- Poa Hoover | Clinic/Center | 4745 Chace Cir Ste 101, Hoover, AL 35244-3713 | 2019-04-08 |
1679079867 | Alacare Home Health Services, Inc. | Clinic/Center | 2400 John Hawkins Pkwy Ste 104, Hoover, AL 35244-3500 | 2018-04-05 |
1164899878 | Thcp Bham Al 1 LLC | Clinic/Center | 3829 Lorna Rd, Suite 312, Hoover, AL 35244-7034 | 2015-08-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851999833 | Healthworks Medical Group of Alabama P C | Clinic/Center | 9000 Greenbrier Pkwy Nw, Madison, AL 35756-4453 | 2020-10-13 |
1508470899 | Healthworks Medical Group of Alabama P C | Clinic/Center | 200 Waits Dr, Andalusia, AL 36421-2431 | 2020-09-03 |
1437710183 | Cahaba Medical Care Foundation | Clinic/Center | 1305 Princeton Ave Sw, Birmingham, AL 35211-1544 | 2019-06-24 |
1184282840 | St Luke Integrative Medical Center Inc | Clinic/Center | 415e Church St Nw Ste 4, Huntsville, AL 35801-5577 | 2019-05-29 |
1750844775 | Wecare Tlc- Poa Birmingham | Clinic/Center | 2024 2nd Ave N Ste C-2, Birmingham, AL 35203-3732 | 2019-04-08 |
1619430733 | Wecare Tlc- Poa Huntsville | Clinic/Center | 7738 Madison Blvd Ste A, Huntsville, AL 35806-3660 | 2019-04-08 |
1124590468 | Ross Bridge Medical Center Pediatrics, LLC | Clinic/Center | 3635 Market St Ste B, Birmingham, AL 35226-6391 | 2018-12-27 |
1619495041 | Healthworks Medical Group of Alabama P C | Clinic/Center | 2650 Gunter Park Dr E, Montgomery, AL 36109-1417 | 2017-09-06 |
1033642905 | Benchmark Physical Therapy of Alabama, LLC | Clinic/Center | 300 Springville Sta, Ste 500, Springville, AL 35146-6165 | 2017-04-07 |
1164976825 | Regenesis | Clinic/Center | 300 Randolph Ave Se, Huntsville, AL 35801-4118 | 2016-08-11 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on REGENERATIVE MEDICAL INSTITUTE FOR PAIN & NEUROPATHY, 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.