MARSHALL MEDICAL CENTER SOUTH (NPI# 1992967772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992967772 |
| Entity Type | Organization |
| Organization Name | MARSHALL MEDICAL CENTER SOUTH |
| Practice Address |
2505 Us Hwy 431 N Boaz AL 35957 |
| Practice Telephone | 2565938310 |
| Mailing Telephone | 2565938310 |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2008-07-02 |
| Authorized Official Name | MS. KATHY B NELSON (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 2568946600 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | Y |
| Parent Organization Name | MARSHALL MEDICAL CENTER SOUTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 282N00000X | General Acute Care Hospital | AL | Hospitals | |
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 558200290 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003136896 | Marshall Medical Center South | Surgery | 133 Wall St, Albertville, AL 35951-9300 | 2010-06-03 |
| 1861663874 | Marshall Medical Center South | Nurse Anesthetist, Certified Registered | 2505 Us Hwy 431n, Boaz, AL 35957-0758 | 2008-03-18 |
| 1306914882 | Marshall Medical Center South | General Acute Care Hospital | 2505 Us Hwy 431 N, Boaz, AL 35957-0758 | 2006-12-01 |
| 1780776633 | Marshall Medical Center South | Otolaryngology | 704 Medical Center Parkway, Boaz, AL 35957 | 2006-09-29 |
| 1497269799 | Marshall Medical Center South | Nurse Anesthetist, Certified Registered | 2505 Us Highway 431, Boaz, AL 35957-5908 | 2017-11-22 |
| 1538511340 | Marshall Medical Center South | Internal Medicine | 11491 Us Highway 431, Albertville, AL 35950-0136 | 2016-07-05 |
| 1962824441 | Marshall Medical Center South | Orthopaedic Surgery | 38 Rowe Dr, Guntersville, AL 35976-7367 | 2014-01-17 |
| 1760765028 | Marshall Medical Center South | Emergency Medicine | 2505 Us Highway 431, Boaz, AL 35957 | 2011-09-23 |
| 1356657357 | Marshall Medical Center South | Radiology | 2505 Us Highway 431, Boaz, AL 35957 | 2010-08-27 |
| 1639321789 | Marshall Medical Center South | Obstetrics & Gynecology | 2525 Us Highway 431, 210, Boaz, AL 35957-5934 | 2008-10-21 |
| Street Address |
2505 US HWY 431 N |
| City | BOAZ |
| State | AL |
| Zip Code | 35957 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306914882 | Marshall Medical Center South | General Acute Care Hospital | 2505 Us Hwy 431 N, Boaz, AL 35957-0758 | 2006-12-01 |
| 1992952964 | Central Alabama Emergency Physicians, LLC | Emergency Medicine | 2505 Us Hwy 431 N, Boaz, AL 35957 | 2008-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124639935 | Twindom Counseling Services, LLC | Community/Behavioral Health | 202 Lackey Street, Boaz, AL 35957 | 2020-08-14 |
| 1407464308 | Brittany C Mcclendon | Nurse Practitioner | 2505 Us Hwy. 431, Suite A, Women's Center, Boaz, AL 35957 | 2020-07-16 |
| 1942831169 | Kayleigh Danielle Eller | Student in an Organized Health Care Education/Training Program | 147 Stephans Road, Boaz, AL 35957 | 2020-01-27 |
| 1710443767 | Antallia Shauntell Johnson | Nurse Practitioner | 2505 Us Hwy 431 Women's Center Suite A, Boaz, AL 35957 | 2019-02-14 |
| 1649516659 | Tiffany Brown Butler | Nurse Practitioner | 2505 U.S. Highway 431, Boaz, AL 35957 | 2012-12-19 |
| 1811263270 | Abundant Life Family Chiropractic LLC | Chiropractor | 100 Bel Air St, Boaz, AL 35957 | 2012-03-29 |
| 1659696375 | Rachel Lambert | Pharmacist | 10402 Al Hwy 168, Boaz, AL 35957 | 2010-04-06 |
| 1407028368 | Brenda J Parrish | Nurse Practitioner | 2505highway 431, Boaz, AL 35957 | 2008-03-31 |
| 1942346234 | Candi Denise Blackwell | Nurse Anesthetist, Certified Registered | 2055 Us Hwy 431, Boaz, AL 35957 | 2007-01-30 |
| 1558418426 | Gideon P Ewing | Internal Medicine | 2505 Highway 431, Boaz, AL 35957 | 2007-01-04 |
| Find all providers in zip 35957 | ||||
| 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 |
|---|---|---|---|---|
| 1003970922 | Hoyt Abner Childs Jr. | Emergency Medicine | 2505 U S Highway 431 North, Boaz, AL 35957-0758 | 2006-12-22 |
| 1316392103 | John Everett Obert | Emergency Medicine | 2505 Us Highway 431, Boaz, AL 35957-5908 | 2016-04-28 |
| 1760765028 | Marshall Medical Center South | Emergency Medicine | 2505 Us Highway 431, Boaz, AL 35957 | 2011-09-23 |
| 1609161124 | Mark H Christensen | Emergency Medicine | 2505 Us Highway 431, Boaz, AL 35957-5908 | 2011-06-13 |
| 1992952964 | Central Alabama Emergency Physicians, LLC | Emergency Medicine | 2505 Us Hwy 431 N, Boaz, AL 35957 | 2008-08-21 |
| 1295896397 | James Andrew Clement Jr. | Emergency Medicine | 2505 Us Highway 431, Boaz, AL 35957 | 2006-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740802115 | Jonathan Patrick Oakie | Emergency Medicine | 134 Grand Haven Dr, Tuscumbia, AL 35674-9133 | 2020-05-08 |
| 1639692767 | Northwest Alabama Emergency Medicine LLC | Emergency Medicine | 1751 Veterans Dr, Florence, AL 35630-4928 | 2017-07-20 |
| 1245768316 | Ashton Elisabeth Kilgore | Emergency Medicine | 618 20th St South Suite 251, Birmingham, AL 35249-4756 | 2017-06-01 |
| 1568998169 | Hannah Obayangban | Emergency Medicine | 801 Princeton Ave Sw Ste 101, Birmingham, AL 35211-1306 | 2017-05-03 |
| 1255872594 | Harris Lake Emergency Physicians LLC | Emergency Medicine | 1032 South Main Street, Wedowee, AL 36278 | 2017-03-20 |
| 1720492242 | Christopher John Phillips | Emergency Medicine | 1201 7th Street Se, Decatur, AL 35601 | 2014-06-12 |
| 1497175236 | Paul Nicholas Lee Jr. | Emergency Medicine | 1626 Parkmoor Ct, Mobile, AL 36695-4385 | 2014-04-20 |
| 1831518943 | Rene Thomas Schexnaildre Jr. | Emergency Medicine | 7191 Cahaba Valley Rd Ste 108, Birmingham, AL 35242-6461 | 2014-04-16 |
| 1073930251 | Rachel Michelle Giyanani | Emergency Medicine | 100 Washington St Ne, Huntsville, AL 35801-4860 | 2014-03-25 |
| 1063836765 | Mohamed Hassan | Emergency Medicine | 5569 Grove Blvd, Hoover, AL 35226 | 2014-02-15 |
| 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.