Todd A Durham (NPI# 1063634293, PAC ID# 2961534623) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1063634293 |
| PAC ID by PECOS | 2961534623 |
| Professional Enrollment ID | I20100715000151 |
| Full Name | Todd A Durham |
| Organization Legal Name | SHOALS PRIMARY CARE, LLC |
| Address |
1404 E Avalon Ave Tuscumbia AL 35674-1773 |
| Phone Number | 2563815507 |
| Gender | M |
| Medical School | WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2005 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 1557406246 |
| Number of Group Practice Members | 40 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 010006 | ELIZA COFFEE MEMORIAL HOSPITAL |
| 010158 | RUSSELLVILLE HOSPITAL |
| 010157 | SHOALS HOSPITAL |
| 010019 | HELEN KELLER HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 205 Marengo St, Florence, AL 35630-6033 | 2567673112 | LAUDERDALE RADIOLOGY GROUP |
| 1404 E Avalon Ave, Tuscumbia, AL 35674-1773 | 2563815507 | SHOALS PRIMARY CARE, LLC |
| Organization Legal Name | SHOALS PRIMARY CARE, LLC |
| Physicians | 46 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Callie Christiann Bowling | Nurse Practitioner | Shoals Primary Care, LLC | 1080 2nd St, Cherokee, AL 35616-7328 |
| Matthew Alexander Montgomery | Nurse Practitioner | Shoals Primary Care, LLC | 11631 Hwy 101, Lexington, AL 35648-3249 |
| Alan Billsby | General Surgery | Shoals Primary Care, LLC | 500 N Montgomery Ave, Sheffield, AL 35660-2832 |
| Paul A Morris | Cardiovascular Disease (cardiology) | Shoals Primary Care, LLC | 201 Rosa Ln, Florence, AL 35630-1770 |
| Galen H Kiser | Emergency Medicine | Shoals Primary Care, LLC | 14490 County Line Rd, Muscle Shoals, AL 35661-4412 |
| Flora Kayfan | Family Medicine | Shoals Primary Care, LLC | 342 Cox Boulevard, Sheffield, AL 35660-4000 |
| George A Evans | General Practice | Shoals Primary Care, LLC | 340 Cox Blvd, Sheffield, AL 35660-4020 |
| Donald L Johnson | Diagnostic Radiology | Shoals Primary Care, LLC | 1404 E Avalon Ave, Tuscumbia, AL 35674-1773 |
| Terence T Hart | General Practice | Shoals Primary Care, LLC | 342 Cox Boulevard, Sheffield, AL 35660-4000 |
| Hannah Willis Hale | Nurse Practitioner | Shoals Primary Care, LLC | 342 Cox Boulevard, Sheffield, AL 35660-4000 |
| Street Address |
1404 E AVALON AVE |
| City | TUSCUMBIA |
| State | AL |
| Zip | 35674-1773 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Donald L Johnson | Diagnostic Radiology | Shoals Primary Care, LLC | 1404 E Avalon Ave, Tuscumbia, AL 35674-1773 |
| Paul F Vonherrmann | Diagnostic Radiology | Shoals Primary Care, LLC | 1404 E Avalon Ave, Tuscumbia, AL 35674-1773 |
| William Blake Parker | Physical Therapy | Drayer Physical Therapy-alabama, LLC | 1404 E Avalon Ave, Suite B2, Tuscumbia, AL 35674-1771 |
| Theresia Lynn Roach | Nurse Practitioner | Shoals Primary Care, LLC | 1404 E Avalon Ave, Tuscumbia, AL 35674-1773 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chikisha Laray Flint | Nurse Practitioner | Gps Physician Group, PC | 813 Keller Ln, Tuscumbia, AL 35674-1110 |
| Kristy Elaine Parrish | Nurse Practitioner | Medical Associates of The Shoals, P.C. | 1106 N Cave St, Tuscumbia, AL 35674-1358 |
| Crystelle L Carmack | Nurse Practitioner | Medical Associates of The Shoals, P.C. | 1106 N Cave St, Tuscumbia, AL 35674-1358 |
| Susanna Hall | Nurse Practitioner | Medical Associates of The Shoals, P.C. | 1106 N Cave St, Tuscumbia, AL 35674-1358 |
| Lynn L Holloway | Nurse Practitioner | Medical Associates of The Shoals, P.C. | 1106 N Cave St, Tuscumbia, AL 35674-1358 |
| Jennifer L Lawson | Nurse Practitioner | 130 Keller Park Blvd, Tuscumbia, AL 35674-1416 | |
| Natasha Leann Taylor | Nurse Practitioner | 4951 Wilson Dam Rd, Tuscumbia, AL 35674-9141 |
| City | TUSCUMBIA |
| Zip Code | 35674 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | TUSCUMBIA + DIAGNOSTIC RADIOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.