Eric W Baum I (NPI# 1285669077, PAC ID# 3971672445) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
Nation Provider ID (NPI) | 1285669077 |
PAC ID by PECOS | 3971672445 |
Professional Enrollment ID | I20101117000929 |
Full Name | Eric W Baum I |
Organization Legal Name | SOUTHEASTERN DERMATOLOGY GROUP PA |
Address |
101 Cherry St Gadsden AL 35901-5234 |
Gender | M |
Medical School | STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE |
Graduation Year | 1978 |
Primary Specialty | DERMATOLOGY |
Group Practice PAC ID | 9931277233 |
Number of Group Practice Members | 32 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
010104 | GRANDVIEW MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
106 Westside Dr, Dothan, AL 36303-0106 | 3346993376 | SOUTHEASTERN DERMATOLOGY GROUP PA |
101 Cherry St, Gadsden, AL 35901-5234 | SOUTHEASTERN DERMATOLOGY GROUP PA |
Organization Legal Name | SOUTHEASTERN DERMATOLOGY GROUP PA |
Physicians | 32 |
Name | Specialty | Organization | Address |
---|---|---|---|
Megan E Deselms | Physician Assistant | Southeastern Dermatology Group Pa | 2010 E Johnson Ave, Pensacola, FL 32514-6027 |
Josh A Hammel | Dermatology | Southeastern Dermatology Group Pa | 1605 Whitesville St, Lagrange, GA 30240-5903 |
Hannah Garnett | Nurse Practitioner | Southeastern Dermatology Group Pa | 201 A Longwood Dr Se, Huntsville, AL 35801-2742 |
John Phillips | Dermatology | Southeastern Dermatology Group Pa | 3089 Gulf Breeze Pkwy, Gulf Breeze, FL 32563-3216 |
Amy S West | Physician Assistant | Southeastern Dermatology Group Pa | 212 Nw Racetrack Rd, Fort Walton Beach, FL 32547-3831 |
Rachel E Brooks | Physician Assistant | Southeastern Dermatology Group Pa | 989 Elba Hwy, Troy, AL 36079-6050 |
Jeffrey B Stricker | Dermatology | Southeastern Dermatology Group Pa | 1474 Market St, Tallahassee, FL 32312-1768 |
Carole C Lane | Internal Medicine | Southeastern Dermatology Group Pa | 106 Westside Dr, Dothan, AL 36303-0106 |
Garin D Barth | Dermatology | Southeastern Dermatology Group Pa | 2320 Double Churches Rd, Suite B, Columbus, GA 31909-2662 |
Lauren E Miller | Physician Assistant | Southeastern Dermatology Group Pa | 101 Cherry St, Gadsden, AL 35901-5234 |
Street Address |
101 CHERRY ST |
City | GADSDEN |
State | AL |
Zip | 35901-5234 |
Name | Specialty | Organization | Address |
---|---|---|---|
Lauren E Miller | Physician Assistant | Southeastern Dermatology Group Pa | 101 Cherry St, Gadsden, AL 35901-5234 |
Name | Specialty | Organization | Address |
---|---|---|---|
John A Just | Neurology | John A Just Md, 502 Soth 4th Street, Gadsden, AL 35901 | |
James A Mccain | Internal Medicine | Quality of Life Health Services Inc | 1020 Tuscaloosa Ave, Gadsden, AL 35901-3005 |
Janice L Parker | Nurse Practitioner | Quality of Life Health Services Inc | 1020 Tuscaloosa Ave, Gadsden, AL 35901-3005 |
Lawrence R Ware | Family Medicine | Quality of Life Health Services Inc | 1020 Tuscaloosa Ave, Gadsden, AL 35901-3005 |
Smithson O Ahiabuike | Internal Medicine | Quality of Life Health Services Inc | 420 N 6th St, Gadsden, AL 35901-3244 |
Richard A West | Nurse Practitioner | Quality of Life Health Services Inc | 420 N 6th St, Gadsden, AL 35901-3244 |
Janie T Teschner | General Practice | 1016 Forrest Ave, Gadsden, AL 35901-3540 | |
Jordan C Holder | Nurse Practitioner | 1024 1st Ave, Gadsden, AL 35901-3544 | |
Frederick W Kelly | Family Medicine | 1024 1st Ave, Gadsden, AL 35901-3544 | |
Donna Lee | Optometry | 221 Broad St, Gadsden, AL 35901-3713 | |
Find all physicians in zip 35901 |
City | GADSDEN |
Zip Code | 35901 |
Specialty | DERMATOLOGY |
City + Specialty | GADSDEN + DERMATOLOGY |
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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.