Your Doctor's Office, PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

24787 Issued in AL

Legal business name

YOUR DOCTOR'S OFFICE, PC

Practice address

8630 Vaughn Rd
Montgomery, AL 36117-8852

Phone

(334) 676-4076

Fax

(334) 676-4064

NPI assigned

Jun 23, 2016

Last updated

Oct 31, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Shaikh Wahiduzzaman, M.D.NPI 1831119163

Title

Manager/Owner

Phone

(334) 676-4076

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shaikh Wahiduzzaman, MD

  • Family Medicine Physician
  • Montgomery, AL
  • NPI 1831119163
  Medicare reassignment Care Compare group NPD Authorized official
• Irene Alam Bailey, MD

  • Family Medicine Physician
  • Tallassee, AL
  • NPI 1023116894
  Medicare reassignment Care Compare group NPD
• Mary Kelley Cousins, NP

  • Family Nurse Practitioner
  • Deatsville, AL
  • NPI 1326600362
  Medicare reassignment Care Compare group NPD
• Leigh Anne Luna, N.P.

  • Family Nurse Practitioner
  • Montgomery, AL
  • NPI 1144677824
  Medicare reassignment Care Compare group NPD
• Mary Traudt-Bowdoin, CRNP

  • Family Nurse Practitioner
  • Montgomery, AL
  • NPI 1184915563
  Medicare reassignment Care Compare group NPD
• Jerrie Denise Baldwin, CRNP

  • Family Nurse Practitioner
  • Montgomery, AL
  • NPI 1962954768
  Medicare reassignment NPD
• Jenella Hall

  • Family Nurse Practitioner
  • Montgomery, AL
  • NPI 1043052970
  NPD
• Jenny Marie Browning, CRNP

  • Family Nurse Practitioner
  • Cypress, TX
  • NPI 1982232708
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1466640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477872000000",
    "number": "1003267899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8630 VAUGHN RD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361178852",
            "telephone_number": "334-676-4076",
            "fax_number": "334-676-4064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8630 VAUGHN RD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361178852",
            "telephone_number": "334-676-4076",
            "fax_number": "334-676-4064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR DOCTOR'S OFFICE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-23",
        "last_updated": "2016-10-31",
        "status": "A",
        "authorized_official_last_name": "WAHIDUZZAMAN",
        "authorized_official_first_name": "SHAIKH",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "334-676-4076",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "24787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Helena Robinson Young, LICSW
• Jamelle Young, PHARM.D
• Jennie R Young, LPC
• Laura B Young, LPC, LMFT
• Heather C Youngblood, MCD, CCC-SLP
• Yumeka Yvonne Yowe McKinney, MSLBSW
• Kiyana Zachery, LMFT, MAFP
• Zack D Studstill LLC
• Mahmood A Zaied, MD
• Areeba Zain

• Family Medicine Physician in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.