Active NPI
Malachy Ikechukwu Ijemere, MD
- Emergency Medicine Physician
- Gadsden, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 19349
- Practice address
- 600 S 3Rd St
Gadsden, AL 35901-5304 - Phone
- (904) 805-1300
- Fax
- (904) 805-1302
- NPI assigned
- May 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 19349 | AL | Primary |
Addresses
Primary practice location
600 S 3Rd St
Gadsden, AL 35901-5304
Mailing address
PO Box 863535
Orlando, FL 32886-3535
Phone (904) 805-1300
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009924260 | Medicaid | AL | |
| 51555561 | Other | AL | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2505 US Hwy 431
Boaz, AL 35957-5908
Phone (256) 593-8310
3316 Hwy 280
Alexander City, AL 35010-3369
Phone (256) 329-7100
Hospital & facility affiliations
- Russell Medical Center
- Marshall Medical Centers
- North Mississippi Health Services - South Marion
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19349 | AL | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| App of Alabama Ed PLLC | Emergency Medicine | Current | Accepting new patients |
| Coffee County Physician Group PC | Emergency Medicine | Current | Accepting new patients |
| Newgen Alabama Billing LLC | Emergency Medicine | Current | Accepting new patients |
| Nes Tennessee Inc | Emergency Medicine | Current | Accepting new patients |
| Correct Care, Inc. | Emergency Medicine | Current | Accepting new patients |
| Alteon Health Alabama, LLC | Emergency Medicine | Current | Accepting new patients |
| Nes Tennessee Inc | Emergency Medicine | Current | Accepting new patients |
| Keystone Medical Services of Alabama, Inc. | Emergency Medicine | Current | Accepting new patients |
| Paragon Contracting Services LLC | Emergency Medicine | Current | Accepting new patients |
| Nes Tennessee Inc | Emergency Medicine | Current | Accepting new patients |
| Physicians Medical Staffing LLC | Emergency Medicine | Past | Accepting new patients |
| Fayette Medical Center | Past | Accepting new patients |
Locations
3316 Highway 280
Alexander City, AL 35010
Phone (256) 329-7100
301 E 18th St
Anniston, AL 36207
Phone (256) 235-8900
400 E 10th St
Anniston, AL 36207
Phone (256) 235-5121
83825 Highway 9
Ashland, AL 36251
Phone (256) 354-1195
701 Princeton Ave SW
Birmingham, AL 35211
Phone (205) 279-2860
810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456
2505 US Highway 431
Boaz, AL 35957
Phone (256) 506-0061
1010 Lay Dam Rd
Clanton, AL 35045
Phone (205) 280-3218
4370 W Main St
Dothan, AL 36305
Phone (256) 332-1611
1653 Temple Ave N
Fayette, AL 35555
Phone (205) 759-7063
1007 Goodyear Ave
Gadsden, AL 35903
Phone (256) 494-4000
1725 Pine St
Montgomery, AL 36106
Phone (334) 293-8000
150 Gilbreath Dr
Oneonta, AL 35121
Phone (205) 274-3000
126 Hospital Ave
Ozark, AL 36360
Phone (334) 445-4803
15155 Highway 43
Russellville, AL 35653
Phone (256) 332-1611
1300 S Montgomery Ave
Sheffield, AL 35660
Phone (256) 386-4005
315 W Hickory St
Sylacauga, AL 35150
Phone (256) 249-5000
604 Stone Ave
Talladega, AL 35160
Phone (256) 362-8111
1330 Highway 231 S
Troy, AL 36081
Phone (334) 370-5000
229 Saint John Ln
Covington, LA 70433
Phone (866) 875-9225
7300 State Highway 121
Ste 370374
McKinney, TX 75070
Organizations & group practices 13
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Ozark, AL
- NPI 1013744424
-
- Emergency Medicine Physician
- Talladega, AL
- NPI 1477708857
-
- Emergency Medicine Physician
- Troy, AL
- NPI 1790432243
-
- Emergency Medicine Physician
- Montgomery, AL
- NPI 1437606605
-
- Emergency Medicine Physician
- Birmingham, AL
- NPI 1225071459
-
- Emergency Medicine Physician
- Boaz, AL
- NPI 1760765028
-
- Emergency Medicine Physician
- Russellville, AL
- NPI 1659646040
-
- Emergency Medicine Physician
- Monroeville, AL
- NPI 1013519230
-
- Emergency Medicine Physician
- Sylacauga, AL
- NPI 1720507635
-
- General Acute Care Hospital
- Fayette, AL
- NPI 1851323836
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boaz, AL
- NPI 1407313760
-
- General Acute Care Hospital
- Winfield, AL
- NPI 1083402895
-
- Psychiatric Hospital Unit
- Winfield, AL
- NPI 1447049598
-
- Medicare Defined Swing Bed Hospital Unit
- Winfield, AL
- NPI 1730978875
-
- General Acute Care Hospital
- Alexander City, AL
- NPI 1811913460
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215993600000",
"number": "1013963750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 863535",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328863535",
"telephone_number": "904-805-1300",
"fax_number": "904-805-1302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 S 3RD ST",
"city": "GADSDEN",
"state": "AL",
"postal_code": "359015304",
"telephone_number": "904-805-1300",
"fax_number": "904-805-1302"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IJEMERE",
"first_name": "MALACHY",
"middle_name": "IKECHUKWU",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-25",
"last_updated": "2008-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "AL",
"license": "19349",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009924260",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "51555561",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gadsden, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.