Stephen Michael Entrekin, P.A.
Individual provider Active NPI Surgical Physician Assistant · Gadsden, AL
NPI 1083818751 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1083818751
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgical Physician Assistant 363AS0400X
- License
- PA 107 (AL)
- Practice address
- 815 Riverbend Dr
Gadsden, AL 35901-2556 - Phone
- (256) 456-0228
- Fax
- (256) 456-0231
- NPI assigned
- Jun 14, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA 107 | AL | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoenix Neurological Institute, Inc | Past |
Accepting new patients | |
| Cookeville Regional Medical Group, Inc | Surgical | Past |
Accepting new patients |
| Abdul Memon, MD, PLLC | Past |
Accepting new patients | |
| West Florida Medical Center Clinic PA | Past | Accepting new patients | |
| Lamberth & Ronson, PC | Past | Accepting new patients | |
| Cardiothoracic & Vascular Surgery, PA | Past | Accepting new patients | |
| Cardiovascular Surgical Associates | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/10383/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA 107 | AL | Yes |
Addresses
Primary practice location
815 Riverbend Dr
Gadsden, AL 35901-2556
Mailing address
815 Riverbend Dr
Gadsden, AL 35901-2556
Phone (256) 456-0228
Other providers in Gadsden, AL
- Encompass Health Rehabilitation Hospital of Gadsden, LLC
- Christopher G Endfinger
- Jennifer Engle
- Kaitlyn Brooke Engle
- Enmpc
- Eric W Baum MD PC
- Ernest L. Bowling, OD, Ms, Faao, PC
- Jeffrey Blake Erwin
- Bess Estis
- Bukola Ganiyat Eta
All providers in Gadsden, AL · Surgical Physician Assistant in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.