Amma Health Care Clinic LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

22123 Issued in AL

Legal business name

AMMA HEALTH CARE CLINIC LLC

Practice address

302 Main St S
Section, AL 35771-7006

Phone

(256) 259-3778

Fax

(256) 259-3759

NPI assigned

Sep 21, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Younus M Ismail, M.DNPI 1053301697

Title

President

Phone

(256) 259-3778

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 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Younus M Ismail, M.D.

  • Internal Medicine Physician
  • Scottsboro, AL
  • NPI 1053301697
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1348185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348185600000",
    "number": "1124379839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 278",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "357680278",
            "telephone_number": "256-259-3778",
            "fax_number": "256-259-3759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 MAIN ST S",
            "city": "SECTION",
            "state": "AL",
            "postal_code": "357717006",
            "telephone_number": "256-259-3778",
            "fax_number": "256-259-3759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMMA HEALTH CARE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-21",
        "last_updated": "2012-09-21",
        "status": "A",
        "authorized_official_last_name": "ISMAIL",
        "authorized_official_first_name": "YOUNUS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-259-3778",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "AL",
            "license": "22123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Baroni
• Angela Mae Clontz
• William Cordell
• Gurinder J Doad, MD,PHD
• Cindy McElyea Dukes, RPH

• Clinic/Center in Section, AL
• Providers in Section, AL by specialty
• Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2012; 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.