Craddock Health Center P C

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

CRADDOCK HEALTH CENTER P C

Practice address

209 W Spring St
Suite 200
Sylacauga, AL 35150-2973

Phone

(256) 245-5241

Fax

(256) 245-0194

NPI assigned

Jun 19, 2006

Last updated

May 7, 2008By 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

Mrs. Donna B Hernandez

Title

Office Manager

Phone

(256) 245-5241

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.

• Mohamed Ammar Aldaher, M.D.

  • Internal Medicine Physician
  • Sylacauga, AL
  • NPI 1073527826
  Medicare reassignment Care Compare group NPD
• Laura G Deichmann, M.D.

  • Internal Medicine Physician
  • Sylacauga, AL
  • NPI 1780698225
  Medicare reassignment Care Compare group NPD
• Shekeitha Russell

  • Family Nurse Practitioner
  • Alexander City, AL
  • NPI 1669239224
  Medicare reassignment Care Compare group NPD
• Imad Khdair, MD

  • Internal Medicine Physician
  • Sylacauga, AL
  • NPI 1093725624
  Medicare reassignment Care Compare group
• Stephen R Bowen, PH.D., M.D.

  • Internal Medicine Physician
  • Sylacauga, AL
  • NPI 1689688111
  Medicare reassignment NPD
• Mahgoub Abdalla Eltoum, MD

  • Internal Medicine Physician
  • Sylacauga, AL
  • NPI 1508966920
  Medicare reassignment NPD
• Nazia Mohamed, M.D.

  • Internal Medicine Physician
  • Sylacauga, AL
  • NPI 1962852053
  Medicare reassignment NPD
• Walter P Pinson, M.D.

  • Internal Medicine Physician
  • Sylacauga, AL
  • NPI 1285648048
  Medicare reassignment NPD

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210118400000",
    "number": "1184669483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 W SPRING ST",
            "address_2": "SUITE 200",
            "city": "SYLACAUGA",
            "state": "AL",
            "postal_code": "351502973",
            "telephone_number": "256-245-5241",
            "fax_number": "256-245-0194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 W SPRING ST",
            "address_2": "SUITE 200",
            "city": "SYLACAUGA",
            "state": "AL",
            "postal_code": "351502973",
            "telephone_number": "256-245-5241",
            "fax_number": "256-245-0194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRADDOCK HEALTH CENTER P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2008-05-07",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "256-245-5241",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Coosa Valley Urology, P.C.
• Yvonne Price Copeland, LICSW
• Kendra Q Crews, P.A.
• James L Crook, MD
• Timothy A. Crump, N.P
• Peighton Cumbie
• Rebecca Cummings

• Internal Medicine Physician in Sylacauga, AL
• Providers in Sylacauga, AL by specialty
• Internal Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; 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.