North East Alabama Center for Infectious Disease& Internal Medicine

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

License

22810 Issued in AL

Legal business name

NORTH EAST ALABAMA CENTER FOR INFECTIOUS DISEASE& INTERNAL MEDICINE

Doing business as

SUNIL K JAISWAL, MD

Practice address

107 Main St
Collinsville, AL 35961

Phone

(256) 524-4788

Fax

(256) 524-4788

NPI assigned

Apr 2, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Sunil K Jaiswal, MDNPI 1053367342

Title

Ceo

Phone

(256) 442-7594

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• SUNIL K JAISWAL, MD Doing business as

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 1

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

• Sunil K Jaiswal, MD

  • Internal Medicine Physician
  • Collinsville, AL
  • NPI 1053367342
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291593600000",
    "number": "1225159981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1364",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359021364",
            "telephone_number": "256-442-7594",
            "fax_number": "256-442-7594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 MAIN ST",
            "city": "COLLINSVILLE",
            "state": "AL",
            "postal_code": "35961",
            "telephone_number": "256-524-4788",
            "fax_number": "256-524-4788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH EAST ALABAMA CENTER FOR INFECTIOUS DISEASE& INTERNAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2010-12-06",
        "status": "A",
        "authorized_official_last_name": "JAISWAL",
        "authorized_official_first_name": "SUNIL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "256-442-7594",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "AL",
            "license": "22810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000094829",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000060252",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUNIL K JAISWAL, MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sunil K Jaiswal, MD
• Judith Womack Jones, ARNP
• Kilgore Express Pharmcy Inc
• Frances H. Koe, MD
• Julie Menk, CCC-SLP
• Virginia Kathleen Rutledge, CRNP
• Misty Williams, CRNP
• Wills Valley Family Medicine LLC

• Rural Health Clinic/Center in Collinsville, AL
• Providers in Collinsville, AL by specialty
• Rural Health Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.