Eastern Shore Neurology and Pain Clinic

Primary specialty

SpecialistTaxonomy code 174400000X

License

AL18124 Issued in AL

Legal business name

EASTERN SHORE NEUROLOGY AND PAIN CLINIC

Practice address

149 W Peachtree Ave
Foley, AL 36535-2239

Phone

(251) 971-3030

Fax

(251) 971-3035

NPI assigned

Feb 7, 2006

Last updated

Apr 20, 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

Dr. Rassan M Tarabein, M.D.

Title

C.E.O.

Phone

(251) 971-3030

Specialties & licenses 1

Addresses

Other identifiers 7

Other names 1

• Eastern Shore Neurology And Pain Center Other name

Locations

Practitioners 1

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.

• Stanley D White, PA

  • Physician Assistant
  • Daphne, AL
  • NPI 1780684977
  NPD

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1306818869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 W PEACHTREE AVE",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "365352239",
            "telephone_number": "251-971-3030",
            "fax_number": "251-971-3035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 W PEACHTREE AVE",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "365352239",
            "telephone_number": "251-971-3030",
            "fax_number": "251-971-3035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN SHORE NEUROLOGY AND PAIN CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-07",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "TARABEIN",
        "authorized_official_first_name": "RASSAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "251-971-3030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AL",
            "license": "AL18124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "0510348",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "J619",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HAELTHCARE",
            "identifier": "0510010",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00033163",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "51034929",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "51506401",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5940140",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eastern Shore Neurology And Pain Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Alanna Buckley Duckworth, MS, CCC-SLP
• Cassidy Dunham, LMT
• Dusara Corporation (UniversalMed Supply)
• E.N.R. Dental P.C. (U Save Dentistry of Foley)
• Mark David East, DO
• Gary Allen Eberly, M.D.
• Michelle Register Eberly, M.D.
• Todd Brian Edmiston, MD
• Emerald Healthcare Group PA
• Emerald Sands Medical Center

• Specialist in Foley, AL
• Providers in Foley, AL by specialty
• Specialist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.