Imc-Central Baldwin Physicians LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

IMC-CENTRAL BALDWIN PHYSICIANS LLC

Practice address

18317 US 90
Robertsdale, AL 36567

Phone

(251) 947-2000

NPI assigned

May 18, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Anthony Palazzo

Title

VP of Finance

Phone

(251) 435-1361

Specialties & licenses 2

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 5

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

• Terry Phillip Bell, M.D.

  • Internal Medicine Physician
  • Robertsdale, AL
  • NPI 1639186596
  Medicare reassignment Care Compare group NPD
• Jennifer Shea Sanders Pope, DNP, CRNP, FNP-C

  • Family Nurse Practitioner
  • Robertsdale, AL
  • NPI 1720477151
  Medicare reassignment Care Compare group NPD
• Lynn H. Porter, M.D.

  • Family Medicine Physician
  • Roberstdale, AL
  • NPI 1508874751
  Medicare reassignment Care Compare group NPD
• Sandra R Alexander, M.D.

  • General Practice Physician
  • Carlsbad, CA
  • NPI 1609815091

  AL

  Medicare reassignment Care Compare group NPD
• Valerie Catherine Staples, DO

  • Family Medicine Physician
  • Foley, AL
  • NPI 1629303458
  Medicare reassignment NPD

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

{
    "created_epoch": "1463529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566777600000",
    "number": "1346697539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18317 US 90",
            "city": "ROBERTSDALE",
            "state": "AL",
            "postal_code": "36567",
            "telephone_number": "251-947-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18317 US 90",
            "city": "ROBERTSDALE",
            "state": "AL",
            "postal_code": "36567",
            "telephone_number": "251-947-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMC-CENTRAL BALDWIN PHYSICIANS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-18",
        "last_updated": "2019-08-26",
        "status": "A",
        "authorized_official_last_name": "PALAZZO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "VP OF FINANCE",
        "authorized_official_telephone_number": "251-435-1361",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Houston, M.S., CCC-SLP
• Hub City Dentall, LLC
• Hub City Eyecare
• Hub City Eyecare Inc
• David Hurley, NP
• Jeffrey Alan Williams OD PC
• Alison Marie Kailer, O.D.
• Kimberly Winborn DMD LLC
• Stacey King, NP
• Keeth Marvin Lane Jr., DDS

• Internal Medicine Physician in Robertsdale, AL
• Providers in Robertsdale, 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 Aug 26, 2019; 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.