St Jude Thaddeus Internal Medicine

Primary specialty

Intermediate Emergency Medical TechnicianTaxonomy code 146M00000X

License

MD 9246 Issued in AL

Legal business name

ST JUDE THADDEUS INTERNAL MEDICINE

Practice address

5431 Beacon Dr
Irondale, AL 35210-2862

Phone

(205) 956-8767

Fax

(205) 956-8704

NPI assigned

Nov 16, 2011

Last updated

Nov 16, 2011By 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. Rodolfo M Veluz, MD

Title

Medical Director

Phone

(205) 956-8767

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1321401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321401600000",
    "number": "1427325687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5431 BEACON DR",
            "city": "IRONDALE",
            "state": "AL",
            "postal_code": "352102862",
            "telephone_number": "205-956-8767",
            "fax_number": "205-956-8704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5431 BEACON DR",
            "city": "IRONDALE",
            "state": "AL",
            "postal_code": "352102862",
            "telephone_number": "205-956-8767",
            "fax_number": "205-956-8704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JUDE THADDEUS INTERNAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-16",
        "last_updated": "2011-11-16",
        "status": "A",
        "authorized_official_last_name": "VELUZ",
        "authorized_official_first_name": "RODOLFO",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "205-956-8767",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "146M00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Intermediate",
            "state": "AL",
            "license": "MD 9246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Travis Smith, DPT
• Rickeyta C Snell, MA
• Lindsay Erin Snow, OD
• Casey Lynn Souders, PHARMD
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• April Steed
• Destin Gilchrist Stephens, PHARMD
• Amy Kathryn Stokes, SLP
• Jakhaila Stone, PT, DPT
• Tracie Stone, CPM

• Intermediate Emergency Medical Technician in Irondale, AL
• Providers in Irondale, AL by specialty
• Intermediate Emergency Medical Technician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2011; 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.