Imc-Emergency Physicians LLC

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

IMC-EMERGENCY PHYSICIANS LLC

Practice address

1815 Hand Ave
Bay Minette, AL 36507-4110

Phone

(251) 435-1330

NPI assigned

Sep 27, 2018

Last updated

Feb 3, 2021By 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

Anthony Palazzo

Title

Vice President of Finance

Phone

(251) 435-1331

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 21

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.

• Donna McInnis Beck, CRNP

  • Family Nurse Practitioner
  • Elberta, AL
  • NPI 1861785693
  Medicare reassignment NPD
• Nikeya Shayree Betts, CRNP

  • Family Nurse Practitioner
  • Bay Minette, AL
  • NPI 1013661180
  Medicare reassignment NPD
• Meagan Canterbury Brown, CRNP

  • Family Nurse Practitioner
  • Daphne, AL
  • NPI 1588379556
  Medicare reassignment NPD
• Clinton L Davis, NP

  • Acute Care Nurse Practitioner
  • Bay Minette, AL
  • NPI 1760032510
  Medicare reassignment NPD
• Marisa Diamond Jurisic, MSN, FNP-C

  • Family Nurse Practitioner
  • Mobile, AL
  • NPI 1417546177
  Medicare reassignment NPD
• Ronald B O'Gorman, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Mobile, AL
  • NPI 1255489779

  Emergency Medicine

  Medicare reassignment NPD
• Jennifer Shea Sanders Pope, DNP, CRNP, FNP-C

  • Family Nurse Practitioner
  • Robertsdale, AL
  • NPI 1720477151
  Medicare reassignment NPD
• Jay Steven Scarborough, MD

  • Emergency Medicine Physician
  • Atmore, AL
  • NPI 1952836520

  Single Specialty

  Medicare reassignment NPD
• Aaron B Schuller, M.D.

  • Emergency Medicine Physician
  • Bay Minette, AL
  • NPI 1336366350
  Medicare reassignment NPD
• Mary P Sullivan, D.O.

  • Emergency Medicine Physician
  • Bay Minette, AL
  • NPI 1841201118
  Medicare reassignment NPD
• Amy Jean Taylor, CRNP

  • Family Nurse Practitioner
  • Bay Minette, AL
  • NPI 1558015131
  Medicare reassignment NPD
• Timothy R Toms, DO

  • Emergency Medicine Physician
  • Bay Minette, AL
  • NPI 1831174390
  Medicare reassignment NPD

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

{
    "created_epoch": "1538006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612310400000",
    "number": "1578048278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 SPRING HILL AVE",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366041402",
            "telephone_number": "251-435-1330",
            "fax_number": "251-435-1616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 HAND AVE",
            "city": "BAY MINETTE",
            "state": "AL",
            "postal_code": "365074110",
            "telephone_number": "251-435-1330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMC-EMERGENCY PHYSICIANS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-27",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A",
        "authorized_official_last_name": "PALAZZO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "VICE PRESIDENT OF FINANCE",
        "authorized_official_telephone_number": "251-435-1331"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lois Hollingsworth, OPTICIAN
• Hometown Pharmacy of Bay Minette LLC (Bell's Hometown Pharmacy)
• Imc - Hand Ave Family Practice P.C.
• Imc North Baldwin Physician Group LLC
• Imc-Anesthesia Services, LLC
• Imc-North Baldwin Internal Medicine LLC
• Imc-North Baldwin Primary Plus, LLC (North Baldwin Primary Plus)
• Christine Denise Jackson, APRN,FNP-C
• Latonya James, M.D
• Lindsey Neidhardt Jenkins, PHARMD

• Emergency Medicine Physician in Bay Minette, AL
• Providers in Bay Minette, AL by specialty
• Emergency Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2021; 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.