Evi Physician Services I, LLC

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

Legal business name

EVI PHYSICIAN SERVICES I, LLC

Practice address

150 Gilbreath Dr
Oneonta, AL 35121-2827

Phone

(205) 274-3010

Fax

(205) 274-3002

NPI assigned

Feb 11, 2008

Last updated

Aug 28, 2009By 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

Mrs. Susan Cornejo

Title

Corporate Controller

Phone

(205) 838-3718

Specialties & licenses 1

Addresses

Other names 1

• St Vincent's Blount Hospitalist Department Other name

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

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251417600000",
    "number": "1740458967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 SAINT VINCENTS DR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051601",
            "telephone_number": "205-989-4833",
            "fax_number": "205-838-3102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 GILBREATH DR",
            "city": "ONEONTA",
            "state": "AL",
            "postal_code": "351212827",
            "telephone_number": "205-274-3010",
            "fax_number": "205-274-3002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVI PHYSICIAN SERVICES I, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-11",
        "last_updated": "2009-08-28",
        "status": "A",
        "authorized_official_last_name": "CORNEJO",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "CORPORATE CONTROLLER",
        "authorized_official_telephone_number": "205-838-3718",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Vincent's Blount Hospitalist Department",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Eastside Ventures Inc. (Oneonta Family Healthcare)
• Eastside Ventures, Inc. (Oneonta Internal Medicine and Peds)
• Walker Edmondson, ALC
• Katie Entrekin, M.S., OTR/L
• Evergreen Medical Cosmetic Laser Center
• Express Care Clinic of Oneonta, P.C.
• Janna Faust, RPH
• Nathan Ashton Foshee, PT, DPT
• Stephanie Fowler, RN
• Ashley Brett Fox, O.D.

• Hospitalist Physician in Oneonta, AL
• Providers in Oneonta, AL by specialty
• Hospitalist Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2009; 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.