Specialty Medical Centers LLC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

53 Issued in AL

Legal business name

SPECIALTY MEDICAL CENTERS LLC

Practice address

535 Jack Warner Pkwy NE
G-2
Tuscaloosa, AL 35404-5751

Phone

(205) 507-1264

NPI assigned

Nov 24, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Samuel Riase Jr., DPMNPI 1003929886

Title

Owner

Phone

(205) 507-1264

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 4

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

• Samuel Riase Jr., DPM

  • Podiatrist
  • Tuscaloosa, AL
  • NPI 1003929886
  NPD Authorized official
• Keturah Craig, DPM

  • Podiatrist
  • Linden, AL
  • NPI 1386814457
  NPD (past)
• Katherine Caroline McVinnie, MD

  • General Practice Physician
  • Tuscaloosa, AL
  • NPI 1770699910
  NPD (past)
• Terre Lynn Moore, CRNP

  • Family Nurse Practitioner
  • Linden, AL
  • NPI 1326101791
  NPD (past)

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215388800000",
    "number": "1750457602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 278",
            "city": "DEMOPOLIS",
            "state": "AL",
            "postal_code": "367320278",
            "telephone_number": "205-507-1264",
            "fax_number": "205-507-1266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 JACK WARNER PKWY NE",
            "address_2": "G-2",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354045751",
            "telephone_number": "205-507-1264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALTY MEDICAL CENTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-24",
        "last_updated": "2008-07-07",
        "status": "A",
        "authorized_official_last_name": "RIASE",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-507-1264",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "AL",
            "license": "53",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529926930",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kylie Rose Souza
• Aaron Bradley Spalding, LMSW
• Leeanna Sparks
• Sandra Boyle Sparks, RPH
• Specialized Medical Devices Inc
• Anna Fuller Spence, NP-C
• Janice Marie Spencer, CRNP
• Kristin Shaw Spencer, CRNP
• Sarah Morgan Spencer, CRNP
• Spine & Sport Chiropractic, Inc

• Podiatrist in Tuscaloosa, AL
• Providers in Tuscaloosa, AL by specialty
• Podiatrist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.