Care Complete Medical Clinic(CCMC)LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

19014 Issued in AL

Legal business name

CARE COMPLETE MEDICAL CLINIC(CCMC)LLC

Practice address

1300 Bessemer Rd
Suite a
Birmingham, AL 35208-4326

Phone

(205) 929-0565

Fax

(205) 929-0564

NPI assigned

May 29, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Patrick E Ifediba, M.D.NPI 1104862531

Title

Medical Director

Phone

(205) 929-0565

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Patrick E Ifediba, M.D.

  • Internal Medicine Physician
  • Birmingham, AL
  • NPI 1104862531
  NPD Authorized official

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

{
    "created_epoch": "1369785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376006400000",
    "number": "1750728846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 BESSEMER RD",
            "address_2": "SUITE A",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352084326",
            "telephone_number": "205-929-0565",
            "fax_number": "205-929-0564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 BESSEMER RD",
            "address_2": "SUITE A",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352084326",
            "telephone_number": "205-929-0565",
            "fax_number": "205-929-0564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE COMPLETE MEDICAL CLINIC(CCMC)LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-29",
        "last_updated": "2013-08-09",
        "status": "A",
        "authorized_official_last_name": "IFEDIBA",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "205-929-0565",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "AL",
            "license": "19014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119889",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cardiovascular Associates of North Alabama, P.C.
• Cardiovascular Associates of North Alabama, P.C.
• Cardiovascular Associates of North Alabama, PC
• Cardiovascular Associates of the Southeast, L.L.C
• Cardiovascular Consultants of Alabama, P.C.
• Careconnectmd Alabama PC
• Caremarkpcs Alabama Mail Pharmacy LLC
• Carestaff LLC
• Carested of Alabama, Inc.
• Carey Medical Center Inc

• All providers in Birmingham, AL
• Primary Care Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2013; 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.