Ourtown Family Care LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

OURTOWN FAMILY CARE LLC

Practice address

1025 Medical Center Pkwy
Selma, AL 36701

Phone

(334) 875-8833

NPI assigned

Jun 6, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Sai S Namburu, MDNPI 1205894003

Title

Partner

Phone

(334) 875-8833

Specialties & licenses 2

Addresses

Other names 1

• Selma Urgent Care LLC Other name

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Practitioners 4

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

• Sai Shankar Namburu, M.D.

  • Family Medicine Physician
  • Selma, AL
  • NPI 1205894003
  Medicare reassignment Care Compare group NPD Authorized official
• Deborah Lynn McCollum, FNP

  • Family Nurse Practitioner
  • Montgomery, AL
  • NPI 1437695681
  Medicare reassignment Care Compare group NPD
• Vijay Tirumalasetty, MD

  • Family Medicine Physician
  • Canton, GA
  • NPI 1760618003

  AL

  Medicare reassignment NPD
• Thang Quoc An, DO

  • Family Medicine Physician
  • Montgomery, AL
  • NPI 1972580744
  Medicare reassignment

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

{
    "created_epoch": "1338940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533686400000",
    "number": "1801157706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 MEDICAL CENTER PKWY",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "367016780",
            "telephone_number": "334-875-8833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 MEDICAL CENTER PKWY",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "36701",
            "telephone_number": "334-875-8833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OURTOWN FAMILY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-06",
        "last_updated": "2018-08-08",
        "status": "A",
        "authorized_official_last_name": "NAMBURU",
        "authorized_official_first_name": "SAI",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "334-875-8833",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Selma Urgent Care LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• New Beacon Healthcare Group, LLC
• Ernest T Okeke, MD
• Dawn Michele Oliver, JD
• Optimal Healthcare Services
• James Osborn, DMD
• Hayes Palacio
• Park Place Nursing and Rehabilitation Center, LLC
• Tacarla Shantese Pearson, CRNP
• Pediatric Adolescent Medicine, Inc.
• Williams K Perkins, RPT

• Family Medicine Physician in Selma, AL
• Providers in Selma, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2018; 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.