Eastern Health Systems Inc

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

EASTERN HEALTH SYSTEMS INC

Doing business as

Medical Center Blount Emergency Department

Practice address

150 Gilbreath Dr
Oneonta, AL 35121-2827

Phone

(205) 264-9098

Fax

(205) 437-5998

NPI assigned

Sep 29, 2005

Last updated

Sep 6, 2017By the provider in NPPES

Organization subpart

Yes

Parent organization

EASTERN HEALTH SYSTEMS, INCAs reported in NPPES

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

Authorized official

Name

Brandon Williams

Title

Cfo

Phone

(205) 274-3001

Specialties & licenses 1

Addresses

Other identifiers 6

Other names 1

• Medical Center Blount Emergency Department Doing business as

Part of

Easternblount Memorial

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Eastern Health System, Inc.

  • Family Medicine Physician
  • Oneonta, AL
  • NPI 1821115106
  NPPES parent name

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

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504656000000",
    "number": "1851388557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11407 LOCKBOX 1066",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352460001",
            "telephone_number": "205-437-6098",
            "fax_number": "205-437-5998"
        },
        {
            "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": "205-264-9098",
            "fax_number": "205-437-5998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN HEALTH SYSTEMS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EASTERN HEALTH SYSTEMS, INC",
        "enumeration_date": "2005-09-29",
        "last_updated": "2017-09-06",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "205-274-3001"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR (OWCP)",
            "identifier": "020477400",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "F858",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE OF AL",
            "identifier": "3901711",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP",
            "identifier": "CH1298",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529919550",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLACK LUNG - DPT OF LABOR",
            "identifier": "20477400",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Center Blount Emergency Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Marie Doty, MS IN PSYCHOLOGY
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• Emergency Medicine Physician in Oneonta, AL
• Providers in Oneonta, 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 Sep 6, 2017; 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.