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ANNISTON MEDICAL CLINIC PC NPI 1619080017


NPI Information

NPI: 1619080017
Provider Name: ANNISTON MEDICAL CLINIC PC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 01D0304515

Address:
1010 CHRISTINE AVE
ANNISTON, AL
ZIP 36207
Phone: (256) 236-5631
Get Directions

ANNISTON MEDICAL CLINIC PC is an internal medicine in Anniston, AL. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. ANNISTON MEDICAL CLINIC PC NPI is 1619080017. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1010 CHRISTINE AVE
ANNISTON, AL
ZIP 36207-710
Phone: (256) 236-5631
Fax: (256) 241-2241

The provider's authorized official is Vishala Chindalore .
The authorized official title is Rheumatologist and has the following contact phone number (256) 236-5631.

The CLIA number assigned to this NPI record is 01D0304515 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/17/2006 and was last updated on 3/8/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineALABAMANo
2207RH0003XInternal MedicineHematology & OncologyALABAMANo
3207RR0500XInternal MedicineRheumatologyALABAMANo
4261QM1300XClinic/CenterMulti-SpecialtyALABAMANo
5207RP1001XInternal MedicinePulmonary DiseaseALABAMANo
6207R00000XInternal MedicineALABAMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000060227MEDICAIDALABAMA
2C227MEDICARE PINALABAMA
31066920001MEDICARE NSCALABAMA
400013001OTHERALABAMANHC HEALTH BENEFIT PLAN
5F143MEDICARE PINALABAMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.