1669505368 NPI number — DR. RODERICK MILLAN ZALAMEA M.D.

Table of content: (NPI 1568643740)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1669505368 NPI number — DR. RODERICK MILLAN ZALAMEA M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ZALAMEA
Provider First Name:
RODERICK
Provider Middle Name:
MILLAN
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
ZALAMEA
Provider Other First Name:
RICKY
Provider Other Middle Name:
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
M.D.
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1669505368
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/10/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2006 FRANKLIN ST SE STE 200
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HUNTSVILLE
Provider Business Mailing Address State Name:
AL
Provider Business Mailing Address Postal Code:
35801-4537
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
256-539-0457
Provider Business Mailing Address Fax Number:
256-539-5827

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2006 FRANKLIN ST SE
Provider Second Line Business Practice Location Address:
SUITE 200
Provider Business Practice Location Address City Name:
HUNTSVILLE
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
35801-4551
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
256-539-0457
Provider Business Practice Location Address Fax Number:
256-539-5827
Provider Enumeration Date:
03/13/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 2085R0202X , with the licence number:  E4500 , registered in the state of AR ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 2085R0202X , with the licence number: 39788 , registered in the state of TN ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 2085R0202X , with the licence number: 18291 , registered in the state of MS ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 2085R0202X , with the licence number: 28754 , registered in the state of AL ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 2085R0202X , with the licence number: 200700263 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 102349 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 110192 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 135802 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 147CY . This is a "BCBS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 51595846 . This is a "BCBS" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: Q0026F , issued by the state of ( SC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 102477 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 107499 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 139313 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 237243 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 51595847 . This is a "BCBS" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 51595850 . This is a "BCBS" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 126728 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 128416 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 212564 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 227093 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 229381 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 230405 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 5907742 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 104094 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2026 www.npivalidator.com