Provider Demographics
NPI:1447795422
Name:HELEN SCHARKO, M.D. , LLC
Entity Type:Organization
Organization Name:HELEN SCHARKO, M.D. , LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HELEN
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHARKO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:256-610-1928
Mailing Address - Street 1:102 EDWINA ST
Mailing Address - Street 2:
Mailing Address - City:EVERGREEN
Mailing Address - State:AL
Mailing Address - Zip Code:36401-3319
Mailing Address - Country:US
Mailing Address - Phone:251-578-0220
Mailing Address - Fax:251-578-0223
Practice Address - Street 1:102 EDWINA ST
Practice Address - Street 2:
Practice Address - City:EVERGREEN
Practice Address - State:AL
Practice Address - Zip Code:36401-3319
Practice Address - Country:US
Practice Address - Phone:251-578-0220
Practice Address - Fax:251-578-0223
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-29
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL32865207Q00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
No208M00000XAllopathic & Osteopathic PhysiciansHospitalistGroup - Single Specialty