Provider Demographics
NPI:1598705816
Name:ALMIROL, JOHN R (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:R
Last Name:ALMIROL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15225 HIGHWAY 43
Mailing Address - Street 2:SUITE G
Mailing Address - City:RUSSELLVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35653-1999
Mailing Address - Country:US
Mailing Address - Phone:256-331-1900
Mailing Address - Fax:256-331-1901
Practice Address - Street 1:15225 HIGHWAY 43
Practice Address - Street 2:SUITE G
Practice Address - City:RUSSELLVILLE
Practice Address - State:AL
Practice Address - Zip Code:35653-1999
Practice Address - Country:US
Practice Address - Phone:256-331-1900
Practice Address - Fax:256-331-1901
Is Sole Proprietor?:No
Enumeration Date:2006-06-07
Last Update Date:2013-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL22328207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
110199625OtherRR MEDICARE
AL51095194OtherBCBS
5555682OtherAETNA
AL009911223Medicaid
AL51095194OtherBCBS
AL510I110018Medicare PIN