Provider Demographics
NPI:1134192412
Name:VALENTE, JOHN F (MD)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:F
Last Name:VALENTE
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:PO BOX 2345
Mailing Address - Street 2:
Mailing Address - City:ANNISTON
Mailing Address - State:AL
Mailing Address - Zip Code:36202-2345
Mailing Address - Country:US
Mailing Address - Phone:256-235-5015
Mailing Address - Fax:256-231-2841
Practice Address - Street 1:901 LEIGHTON AVE STE 307
Practice Address - Street 2:
Practice Address - City:ANNISTON
Practice Address - State:AL
Practice Address - Zip Code:36207-5721
Practice Address - Country:US
Practice Address - Phone:256-235-5064
Practice Address - Fax:256-235-5945
Is Sole Proprietor?:No
Enumeration Date:2006-02-08
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL25528174400000X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51517326OtherBLUE CROSS BLUE SHIELD
AL051517326Medicaid
AL51517326OtherBLUE CROSS BLUE SHIELD
AL051517326Medicaid