Healthcare Provider Details

I. General information

NPI: 1447795422
Provider Name (Legal Business Name): HELEN SCHARKO, M.D. , LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/29/2016
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

102 EDWINA ST
EVERGREEN AL
36401-3319
US

IV. Provider business mailing address

102 EDWINA ST
EVERGREEN AL
36401-3319
US

V. Phone/Fax

Practice location:
  • Phone: 251-578-0220
  • Fax: 251-578-0223
Mailing address:
  • Phone: 251-578-0220
  • Fax: 251-578-0223

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number32865
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number32865
License Number StateAL

VIII. Authorized Official

Name: DR. HELEN SCHARKO
Title or Position: OWNER
Credential: MD
Phone: 256-610-1928