WILEY HUGH JUSTICE (NPI# 1083619332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083619332 |
| Entity Type | Individual |
| Full Name | WILEY HUGH JUSTICE |
| Credential | M.D. |
| Practice Address |
5721 Usa North Dr Hahn 1119 Mobile AL 36688-0002 |
| Mailing Address |
Po Box 40277 Mobile AL 36688-0277 |
| Practice Telephone | 2514459378 |
| Practice Fax Number | 2514459377 |
| Mailing Telephone | 2514459378 |
| Mailing Fax Number | 2514459377 |
| Enumeration Date | 2005-06-14 |
| Last Update Date | 2015-06-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 00007930 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | AETNA PROVIDER # | 4006616 | 01 |
| AL | 000034502 | 05 | |
| AL | HEALTHSPRING PROVIDER # | C71226 | 01 |
| AL | BLUE CROSS PROVIDER # | 51034502 | 01 |
| AL | BLUE CROSS AL PROVIDER # | 51511917 | 01 |
| Street Address |
5721 USA NORTH DR HAHN 1119 |
| City | MOBILE |
| State | AL |
| Zip Code | 36688-0002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013218809 | Kelli Jo Evans | Speech-Language Pathologist | 5721 Usa North Dr, Hahn 1119, Mobile, AL 36688-0002 | 2010-11-09 |
| 1053460709 | Joseph Timothy Holston | Audiologist | 5721 Usa North Dr, Hahn 1119, Mobile, AL 36688-0002 | 2007-01-10 |
| 1346300381 | Paul Arthur Dagenais | Speech-Language Pathologist | 5721 Usa North Dr, Hahn 1119, Mobile, AL 36688-0002 | 2006-12-11 |
| 1629138664 | Kendra D Hudson | Speech-Language Pathologist | 5721 Usa North Dr, Hahn 1119, Mobile, AL 36688-0002 | 2006-12-11 |
| 1396805347 | Julie M Estis | Speech-Language Pathologist | 5721 Usa North Dr, Hahn 1119, Mobile, AL 36688-0002 | 2006-12-11 |
| 1326108283 | Brenda Lee Beverly | Speech-Language Pathologist | 5721 Usa North Dr, Hahn 1119, Mobile, AL 36688-0002 | 2006-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144742453 | David Thomas Bailey | Physician Assistant | Univ. of S. Alabama Dept. of Pa Studies, 5721 Usa Drive North - Hahn 3124, Mobile, AL 36688 | 2017-07-10 |
| 1447783766 | Elijah Fox | Student in an Organized Health Care Education/Training Program | 1700 Center St., Cweb 1, Room 1538, Mobile, AL 36688 | 2017-04-04 |
| 1164855805 | Khaled Abdelmagid | Student in an Organized Health Care Education/Training Program | 1700 Center St, Cweb 1, Rm 1538, Mobile, AL 36688 | 2013-08-16 |
| 1154614428 | Karen Marlowe | Pharmacist | 650 Clinic Drive - Suite 2100, Mobile, AL 36688 | 2011-05-19 |
| 1770620239 | Claude Vincent Dwyer IIi | Radiologic Technologist | 307 University, Mobile, AL 36688 | 2007-01-31 |
| 1225661523 | Jacob Rosner | Student in an Organized Health Care Education/Training Program | 5795 Usa Drive North Csab 170, Mobile, AL 36688-0001 | 2020-02-15 |
| 1215569249 | Lisa K. Morris | Nurse Practitioner | 5721 Usa Drive North Hahn 2044, Mobile, AL 36688-0001 | 2020-02-07 |
| 1467014019 | Victoria Suzanne Henbest | Speech-Language Pathologist | 5721 Usa North Drive, Mobile, AL 36688-0001 | 2019-07-03 |
| 1730642513 | Tyler Lee Sturdivant | Clinical Nurse Specialist | 5721 Usa Drive North Hahn 4067, Mobile, AL 36688-0001 | 2019-04-09 |
| 1730648346 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 5870 Alumni Drive, Mobile, AL 36688-0001 | 2019-03-14 |
| Find all providers in zip 36688 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073170700 | Usa Health Physician Billing Services LLC | Otolaryngology | 5721 Usa Drive North, Hahn 1119, Mobile, AL 36608 | 2019-05-29 |
| 1497862353 | James F. Benson Jr. | Otolaryngology | 6701 Airport Blvd Ste B123, Mobile, AL 36608-6775 | 2006-08-24 |
| 1073517769 | Mark Richard Gacek | Otolaryngology | 100 Memorial Hospital Dr, Glw Annex Building, Ste. 3c, Mobile, AL 36608-1183 | 2005-06-09 |
| 1427051481 | Barry Lee Brown | Otolaryngology | 3701 Dauphin St, Mobile, AL 36608-1756 | 2005-05-24 |
| 1811990765 | Percy Vandorn Crocker | Otolaryngology | 610 Providence Park Dr E, Bldg 2, Suite 203, Mobile, AL 36695-4622 | 2005-05-24 |
| 1508424763 | Usa Health Physician Billing Services LLC | Otolaryngology | 1720 Center St Ste 103, Mobile, AL 36604-3300 | 2019-06-03 |
| 1093241671 | Alabama Providence Healthcare Services | Otolaryngology | 6701 Airport Blvd, Suite B123, Mobile, AL 36608-6705 | 2017-05-03 |
| 1083034367 | Kent L. Burton | Otolaryngology | 2880 Dauphin St, Mobile, AL 36606-2457 | 2014-04-24 |
| 1932449451 | Gacek Ear and Sinus Center LLC | Otolaryngology | 100 Memorial Hospital Dr, Glw Annex Building, Ste. 3c, Mobile, AL 36608-1183 | 2013-02-20 |
| 1932499076 | Brian Patrick Sullivan | Otolaryngology | 2880 Dauphin St, Mobile, AL 36606-2457 | 2011-04-11 |
| Find all providers in MOBILE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.