UNIVERSITY OF SOUTH ALABAMA HEALTH CARE AUTHORITY (NPI# 1093316259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093316259 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF SOUTH ALABAMA HEALTH CARE AUTHORITY |
| Practice Address |
2503 Old Shell Rd Mobile AL 36607-3021 |
| Mailing Address |
6701 Airport Blvd Ste A101 Mobile AL 36608-6767 |
| Practice Telephone | 2516606400 |
| Practice Fax Number | 2516606401 |
| Mailing Telephone | 2516338880 |
| Mailing Fax Number | 2513786222 |
| Enumeration Date | 2020-11-04 |
| Last Update Date | 2020-11-04 |
| Authorized Official Name | ERICA MADISON (CREDENTIALING) |
| Authorized Official Telephone | 2513786209 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
Allopathic & Osteopathic Physicians | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Mobile Diagnostic Center - Midtown | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851859938 | University of South Alabama Health Care Authority | Pain Medicine | 3290 Dauphin St Ste 204, Mobile, AL 36606-4014 | 2019-03-07 |
| 1609489178 | University of South Alabama Health Care Authority | Clinic/Center | 524 Stanton Rd, Mobile, AL 36617-2343 | 2020-08-25 |
| 1639787435 | University of South Alabama Health Care Authority | Family Medicine | 2270 Hillcrest Rd, Mobile, AL 36695-3808 | 2020-07-17 |
| 1346871167 | University of South Alabama Health Care Authority | Internal Medicine | 28260 Us Highway 98, Daphne, AL 36526-7075 | 2020-01-30 |
| 1306486253 | University of South Alabama Health Care Authority | Internal Medicine | 7885 Moffett Rd, Semmes, AL 36575-5487 | 2020-01-08 |
| 1255994141 | University of South Alabama Health Care Authority | Dermatology | 4300 Old Shell Rd Ste B, Mobile, AL 36608-2036 | 2019-04-17 |
| 1417413840 | University of South Alabama Health Care Authority | Urology | 1047 Fairhope Ave, Fairhope, AL 36532-3145 | 2019-02-11 |
| 1174005102 | University of South Alabama Health Care Authority | Specialist | 3290 Dauphin St Ste 301, Mobile, AL 36606-4052 | 2018-09-06 |
| 1386121937 | University of South Alabama Health Care Authority | Internal Medicine | 75 S University Blvd, Mobile, AL 36608-3042 | 2018-07-26 |
| 1124528286 | University of South Alabama Health Care Authority | Clinic/Center | 1261 Hillcrest Rd, Mobile, AL 36695 | 2018-02-15 |
| Street Address |
2503 OLD SHELL RD |
| City | MOBILE |
| State | AL |
| Zip Code | 36607-3021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821404559 | Cindy Strahan | Occupational Therapy Assistant | 2900 Sping Hill Ave, Mobile, AL 36607 | 2014-07-02 |
| 1043649072 | Rebecca Clara Eskridge | Speech-Language Pathologist | 200 C East Portier Ct., Mobile, AL 36607 | 2013-11-12 |
| 1497016794 | Gregory Mark Quatrino | Surgery | 3 Mobile Infirmary Cir Ste 212, Mobile, AL 36607 | 2012-06-03 |
| 1457682197 | Joseph Michael Mckean | Dentist | 3050 Dauphin Square Connector, Mobile, AL 36607 | 2010-01-20 |
| 1679711956 | Sheldon Scott Bradley | Nurse Practitioner | 1 Infirmary Circle, Mobile Infirmary Er, Mobile, AL 36607 | 2009-01-26 |
| 1508058132 | Wanda K Miller | Occupational Therapist | 1903 Springhill Ave, Mobile, AL 36607 | 2007-08-17 |
| 1811035322 | George N Lukes | Dentist | 2653a Old Shell Road, Mobile, AL 36607 | 2007-02-05 |
| 1487702999 | Carl Maltese | Specialist | 1901 Springhill Ave, Mobile, AL 36607 | 2007-01-08 |
| 1790871242 | Cheryl Lambert Thames | Physical Therapist | 2006 Airport Blvd., Mobile, AL 36607 | 2006-10-04 |
| 1760576227 | Jane Bagwell Hale | Physical Therapist | 3202 Old Shell Road, Mobile, AL 36607 | 2006-10-02 |
| Find all providers in zip 36607 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962856732 | Timothy Kennedy | Internal Medicine | 6701 Airprot Blvd, Ste A101, Mobile, AL 36608-0000 | 2016-04-19 |
| 1902269400 | Cesar Moreno | Internal Medicine | 2451 University Hospital Dr Rm 714, Mobile, AL 36617 | 2016-04-01 |
| 1770979882 | Mason Gabriel Adams | Internal Medicine | 75 S University Blvd Ste 6000-b, Mobile, AL 36608-3271 | 2015-04-15 |
| 1083009930 | Mark Owusu | Internal Medicine | 2451 Fillingim St # 7th, Mobile, AL 36617 | 2015-03-30 |
| 1730573627 | Theresa Yarbrough | Internal Medicine | 75 S University Blvd Ste 6000-a, Mobile, AL 36608-3042 | 2015-03-27 |
| 1346689163 | Benjamin Ross Niland | Internal Medicine | 75 S University Blvd Unit 6000, Mobile, AL 36608-3274 | 2013-06-14 |
| 1902249303 | Symbol Health Solutions, LLC | Internal Medicine | 3765b Government Blvd, Mobile, AL 36693-4307 | 2013-04-16 |
| 1629411731 | Adhd Medical Clinic of Mobile, P.C. | Internal Medicine | 2404 Spring Hill Ave, Unit 114, Mobile, AL 36607-3029 | 2013-04-09 |
| 1578826293 | Waqar Ahmed Siddiqui | Internal Medicine | 2451 Fillingim St Ste 10g, Mobile, AL 36617-2238 | 2012-06-18 |
| 1972860641 | Katrina Alexis Chapman | Internal Medicine | 2451 Fillingim St Rm 714, Mobile, AL 36617-2238 | 2012-04-18 |
| 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.