UNIVERSITY OF SOUTH ALABAMA (NPI# 1114387206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114387206 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF SOUTH ALABAMA |
| Other Organization Name | USA NEONATOLOGY |
| Practice Address |
1700 Center St Mobile AL 36604-3301 |
| Mailing Address |
Po Box 40480 Mobile AL 36640-0480 |
| Practice Telephone | 2514151055 |
| Practice Fax Number | 2514151045 |
| Mailing Telephone | 2514343626 |
| Mailing Fax Number | 2514452464 |
| Enumeration Date | 2016-03-02 |
| Last Update Date | 2016-03-02 |
| Authorized Official Name | HARVEY IKNER (ASSO ADMIN OF AMBULATORY CLINICS) |
| Authorized Official Telephone | 2514701671 |
| Is Organization Subpart | Y |
| Parent Organization Name | UNIVERSITY OF SOUTH ALABAMA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| USA Neonatology | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962862078 | University of South Alabama | Internal Medicine | 75 S University Blvd Ucom 6000 B, Mobile, AL 36688-0002 | 2016-03-02 |
| 1972963064 | University of South Alabama | Internal Medicine | 2451 Fillingim St, Mastin Bldg 102, Mobile, AL 36617-2238 | 2016-03-02 |
| 1992013593 | University of South Alabama | Clinic/Center | 1119 Hahn, 5721 Usa North Drive, Mobile, AL 36688-0002 | 2010-09-16 |
| 1689995748 | University of South Alabama | General Acute Care Hospital | 251 Cox St Ste 100, Mobile, AL 36604-3302 | 2010-06-11 |
| 1235290628 | University of South Alabama | Case Management | 1714 Center St, Mobile, AL 36604-3301 | 2006-12-12 |
| 1992746838 | University of South Alabama | Internal Medicine | 5870 Alumni Cir, Mobile, AL 36688-0001 | 2006-06-10 |
| 1972138022 | University of South Alabama | General Acute Care Hospital | 2451 University Hospital Dr, Mobile, AL 36617-2300 | 2020-03-10 |
| 1760959613 | University of South Alabama | Clinic/Center | 1610 Center St Ste B, Mobile, AL 36604-1512 | 2018-10-30 |
| 1205303153 | University of South Alabama | Clinic/Center | 1610 Center St Ste B, Mobile, AL 36604-1512 | 2018-10-30 |
| 1295202141 | University of South Alabama | Clinic/Center | 1610 Center St Ste B, Mobile, AL 36604-1512 | 2018-10-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | UNIVERSITY OF SOUTH ALABAMA | 307 Univeristy Blvd 380 Administration Bldg, Mobile, AL 36688-3053 |
| Street Address |
1700 CENTER ST |
| City | MOBILE |
| State | AL |
| Zip Code | 36604-3301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285699983 | Margaret E. Ishee | Nurse Anesthetist, Certified Registered | 1700 Center St, Mobile, AL 36604-2457 | 2006-04-18 |
| 1861007262 | Charlotte Annette Moss | Nurse Practitioner | 1700 Center St, Mobile, AL 36604-3301 | 2020-09-11 |
| 1255942413 | Aayushka Gurung | Student in an Organized Health Care Education/Training Program | 1700 Center St, Mobile, AL 36604-3301 | 2020-08-12 |
| 1407466600 | Abdul Kader Saifuddin Surti | Student in an Organized Health Care Education/Training Program | 1700 Center St, Mobile, AL 36604-3301 | 2020-08-03 |
| 1376153601 | Seemal Iftikhar | Student in an Organized Health Care Education/Training Program | 1700 Center St, Mobile, AL 36604-3301 | 2020-08-02 |
| 1407464415 | Khushboo Golani | Student in an Organized Health Care Education/Training Program | 1700 Center St, Mobile, AL 36604-3301 | 2020-07-15 |
| 1336757350 | Sabeeha Naazneen Shaik | Student in an Organized Health Care Education/Training Program | 1700 Center St, Mobile, AL 36604-3301 | 2020-07-15 |
| 1336760636 | Claudia Reed | Nurse Practitioner | 1700 Center St, Mobile, AL 36604-3301 | 2020-04-28 |
| 1154952547 | Lauren D Morgan | Nurse Practitioner | 1700 Center St, Mobile, AL 36604-3301 | 2020-02-04 |
| 1396375879 | Austin Lee Williams | Nurse Anesthetist, Certified Registered | 1700 Center St, Mobile, AL 36604-3301 | 2020-01-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013551449 | John F Kilpatrick | Social Worker | 1156 Springhill Avenue, Mobile, AL 36604 | 2019-10-29 |
| 1477036986 | Rachel Schneider | Specialist/Technologist | 1601 Center St Ste B, Mobile, AL 36604 | 2018-09-11 |
| 1891218194 | Transitional Care LLC | Nurse Practitioner | 1725 Springhill Avenue, Mobile, AL 36604 | 2017-07-19 |
| 1427404722 | Precision Orthotics & Prosthetics,llc | Durable Medical Equipment & Medical Supplies | 1557 Springhill Avenue, Mobile, AL 36604 | 2016-05-05 |
| 1851737746 | Robert P. Kobelja | Psychiatry & Neurology | 1601 Center St Ste 2s, Mobile, AL 36604 | 2013-05-17 |
| 1619233970 | Lisa Brown Bailey | Nurse Practitioner | 1700 Center Street--, Division of Neonatology, Mobile, AL 36604 | 2012-04-11 |
| 1023341773 | Rebecca Blankenhorn | Audiologist | 1610 Center St., Suite A, Mobile, AL 36604 | 2009-09-14 |
| 1700062684 | William-glenn Langley Hollingsworth | Counselor | 1156 Springhill Ave, Mobile, AL 36604 | 2008-01-10 |
| 1972715415 | Allison May Chung | Pharmacist | 1504 Springhill Dr, Rm 5225, Mobile, AL 36604 | 2007-05-04 |
| 1265504716 | Geriatric Specialists LLC | Internal Medicine | 1059 Palmetto St, Mobile, AL 36604 | 2006-11-13 |
| Find all providers in zip 36604 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245898683 | Usa Health Physician Billing Services LLC | Pediatrics | 1700 Center St, Mobile, AL 36604-3301 | 2019-05-31 |
| 1508352824 | Imc-neonatology LLC | Pediatrics | 1725 Spring Hill Ave, Mobile, AL 36604-1402 | 2018-07-10 |
| 1043553399 | Monika Rydzewska | Pediatrics | 1700 Center St, Cweb 1, Rm 1538, Mobile, AL 36604-3301 | 2013-04-04 |
| 1942566427 | Sunny Patel | Pediatrics | 1700 Center St, Cweb1 Room 1536, Mobile, AL 36604-3301 | 2012-04-09 |
| 1619233129 | Rashmi Gulati | Pediatrics | 1700 Center St, Nicu, Mobile, AL 36604-3301 | 2012-04-09 |
| 1104059260 | Ramachandra Bhat | Pediatrics | 1700 Center St, Mobile, AL 36604-3301 | 2009-08-24 |
| 1992740153 | Keith J. Peevy | Pediatrics | 1700 Center St, Mobile, AL 36604-3301 | 2006-06-19 |
| 1336189745 | Richard Whitehurst | Pediatrics | 1700 Center St, Mobile, AL 36604-3301 | 2006-06-07 |
| 1548208424 | Charles R Hamm | Pediatrics | 1700 Center St, Mobile, AL 36604-3301 | 2006-06-03 |
| 1710932041 | Michael M. Zayek | Pediatrics | 1700 Center St, Mobile, AL 36604-3301 | 2006-05-24 |
| 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.