UNIVERSITY OF SOUTH ALABAMA HEALTH CARE AUTHORITY (NPI# 1174005102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174005102 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF SOUTH ALABAMA HEALTH CARE AUTHORITY |
| Other Organization Name | UNIVERSITY UROLOGY |
| Practice Address |
3290 Dauphin St Ste 301 Mobile AL 36606-4052 |
| Mailing Address |
6701 Airport Blvd Ste A101 Mobile AL 36608-6767 |
| Practice Telephone | 2516338880 |
| Mailing Telephone | 2513786209 |
| Mailing Fax Number | 2513786222 |
| Enumeration Date | 2018-09-06 |
| Last Update Date | 2018-09-06 |
| Authorized Official Name | ERICA MADISON (CREDENTIALING) |
| Authorized Official Telephone | 2513786209 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Other Name | Type Code |
|---|---|
| University Urology | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093316259 | University of South Alabama Health Care Authority | Internal Medicine | 2503 Old Shell Rd, Mobile, AL 36607-3021 | 2020-11-04 |
| 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 |
| 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 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Alabama Business Registrations | University of South Alabama Health Care Authority | 307 University Blvd N Ad 170, Mobile, Al 36688-2, |
| Street Address |
3290 DAUPHIN ST STE 301 |
| City | MOBILE |
| State | AL |
| Zip Code | 36606-4052 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134380496 | William Jefferson Terry Jr. | Urology | 3290 Dauphin St Ste 301, Mobile, AL 36606-4052 | 2008-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982216388 | Kaitlyn Culotta Dozier | Student in an Organized Health Care Education/Training Program | 936 Grant Park Drive, Mobile, AL 36606 | 2020-08-18 |
| 1902466758 | Gulf Coast Totalcare | Case Management | 3280 Dauphin Street, Building C, Suite 1, Mobile, AL 36606 | 2019-06-14 |
| 1023581246 | Elizabeth Fair | Psychologist | 3168 Midtown Park S Ste E, Mobile, AL 36606 | 2019-01-10 |
| 1962987420 | Asra Bashir | Pharmacist | 101 East Interstate 65 Service Rd S, Mobile, AL 36606 | 2018-10-01 |
| 1902398274 | Tunisia London | Social Worker | 601 Bel Air Blvd Ste 411, Mobile, AL 36606 | 2018-06-03 |
| 1962925677 | Tasheka Janine Scott I | Nurse's Aide | 629 Crenshaw Street, Mobile, AL 36606 | 2017-07-25 |
| 1295128189 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 1450 Tingle Circle West, Mobile, AL 36606 | 2015-03-17 |
| 1437441623 | Julia Marco Williams | Counselor | 605 Bel Air Blvd Ste 33, Mobile, AL 36606 | 2011-05-06 |
| 1235363516 | Jenny M Neese | Dietitian, Registered | 2504 Dauphin Street, Suite J, Mobile, AL 36606 | 2009-05-14 |
| 1609000223 | Bay Area Nutrition, Inc | Dietitian, Registered | 2029-b Airport Blvd, Suite 195, Mobile, AL 36606 | 2009-05-11 |
| Find all providers in zip 36606 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083021737 | Jhm Medical Services LLC | Specialist | 6801 Airport Blvd Wcc/hbo, Mobile, AL 36608-3709 | 2014-07-15 |
| 1598040461 | Robert S Harlin | Specialist | 75 Clarise Circle, Mobile, AL 36608 | 2011-10-11 |
| 1851522841 | Dr, Timothy Peter Ahmadi M.d. | Specialist | 71 Midtown Park W, Mobile, AL 36606-4151 | 2009-08-07 |
| 1134387913 | Ellen Kay Taylor | Specialist | 1603 Monterey Pl, Mobile, AL 36604-1229 | 2008-05-28 |
| 1548455264 | Angela Karen Mcvay | Specialist | 316b S Sage Ave, Mobile, AL 36606-3616 | 2007-09-06 |
| 1649392051 | Azalea City Physical Therapy | Specialist | 316c S Sage Ave, Mobile, AL 36606-3616 | 2007-04-05 |
| 1306990890 | Michael Biven Lyons | Specialist | 3664 College Ln S, Mobile, AL 36608-1240 | 2007-01-22 |
| 1487702999 | Carl Maltese | Specialist | 1901 Springhill Ave, Mobile, AL 36607 | 2007-01-08 |
| 1396893814 | William R Higgs | Specialist | 3715 Dauphin St 600, Mobile, AL 36608-1774 | 2007-01-08 |
| 1811058613 | William Stephen Martin | Specialist | 6001 Grelot Rd # A, Mobile, AL 36609-3609 | 2006-12-13 |
| 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.