UNIVERSITY OF SOUTH ALABAMA (NPI# 1225499700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225499700 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF SOUTH ALABAMA |
| Other Organization Name | USA NEPHROLOGY- PEDIATRICS |
| Practice Address |
1601 Center St Ste 1s Mobile AL 36604-1541 |
| Mailing Address |
Po Box 40480 Mobile AL 36640-0480 |
| Practice Telephone | 2514105437 |
| Practice Fax Number | 2514343876 |
| Mailing Telephone | (251) 434-3626 |
| Mailing Fax Number | 2514452464 |
| Enumeration Date | 2016-03-11 |
| Last Update Date | 2017-08-04 |
| Authorized Official Name | GLEN OWEN BAILEY (CEO) |
| Authorized Official Telephone | 2514717118 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0210X |
Pediatrics Specialization: Pediatric Nephrology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| USA Nephrology- Pediatrics | 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 |
| Alabama Business Registrations | University of South Alabama Health Care Authority | 307 University Blvd N Ad 170, Mobile, Al 36688-2, |
| Street Address |
1601 CENTER ST STE 1S |
| City | MOBILE |
| State | AL |
| Zip Code | 36604-1541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528055753 | Roger L Berkow | Emergency Medicine | 1601 Center St Ste 1s, Mobile, AL 36604 | 2005-10-03 |
| 1568946101 | Amanda Lee Wood | Nurse Practitioner | 1601 Center St Ste 1s, Mobile, AL 36604-1541 | 2018-09-19 |
| 1508343112 | Kelly Marie Murray | Physician Assistant | 1601 Center St Ste 1s, Mobile, AL 36604-1541 | 2018-07-26 |
| 1730699513 | Tricia Kenny Huey | Nurse Practitioner | 1601 Center St Ste 1s, Mobile, AL 36604-1541 | 2017-10-05 |
| 1477914950 | University of South Alabama | Ophthalmology | 1601 Center St Ste 1s, Mobile, AL 36604-1541 | 2016-03-11 |
| 1679934145 | University of South Alabama | Pediatrics | 1601 Center St Ste 1s, Mobile, AL 36604-1541 | 2016-03-11 |
| 1134580608 | University of South Alabama | Pediatrics | 1601 Center St Ste 1s, Mobile, AL 36604-1541 | 2016-03-11 |
| 1124489604 | University of South Alabama | Pediatrics | 1601 Center St Ste 1s, Mobile, AL 36604-1541 | 2016-03-11 |
| 1033570502 | University of South Alabama | Pediatrics | 1601 Center St Ste 1s, Mobile, AL 36604-1541 | 2016-03-11 |
| 1760843239 | University of South Alabama | Pediatrics | 1601 Center St Ste 1s, Mobile, AL 36604-1541 | 2016-03-11 |
| 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 | 2080P0210X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Nephrology |
| A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy. |
| 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) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013575455 | Usa Health Physician Billing Services LLC | Pediatrics | 1601 Center St, Mobile, AL 36604-1541 | 2019-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942380290 | Daniel Feig | Pediatrics | 1600 7th Ave S # Acc516, Birmingham, AL 35233-1711 | 2006-10-17 |
| 1811004245 | Mark R Benfield | Pediatrics | 1425 Richard Arrington Jr Blvd S, Suite 206, Birmingham, AL 35205-3898 | 2006-08-23 |
| 1033187505 | Sahar Aboul Rahim Fathallah-shaykh | Pediatrics | 1600 7th Ave So, Acc 516, Birmingham, AL 35233-1711 | 2006-03-10 |
| 1033643556 | Kyle Alexander Deville | Pediatrics | 1600 7th Ave S, Birmingham, AL 35233-1711 | 2017-04-12 |
| 1245546993 | Pediatric Nephrology of Alabama, P.C. | Pediatrics | 1425 Richard Arrington Jr Blvd S, Suite 206, Birmingham, AL 35205-3898 | 2010-08-19 |
| 1861509226 | William Frank Tenney | Pediatrics | 1600 7th Ave S, Birmingham, AL 35233-1711 | 2006-08-23 |
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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.