UNIVERSITY OF SOUTH ALABAMA (NPI# 1396105417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396105417 |
Entity Type | Organization |
Organization Name | UNIVERSITY OF SOUTH ALABAMA |
Other Organization Name | USA RHEUMATOLOGY |
Practice Address |
2451 Fillingim St Mstn Bldg Mobile AL 36617-2238 |
Mailing Address |
Po Box 40480 Mobile AL 36640-0480 |
Practice Telephone | 2514705890 |
Practice Fax Number | 2514717925 |
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 | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
USA Rheumatology | 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 |
2451 FILLINGIM ST MSTN BLDG |
City | MOBILE |
State | AL |
Zip Code | 36617-2238 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225036312 | Roy E Gandy | Surgery | 2451 Fillingim St, Mastin 101, Mobile, AL 36617-2238 | 2005-07-12 |
1629635818 | Usa Health Anesthesia Billing Services, LLC | Nurse Anesthetist, Certified Registered | 2451 Fillingim St, Mobile, AL 36617-2238 | 2019-05-22 |
1629575865 | Onesmus Kiprotich Too | Nurse Anesthetist, Certified Registered | 2451 Fillingim St, Mobile, AL 36617-2238 | 2018-04-12 |
1851894943 | Christine Choquette | Nurse Practitioner | 2451 Fillingim St, Mobile, AL 36617-2238 | 2018-03-14 |
1942720834 | Erin B Cunningham | Nurse Practitioner | 2451 Fillingim St, Mobile, AL 36617-2238 | 2017-06-22 |
1720511017 | Richard Ross Rieske | Student in an Organized Health Care Education/Training Program | 2451 Fillingim St, Mstn 315, Mobile, AL 36617-2238 | 2017-04-04 |
1588196935 | Anam Iftikhar Chouhdry | Student in an Organized Health Care Education/Training Program | 2451 Fillingim St, Res Box 7th Floor, Mobile, AL 36617-2238 | 2017-04-03 |
1417489063 | Joseph Arnell Jones Iv | Student in an Organized Health Care Education/Training Program | 2451 Fillingim St, Res Box 7th Floor, Mobile, AL 36617-2238 | 2017-04-03 |
1912439670 | Ryan Mikel Burdette Kiser | Student in an Organized Health Care Education/Training Program | 2451 Fillingim St, 10-f, Mobile, AL 36617-2238 | 2017-03-31 |
1497287353 | Fares Hujier | Internal Medicine | 2451 Fillingim St, Resident Box 7th Floor, Mobile, AL 36617 | 2017-03-30 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871118760 | Travis Berry | Student in an Organized Health Care Education/Training Program | 2451 University Hospital Dr., Moorer Bldg. Room 120, Mobile, AL 36617 | 2020-06-16 |
1164064978 | Crystal Aerin Deweever | Counselor | 2400 Gordon Smith Dr., Mobile, AL 36617 | 2019-10-14 |
1871145938 | Sagar Kumar | Student in an Organized Health Care Education/Training Program | 2451 University Hospital Dr. Rm 714, Mobile, AL 36617 | 2019-07-09 |
1639630882 | Sarah Anderson | Student in an Organized Health Care Education/Training Program | 2451 University Hospital Drive, Moorer Bldg. Room 120, Mobile, AL 36617 | 2019-03-29 |
1215415120 | Fnu Sameeta | Student in an Organized Health Care Education/Training Program | 2451 Usa Med Center Drive, Moorer Building Room 120, Mobile, AL 36617 | 2018-08-02 |
1659857670 | Sara Roberta Avalos Hernandez | Student in an Organized Health Care Education/Training Program | 2451 Usa Medical Center Drive, Moorer Building, Rm 120, Mobile, AL 36617 | 2018-07-12 |
1669978359 | Colin Thomas Buckley | Student in an Organized Health Care Education/Training Program | 2451 Usa Medical Center Dr. Rm 714, Mobile, AL 36617 | 2018-04-02 |
1336644590 | Shuo Shawn Liu | Student in an Organized Health Care Education/Training Program | 2451 Usa Medical Center Dr., Moorer Bldg. Room 120, Mobile, AL 36617 | 2018-03-28 |
1609308741 | Kulwant Singh Bath | Student in an Organized Health Care Education/Training Program | 2451 Fillingim St Res Box 7th Floor, Mobile, AL 36617 | 2017-03-29 |
1780115238 | Lindsay Dianne Williams | Student in an Organized Health Care Education/Training Program | 2451 Fillingim St., Mst 709, Mobile, AL 36617 | 2017-03-27 |
Find all providers in zip 36617 |
Taxonomy Code | 207RR0500X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Rheumatology |
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
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 |
---|---|---|---|---|
1730497611 | William David Schwieterman | Internal Medicine | 3901 Point Rd, Mobile, AL 36619-9750 | 2010-09-14 |
1679131239 | Usa Health Physician Billing Services LLC | Internal Medicine | 2451 University Hospital Drive, Mastin 102, Mobile, AL 36617-2300 | 2019-05-30 |
1093198632 | Hamdy Mohamed Abdelaziz Ahmed | Internal Medicine | 575 Stanton Rd, Mobile, AL 36617-2344 | 2015-07-01 |
1063679520 | Deepak Kumar | Internal Medicine | 101 Memorial Hospital Dr, Suite 200, Mobile, AL 36608-1786 | 2008-05-21 |
1154594737 | Yanming Xing | Internal Medicine | 6701 Airport Blvd, Suite A101, Mobile, AL 36608-6705 | 2008-04-03 |
1164542346 | Jeffrey D Faggard | Internal Medicine | 1700 Spring Hill Ave, Suite 100, Mobile, AL 36604-1407 | 2007-03-30 |
1508878083 | Providence Healthcare Services | Internal Medicine | 6701 Airport Blvd, Suite D430, Mobile, AL 36608-6705 | 2006-08-12 |
1417963471 | Thomas Cookson Myers | Internal Medicine | 6701 Airport Blvd, Suite A-101, Mobile, AL 36608-6705 | 2006-07-31 |
1740295559 | Teresa Jean Oglesby | Internal Medicine | 6701 Airport Blvd, Suite A-101, Mobile, AL 36608-6705 | 2006-07-30 |
1366456295 | Gino Divittorio | Internal Medicine | 6701 Airport Blvd, Suite A-101, Mobile, AL 36608-6705 | 2006-07-28 |
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.