UNIVERSITY OF SOUTH ALABAMA


Address: 2451 Fillingim St, Mstn Bldg, Mobile, AL 36617-2238
Phone: 2514705890

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RR0500X Internal Medicine
Specialization: Rheumatology
Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
USA Rheumatology Doing Business As Name - Organization

Other Provider IDs and Locations

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

Other Data Sources

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

Office Location

Street Address 2451 FILLINGIM ST
MSTN BLDG
City MOBILE
State AL
Zip Code 36617-2238

Providers in the same location

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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Providers in the same zip code

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 Information

Taxonomy Code 207RR0500X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Rheumatology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City MOBILE
Zip Code 36617

Improve Information

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Dataset Information

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.

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