UNIVERSITY OF SOUTH ALABAMA HEALTH CARE AUTHORITY (NPI# 1417413840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417413840 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF SOUTH ALABAMA HEALTH CARE AUTHORITY |
| Other Organization Name | UNIVERSITY UROLOGY |
| Practice Address |
1047 Fairhope Ave Fairhope AL 36532-3145 |
| Mailing Address |
6701 Airport Blvd Ste A101 Mobile AL 36608-6767 |
| Practice Telephone | 2516605930 |
| Practice Fax Number | 2516605931 |
| Mailing Telephone | 2513786209 |
| Mailing Fax Number | 2513786222 |
| Enumeration Date | 2019-02-11 |
| Last Update Date | 2020-07-06 |
| 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 | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| University Urology | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 150 S Ingleside St, Fairhope, AL 365321803 | 2516605930 | 2516605931 |
| 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 |
| 1174005102 | University of South Alabama Health Care Authority | Specialist | 3290 Dauphin St Ste 301, Mobile, AL 36606-4052 | 2018-09-06 |
| 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 |
1047 FAIRHOPE AVE |
| City | FAIRHOPE |
| State | AL |
| Zip Code | 36532-3145 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932183217 | William Carroll Hixson | Radiology | 1047 Fairhope Ave, Fairhope, AL 36532-3145 | 2005-12-01 |
| 1619111200 | Christopher Keel | Urology | 1047 Fairhope Ave, Fairhope, AL 36532-3145 | 2009-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376000729 | Abby Stockman | Marriage & Family Therapist | 372 S. Greeno Road, Fairhope, AL 36532 | 2019-02-21 |
| 1962973990 | Pain Consultants of Alabama | Non-Pharmacy Dispensing Site | 320 North Greeno Rd., Fairhope, AL 36532 | 2018-12-17 |
| 1881182236 | Interface Medical Consulting LLC | Family Medicine | 12141 Cri, Fairhope, AL 36532 | 2018-05-01 |
| 1063937167 | Julia W Stone, LLC | Counselor | 21180 Al State Hwy 181, Suite 2, Fairhope, AL 36532 | 2017-08-09 |
| 1568985349 | Eastern Shore Oral, Facial and Implant Surgery Center, P.C. | Clinic/Center | 24172 4th Street, Fairhope, AL 36532 | 2017-07-24 |
| 1205209509 | Comfort Care Coastal Hospice, LLC | Hospice Care, Community Based | 22502 U.S. Highway 98, Fairhope, AL 36532 | 2015-11-09 |
| 1609248632 | Sabrina Reeves | Physician Assistant | 77 Magnolia Ave, Fairhope, AL 36532 | 2015-10-29 |
| 1386025146 | Laura Lasecki Wimmer | Podiatrist | 23937 Us Highway 98 Ste 1, Fairhope, AL 36532 | 2015-06-17 |
| 1386024719 | Gulf Coast Homecare LLC Dba Firstlight Homecare of Mobile Eastern Shor | In Home Supportive Care | 924 Plantation Blvd., Suite C, Fairhope, AL 36532 | 2015-06-01 |
| 1386021525 | June Lassiter | Nurse Practitioner | 22823 Ecor Rouge Lane, Fairhope, AL 36532 | 2015-04-27 |
| Find all providers in zip 36532 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558666560 | James Otis Gordon | Urology | 210 S Mobile St, #23, Fairhope, AL 36532-1365 | 2011-01-22 |
| 1982667622 | Christopher D Petrus | Urology | 8720 Fairhope Ave, Fairhope, AL 36532-3608 | 2006-04-11 |
| 1811257926 | Fairhope Urology, PC | Urology | 8720 Fairhope Ave, Fairhope, AL 36532-3608 | 2012-05-22 |
| 1619111200 | Christopher Keel | Urology | 1047 Fairhope Ave, Fairhope, AL 36532-3145 | 2009-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184236549 | Clinical Urology Associates, P.C. | Urology | 7063 Veterans Pkwy Ste 100, Pell City, AL 35125-5114 | 2020-08-18 |
| 1356866693 | Clinical Urology Associates, P.C. | Urology | 740 County Road 407, Centre, AL 35960-6759 | 2017-08-08 |
| 1538534409 | Clinical Urology Associates, P.C. | Urology | 820 Pelham Rd S, Jacksonville, AL 36265-2736 | 2015-12-03 |
| 1538587076 | Adam Seth Baumgarten | Urology | 2000 6th Ave S Fl 5, Birmingham, AL 35233-2110 | 2014-04-02 |
| 1952739484 | Limestone Urology Associates | Urology | 101 Fitness Way Ste 2300, Athens, AL 35611-2480 | 2013-10-18 |
| 1053657452 | David Mitchell Comfort | Urology | 2716 Hanover Circle, Unit 801, Birmingham, AL 35205 | 2012-12-13 |
| 1700120920 | Kirby Knapp Bryant Jr Jr. | Urology | 507 Hillyer High Rd, Anniston, AL 36207-6272 | 2012-11-15 |
| 1932451093 | Samuel Britt Owens | Urology | 2320 Brookwood Dr Se, Decatur, AL 35601-6176 | 2012-10-12 |
| 1245505536 | Urology Associates of North Alabama | Urology | 1874 Beltine Road, Sw, Suite 106, Decatur, AL 35601 | 2012-03-20 |
| 1487930749 | Sheridan William Shirley | Urology | 4072 Crossings Lane, Birmingham, AL 35242-4474 | 2011-10-31 |
| Find all providers with the same taxonomy | ||||
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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.