UNIVERSITY OF SOUTH ALABAMA (NPI# 1679934145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679934145 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF SOUTH ALABAMA |
| Other Organization Name | USA GASTROENTEROLOGY- 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 | 2514343852 |
| 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 | 2080P0206X |
Pediatrics Specialization: Pediatric Gastroenterology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| USA Gastroenterology- 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 |
| 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 |
| 1225499700 | University of South Alabama | Pediatrics | 1601 Center St Ste 1s, Mobile, AL 36604-1541 | 2016-03-11 |
| 1477914950 | University of South Alabama | Ophthalmology | 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 | 2080P0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Gastroenterology |
| A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578121919 | Usa Health Physician Billing Services LLC | Pediatrics | 1601 Center St, Mobile, AL 36604-1541 | 2019-05-31 |
| 1053350108 | Daniel L. Preud'homme | Pediatrics | 1601 Center St, Ste 1s, Mobile, AL 36604-1512 | 2006-06-05 |
| 1063459592 | Ananthasekar Ponnambalam | Pediatrics | 1601 Center Street, Suite 1s, Mobile, AL 36604-3207 | 2006-06-01 |
| 1225089220 | Karen D. Crissinger | Pediatrics | 1601 Center Street, Suite 1s, Mobile, AL 36604-3207 | 2006-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487979845 | Gillian Onika Noel | Pediatrics | University of Alabama/children's of Alabama, 5604 Mcwane Building, 1600 7th Avenue South, Birmingham, AL 35233 | 2010-03-29 |
| 1235202029 | Mitchell Bruce Cohen | Pediatrics | 1600 7th Ave S Ste 600, Birmingham, AL 35233-1711 | 2006-11-17 |
| 1255349775 | Randall Douglas Mcclellan | Pediatrics | 303 Williams Avenue, Suite 1021, Huntsville, AL 35801 | 2006-08-03 |
| 1508885559 | Jose Ramon Mestre | Pediatrics | 1023 22nd St S, Birmingham, AL 35205-2811 | 2006-07-19 |
| 1639511934 | Luz Helena Gutierrez Sanchez | Pediatrics | 1600 7th Ave S, Birmingham, AL 35233-1711 | 2013-07-27 |
| 1144584236 | Diana Lorena Montoya Melo | Pediatrics | 1600 7th Ave S, Birmingham, AL 35233-1711 | 2012-07-03 |
| 1134269848 | Meredith Cheryl Hitch | Pediatrics | 5565 Montgomery Hwy, Dothan, AL 36303-1552 | 2007-02-08 |
| 1861533374 | Gastroenterology for Children P.C. | Pediatrics | 1023 22nd St S, Birmingham, AL 35205-2811 | 2007-02-08 |
| 1003901240 | Alabama Pediatric Gastroenterology, P.C. | Pediatrics | 2151 Highland Ave S, Suite 225, Birmingham, AL 35205-4079 | 2006-10-04 |
| 1437268331 | Frank A Franklin | Pediatrics | 1600 7th Ave S, Birmingham, AL 35233-1711 | 2006-08-30 |
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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.