UNIVERSITY OF SOUTH ALABAMA


Address: 1601 Center St Ste 1s, Mobile, AL 36604-1541
Phone: 2514105437

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080P0206X Pediatrics
Specialization: Pediatric Gastroenterology
Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
USA Gastroenterology- Pediatrics 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 1601 CENTER ST STE 1S
City MOBILE
State AL
Zip Code 36604-1541

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 2080P0206X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Gastroenterology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
Find all providers with the same taxonomy

Competitor

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City MOBILE
Zip Code 36604

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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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