UNIVERSITY OF SOUTH ALABAMA (NPI# 1205303153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205303153 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF SOUTH ALABAMA |
| Practice Address |
1610 Center St Ste B Mobile AL 36604-1512 |
| Mailing Address |
Po Box 40480 Mobile AL 36640-0480 |
| Practice Telephone | 2514151670 |
| Enumeration Date | 2018-10-30 |
| Last Update Date | 2018-10-30 |
| 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 | 261QX0100X |
Clinic/Center Specialization: Occupational Medicine |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| USA Pediatric Therapy - Occupational Therapy | 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 |
| 1295202141 | University of South Alabama | Clinic/Center | 1610 Center St Ste B, Mobile, AL 36604-1512 | 2018-10-30 |
| 1396225090 | University of South Alabama | Ambulance | 1700 Center St, Mobile, AL 36604-3301 | 2018-08-21 |
| 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 |
1610 CENTER ST STE B |
| City | MOBILE |
| State | AL |
| Zip Code | 36604-1512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699015453 | Rachel Hurst Frazier | Occupational Therapist | 1610 Center St Ste B, Mobile, AL 36604-1512 | 2013-02-15 |
| 1770100703 | Leslie A Mcwain | Speech-Language Pathologist | 1610 Center St Ste B, Mobile, AL 36604-1543 | 2020-06-25 |
| 1679106561 | Ashley Hocklander Grove | Speech-Language Pathologist | 1610 Center St Ste B, Mobile, AL 36604-1543 | 2020-02-19 |
| 1366087231 | Sarah A. Peacock | Occupational Therapist | 1610 Center St Ste B, Mobile, AL 36604-1543 | 2019-11-14 |
| 1124686845 | Usa Health Physician Billing Services LLC | Physical Therapist | 1610 Center St Ste B, Mobile, AL 36604-1543 | 2019-05-29 |
| 1396303012 | Usa Health Physician Billing Services LLC | Occupational Therapist | 1610 Center St Ste B, Mobile, AL 36604-1543 | 2019-05-29 |
| 1750949475 | Usa Health Physician Billing Services LLC | Speech-Language Pathologist | 1610 Center St Ste B, Mobile, AL 36604-1543 | 2019-05-29 |
| 1598229221 | Mary Helen Adams | Speech-Language Pathologist | 1610 Center St Ste B, Mobile, AL 36604-1543 | 2019-01-28 |
| 1902360969 | Ali Nicole Smith | Occupational Therapist | 1610 Center St Ste B, Mobile, AL 36604-1543 | 2019-01-24 |
| 1356814198 | Clarrisa Pauli | Speech-Language Pathologist | 1610 Center St Ste B, Mobile, AL 36604-1512 | 2019-01-04 |
| 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 | 261QX0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Occupational Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801420807 | Northeast Alabama Occupational Medicine | Clinic/Center | 5722 Us Highway 431, Albertville, AL 35950-0234 | 2020-02-27 |
| 1205204732 | The Healthcare Authority of North Alabama | Clinic/Center | 1963 Memorial Parkway Nw, Suite 24, Huntsville, AL 35801 | 2015-09-15 |
| 1235557620 | Advanced Spine & Therapy Services, LLC | Clinic/Center | 106 Saraland Loop, Saraland, AL 36571-2419 | 2014-04-02 |
| 1013050806 | Occupational Health Centers of The Southwest, P.a., P.C. | Clinic/Center | 110 Oxmoor Court, Birmingham, AL 35209 | 2007-02-14 |
| 1992878268 | Gary Wayne Daniel | Clinic/Center | 1949 Florence Blvd, Florence, AL 35630-2729 | 2006-11-16 |
| 1679678577 | Occupational Health Clinics, LLC | Clinic/Center | 2700 10th Ave S Ste 103, Birmingham, AL 35205-1248 | 2006-09-14 |
| 1639530835 | Progressivehealth, LLC | Clinic/Center | 700 Hyundai Blvd, Montgomery, AL 36105-9622 | 2016-03-15 |
| 1194192625 | The Healthcare Authority of North Alabama | Clinic/Center | 1615 Kathy Ln Sw, Decatur, AL 35603-1026 | 2015-09-01 |
| 1003283524 | The Healthcare Authority of North Alabama | Clinic/Center | 9238 Madison Blvd, Building 1, Suite 200, Madison, AL 35758-9100 | 2015-09-01 |
| 1972925162 | Occupational Health Center LLC | Clinic/Center | 1949 Florence Blvd, Florence, AL 35630-2729 | 2014-01-08 |
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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.