UNIVERSITY OF SOUTH ALABAMA (NPI# 1407216583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407216583 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF SOUTH ALABAMA |
| Other Organization Name | USA PEDIATRIC CRITICAL CARE |
| Practice Address |
1700 Center St Mobile AL 36604-3301 |
| Mailing Address |
Po Box 40480 Mobile AL 36640-0480 |
| Practice Telephone | 2514151546 |
| Practice Fax Number | 2514151026 |
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| USA Pediatric Critical Care | 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 |
| Alabama Business Registrations | University of South Alabama Health Care Authority | 307 University Blvd N Ad 170, Mobile, Al 36688-2, |
| Street Address |
1700 CENTER ST |
| City | MOBILE |
| State | AL |
| Zip Code | 36604-3301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285699983 | Margaret E. Ishee | Nurse Anesthetist, Certified Registered | 1700 Center St, Mobile, AL 36604-2457 | 2006-04-18 |
| 1861007262 | Charlotte Annette Moss | Nurse Practitioner | 1700 Center St, Mobile, AL 36604-3301 | 2020-09-11 |
| 1255942413 | Aayushka Gurung | Student in an Organized Health Care Education/Training Program | 1700 Center St, Mobile, AL 36604-3301 | 2020-08-12 |
| 1407466600 | Abdul Kader Saifuddin Surti | Student in an Organized Health Care Education/Training Program | 1700 Center St, Mobile, AL 36604-3301 | 2020-08-03 |
| 1376153601 | Seemal Iftikhar | Student in an Organized Health Care Education/Training Program | 1700 Center St, Mobile, AL 36604-3301 | 2020-08-02 |
| 1407464415 | Khushboo Golani | Student in an Organized Health Care Education/Training Program | 1700 Center St, Mobile, AL 36604-3301 | 2020-07-15 |
| 1336757350 | Sabeeha Naazneen Shaik | Student in an Organized Health Care Education/Training Program | 1700 Center St, Mobile, AL 36604-3301 | 2020-07-15 |
| 1336760636 | Claudia Reed | Nurse Practitioner | 1700 Center St, Mobile, AL 36604-3301 | 2020-04-28 |
| 1154952547 | Lauren D Morgan | Nurse Practitioner | 1700 Center St, Mobile, AL 36604-3301 | 2020-02-04 |
| 1396375879 | Austin Lee Williams | Nurse Anesthetist, Certified Registered | 1700 Center St, Mobile, AL 36604-3301 | 2020-01-23 |
| 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 | 2080P0203X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Critical Care Medicine |
| A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, 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. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154989598 | Usa Health Physician Billing Services LLC | Pediatrics | 1700 Center St, Mobile, AL 36604-3301 | 2019-05-31 |
| 1295084291 | Kamal Prasad Sharma | Pediatrics | 1700 Center St, Mobile, AL 36604-3301 | 2012-09-05 |
| 1033340492 | Wail Ali | Pediatrics | 1700 Center St, Mobile, AL 36604-3301 | 2009-08-04 |
| 1245492453 | Cristina Elena Gavrilita | Pediatrics | 1700 Center St, Mobile, AL 36604-3301 | 2008-06-29 |
| 1578503751 | Rosa A. Vidal | Pediatrics | 1700 Center St, Picu, Mobile, AL 36604-3301 | 2006-06-07 |
| 1215981923 | Sheryl Falkos | Pediatrics | 1700 Center St, Picu, Mobile, AL 36604-3301 | 2006-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063702454 | Madhura Adiga Hallman | Pediatrics | 1600 7th Ave S Ste 102, Birmingham, AL 35233 | 2011-04-19 |
| 1366435398 | Wilfredo I Vergara | Pediatrics | 245 Governors Dr Se, Huntsville, AL 35801-2700 | 2005-08-24 |
| 1174170963 | Adeline Phillips | Pediatrics | 1600 7th Ave S, Birmingham, AL 35233-1711 | 2019-08-26 |
| 1720437205 | Devasena Iyer | Pediatrics | 245 Governors Dr Se, Huntsville, AL 35801-2700 | 2016-06-06 |
| 1265879084 | Emily C Dodenhoff | Pediatrics | 1600 7th Ave South, Cppi 102 Division of Pediatric Critical Care, Birmingham, AL 35233 | 2013-06-03 |
| 1174783708 | Chrystal Lashawn Rutledge | Pediatrics | 1600 7th Ave S, Cppi Suite 102, Birmingham, AL 35233-1711 | 2008-06-17 |
| 1770787848 | Santiago Borasino | Pediatrics | 1600 7th Ave S, Birmingham, AL 35233-1711 | 2007-06-13 |
| 1396884524 | Pediatric Intensivist | Pediatrics | 401 Lowell Dr Se, Suite 14, Huntsville, AL 35801-3748 | 2007-02-05 |
| 1669566162 | Leslie W Hayes | Pediatrics | 1600 7th Ave So, Birmingham, AL 35233 | 2006-10-02 |
| 1104934298 | Nancy M Tofil | Pediatrics | 1600 7th Ave S, Birmingham, AL 35233-1711 | 2006-08-28 |
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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.