UNIVERSITY OF SOUTH ALABAMA HEALTH SERVICES FOUNDATION (NPI# 1568523447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1568523447 |
Entity Type | Organization |
Organization Name | UNIVERSITY OF SOUTH ALABAMA HEALTH SERVICES FOUNDATION |
Other Organization Name | USAHSF NEUROLOGY |
Practice Address |
3301 Knollwood Dr Med Pk 4 Mobile AL 36693-7003 |
Mailing Address |
Po Box 40480 Mobile AL 36640-0480 |
Practice Telephone | 2516605108 |
Practice Fax Number | 2516605792 |
Mailing Telephone | 2514705842 |
Mailing Fax Number | 2514705809 |
Enumeration Date | 2006-12-13 |
Last Update Date | 2013-12-02 |
Authorized Official Name | BECKY S. TATE (CHIEF EXECUTIVE OFFICER) |
Authorized Official Telephone | 2514705842 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MS | 09013687 | 05 | |
AL | 528202190 | 05 |
Other Name | Type Code |
---|---|
USAHSF Neurology | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477931822 | University of South Alabama Health Services Foundation | Clinic/Center | 1707 Center Street, Suite 102, Mobile, AL 36604-3305 | 2015-05-18 |
1821159708 | University of South Alabama Health Services Foundation | Clinic/Center | 5795 Usa Dr N, Csab 170, Mobile, AL 36688-0001 | 2006-12-13 |
1891008330 | University of South Alabama Health Services Foundation | Durable Medical Equipment & Medical Supplies | 3421 Medical Park Dr, 2 Medical Park, Rm 160, Mobile, AL 36693-3330 | 2010-07-26 |
1720149727 | University of South Alabama Health Services Foundation | Clinic/Center | 2451 Fillingim St, Mastin 617, Mobile, AL 36617-2238 | 2006-12-13 |
1477614352 | University of South Alabama Health Services Foundation | Clinic/Center | 1720 Center St, Suite 101, Mobile, AL 36604-3304 | 2006-12-13 |
1386705267 | University of South Alabama Health Services Foundation | Clinic/Center | 3421 Medical Park Dr, Med Pk 2, Mobile, AL 36693-3330 | 2006-12-13 |
1003977984 | University of South Alabama Health Services Foundation | Clinic/Center | 1504 Springhill Avenue, Suite 1600, Mobile, AL 36604-0130 | 2006-12-13 |
1912068891 | University of South Alabama Health Services Foundation | Clinic/Center | 1504 Spring Hill Ave, Mobile, AL 36604-3207 | 2006-12-13 |
1730240615 | University of South Alabama Health Services Foundation | Clinic/Center | 2451 Fillingim St, Mobile, AL 36617-2238 | 2006-12-13 |
1952462822 | University of South Alabama Health Services Foundation | Clinic/Center | 1504 Spring Hill Ave, Ste 1800, Mobile, AL 36604-3207 | 2006-12-13 |
Street Address |
3301 KNOLLWOOD DR MED PK 4 |
City | MOBILE |
State | AL |
Zip Code | 36693-7003 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861440604 | Melville J. Sternberg | Internal Medicine | 3301 Knollwood Dr, Medical Park Four, Mobile, AL 36693-7003 | 2006-05-04 |
1285185074 | Jane Gillig | Speech-Language Pathologist | 3301 Knollwood Dr, Medical Park Bldg. 4, Mobile, AL 36693-7003 | 2016-10-17 |
1831540640 | Kelly Davis | Occupational Therapist | 3301 Knollwood Dr, Medical Park Bldg. 4, Mobile, AL 36693-7003 | 2016-06-23 |
1417319740 | Courtenay Rocconi | Speech-Language Pathologist | 3301 Knollwood Dr, Medical Park Bldg. 4, Mobile, AL 36693-7003 | 2016-03-25 |
1962892687 | Stephanie Works Landry | Registered Nurse | 3301 Knollwood Dr, Medical Park Bldg. 4, Mobile, AL 36693-7003 | 2015-02-02 |
1912304031 | Matthew Barnes | Registered Nurse | 3301 Knollwood Dr, Four Med Pk, Mobile, AL 36693-7003 | 2014-12-04 |
1366846883 | Encore Rehabilitation, Inc. | Clinic/Center | 3301 Knollwood Dr, Bldg 4, Mobile, AL 36693-7003 | 2014-10-13 |
1801192851 | Tami Dunne | Nurse Practitioner | 3301 Knollwood Dr, Med Park 4, Mobile, AL 36693-7003 | 2011-02-08 |
1902056658 | Maria Floreli Bramhall | Registered Nurse | 3301 Knollwood Dr, Medical Park 4, Mobile, AL 36693-7003 | 2008-09-30 |
1912947060 | Barry A. Warner | Internal Medicine | 3301 Knollwood Dr, Four Medical Park, Mobile, AL 36693-7003 | 2006-06-07 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265628887 | Hospice Complete, Inc | Hospice Care, Community Based | 826 Lakeside Drive, Mobile, AL 36693 | 2007-09-18 |
1982823548 | Eric Carey Dekle | Physical Therapist | 1220 Azalea Road, Mobile, AL 36693 | 2007-04-24 |
1528189198 | Roy Edward Kadel | Chiropractor | 3504 Shadow Wood Court, Mobile, AL 36693 | 2007-04-02 |
1578606174 | John P Kline | Psychologist | 5406 Spring Dr, Mobile, AL 36693 | 2007-02-14 |
1083751374 | Adeel Rabbani | Psychiatry & Neurology | 5750 A South Land Dr, Mobile Mental Health Center, Mobile, AL 36693 | 2007-01-30 |
1669541595 | Alison Rester Akridge | Dentist | 3977 Burma Rd, Mobile, AL 36693 | 2006-11-07 |
1376612200 | Skyline Family Dental Care PC | Dentist | 3977 Burma Road, Mobile, AL 36693 | 2006-11-07 |
1740373240 | Russell H. Porter | Physical Therapist | 2496 Muir Woods Dr West, Mobile, AL 36693 | 2006-10-02 |
1356390702 | Mobility Medical of North | Durable Medical Equipment & Medical Supplies | 3954 Demetropolis Rd, Mobile, AL 36693 | 2006-05-10 |
1043441041 | Renee' Huff | Social Worker | 5750a Southland Dr, Mobile, AL 36693 | 2009-08-07 |
Find all providers in zip 36693 |
Taxonomy Code | 261QM1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Multi-Specialty |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477931822 | University of South Alabama Health Services Foundation | Clinic/Center | 1707 Center Street, Suite 102, Mobile, AL 36604-3305 | 2015-05-18 |
1992013593 | University of South Alabama | Clinic/Center | 1119 Hahn, 5721 Usa North Drive, Mobile, AL 36688-0002 | 2010-09-16 |
1821159708 | University of South Alabama Health Services Foundation | Clinic/Center | 5795 Usa Dr N, Csab 170, Mobile, AL 36688-0001 | 2006-12-13 |
1124528286 | University of South Alabama Health Care Authority | Clinic/Center | 1261 Hillcrest Rd, Mobile, AL 36695 | 2018-02-15 |
1568834042 | Saad Enterprises, Inc. | Clinic/Center | 1515 S University Blvd, Mobile, AL 36609-2958 | 2015-10-23 |
1164858122 | Planned Parenthood Southeast | Clinic/Center | 717 Downtowner Loop W, Mobile, AL 36609-5503 | 2013-09-23 |
1487923520 | Hands of Hope Health Care Center | Clinic/Center | 3408 Beltline Park Dr N, Mobile, AL 36617-1539 | 2011-12-19 |
1336466093 | Springhill Physician Practices, Inc. | Clinic/Center | 3715 Dauphin St, Ste 7a, Mobile, AL 36608-1771 | 2010-04-21 |
1023210259 | University of South Alabama Mitchell Cancer Institute | Clinic/Center | 1660 Springhill Ave, Mobile, AL 36604 | 2007-06-01 |
1720149727 | University of South Alabama Health Services Foundation | Clinic/Center | 2451 Fillingim St, Mastin 617, Mobile, AL 36617-2238 | 2006-12-13 |
Find all providers in MOBILE |
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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.