Edward Alston Otts (NPI# 1467871533, PAC ID# 9032333158) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1467871533 |
| PAC ID by PECOS | 9032333158 |
| Professional Enrollment ID | I20190924002246 |
| Full Name | Edward Alston Otts |
| Organization Legal Name | IMC-CANCER SURGERY OF MOBILE, LLC |
| Address |
1700 Spring Hill Ave Suite 400 Mobile AL 36604-1416 |
| Phone Number | 2514384440 |
| Gender | M |
| Medical School | UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE |
| Graduation Year | 2014 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 1557550589 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 010113 | MOBILE INFIRMARY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1700 Spring Hill Ave, Suite 400, Mobile, AL 36604-1416 | 2514384440 | IMC-CANCER SURGERY OF MOBILE, LLC |
| 5 Mobile Infirmary Cir, Mobile, AL 36607-3513 | 2514355557 | IMC-CANCER SURGERY OF MOBILE, LLC |
| Organization Legal Name | IMC-CANCER SURGERY OF MOBILE, LLC |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Caroline Elizabeth Mcgugin | Surgical Oncology | Imc-cancer Surgery of Mobile, LLC | 3 Mobile Infirmary Circle, Suite 305, Mobile, AL 36607-3584 |
| Joseph W Galloway | General Surgery | Imc-cancer Surgery of Mobile, LLC | 1700 Spring Hill Ave, Suite 400, Mobile, AL 36604-1416 |
| Steven W Kinsey | General Surgery | Imc-cancer Surgery of Mobile, LLC | 1340 N Mckenzie St, Foley, AL 36535-2232 |
| Lee W Thompson | Surgical Oncology | Imc-cancer Surgery of Mobile, LLC | 5 Mobile Infirmary Cir, Mobile, AL 36607-3513 |
| Gerhard A.w. Boehm | General Surgery | Imc-cancer Surgery of Mobile, LLC | 5 Mobile Infirmary Cir, Mobile, AL 36607-3513 |
| Tammy L Clayton | Nurse Practitioner | Imc-cancer Surgery of Mobile, LLC | 3 Mobile Infirmary Circle, Suite 305, Mobile, AL 36607-3584 |
| Jimmie G Gavras | General Surgery | Imc-cancer Surgery of Mobile, LLC | 188 Hospital Dr, Suite 205, Fairhope, AL 36532-2038 |
| Christopher H Dyas | General Surgery | Imc-cancer Surgery of Mobile, LLC | 1700 Spring Hill Ave, Suite 400, Mobile, AL 36604-1416 |
| Isaac C Payne | Emergency Medicine | Imc-cancer Surgery of Mobile, LLC | 3 Mobile Infirmary Circle, Suite 305, Mobile, AL 36607-3584 |
| John W Wilson | General Surgery | Imc-cancer Surgery of Mobile, LLC | 188 Hospital Dr, Suite 205, Fairhope, AL 36532-2038 |
| Street Address |
1700 SPRING HILL AVE SUITE 400 |
| City | MOBILE |
| State | AL |
| Zip | 36604-1416 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph W Galloway | General Surgery | Imc-cancer Surgery of Mobile, LLC | 1700 Spring Hill Ave, Suite 400, Mobile, AL 36604-1416 |
| Christopher H Dyas | General Surgery | Imc-cancer Surgery of Mobile, LLC | 1700 Spring Hill Ave, Suite 400, Mobile, AL 36604-1416 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tracy Bartel | Nurse Practitioner | University of South Alabama | 1601 Ctr St, Suite 2s, Mobile, AL 36604 |
| Regena Simpson | Nurse Practitioner | University of South Alabama | 1601 Ctr St, Suite 1s, Mobile, AL 36604 |
| Eva M Alnajjar | Obstetrics/gynecology | University of South Alabama | 1601 Ctr St, Suite 3 S, Mobile, AL 36604 |
| Devin W Hudson | Nurse Practitioner | University of South Alabama | 1601 Ctr St, Suite 3n, Mobile, AL 36604 |
| Bassam Husam Rimawi | Obstetrics/gynecology | University of South Alabama | 1601 Ctr St, Suite 3 S, Mobile, AL 36604 |
| Charles R Hanes Ii | Obstetrics/gynecology | University of South Alabama | 1601 Ctr St, Suite 3 S, Mobile, AL 36604 |
| Melanie J Giambrone | Nurse Practitioner | University of South Alabama | 1601 Ctr St, Suite 2s, Mobile, AL 36604 |
| Sterling Wayne Mccolgin | Obstetrics/gynecology | University of South Alabama | 1601 Ctr St, Suite 3 S, Mobile, AL 36604 |
| William Kilgo | Neurology | University of South Alabama | 1601 Ctr St, Suite 2s, Mobile, AL 36604 |
| Amelia R Hewes | Obstetrics/gynecology | University of South Alabama | 1601 Ctr St, Suite 3 S, Mobile, AL 36604 |
| Find all physicians in zip 36604 | |||
| City | MOBILE |
| Zip Code | 36604 |
| Specialty | GENERAL SURGERY |
| City + Specialty | MOBILE + GENERAL SURGERY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.