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GASTROENTEROLOGY ASSOCIATES WEST PC NPI 1659506004


NPI Information

NPI: 1659506004
Provider Name: GASTROENTEROLOGY ASSOCIATES WEST PC

Doing Business As: JACK L. MAULDIN, MD

Classification: Internal Medicine - 207RG0100X
Entity Type: Organization

Specialization: Gastroenterology

Address:
833 PRINCETON AVE SW
SUITE 200D
BIRMINGHAM, AL
ZIP 35211
Phone: (205) 786-5527
Get Directions

GASTROENTEROLOGY ASSOCIATES WEST PC is a gastroenterology internal medicine in Birmingham, AL. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. GASTROENTEROLOGY ASSOCIATES WEST PC NPI is 1659506004. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Jack L. Mauldin, Md.

The provider's business location address is:

833 PRINCETON AVE SW
SUITE 200D
BIRMINGHAM, AL
ZIP 35211-323
Phone: (205) 786-5527
Fax: (205) 786-5529

The provider's authorized official is Jack L. Mauldin .
The authorized official title is President and has the following contact phone number (205) 786-5527.

The enumeration date for this NPI number is 5/28/2009 and was last updated on 5/28/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RG0100XInternal MedicineGastroenterology6455ALABAMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000004027MEDICAIDALABAMA
2000004027MEDICARE PINALABAMA
3C72967MEDICARE UPINALABAMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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