Provider Type Icon

GULF COAST INTERVENTIONAL SPINE & JOINT SPECIALISTS LLC NPI 1952783748


NPI Information

NPI: 1952783748
Provider Name: GULF COAST INTERVENTIONAL SPINE & JOINT SPECIALISTS LLC
Classification: Physical Medicine & Rehabilitation - 2081P2900X
Entity Type: Organization

Specialization: Pain Medicine

CLIA Number: 01D2101760

Address:
1557 SPRING HILL AVE
MOBILE, AL
ZIP 36604
Phone: (251) 478-4900
Get Directions

GULF COAST INTERVENTIONAL SPINE & JOINT SPECIALISTS LLC is a pain medicine physical medicine rehabilitation in Mobile, AL. The provider is a physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. GULF COAST INTERVENTIONAL SPINE & JOINT SPECIALISTS LLC NPI is 1952783748. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1557 SPRING HILL AVE
MOBILE, AL
ZIP 36604-218
Phone: (251) 478-4900
Fax: (251) 470-6221

The provider's authorized official is Tao Chen .
The authorized official title is Physician/owner and has the following contact phone number (251) 478-4900.

The CLIA number assigned to this NPI record is 01D2101760 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 6/29/2015 and was last updated on 10/2/2023.


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
12081P2900XPhysical Medicine & RehabilitationPain MedicineMD.29601ALABAMAYes

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
1182860MEDICAIDALABAMA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.