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WEST ALABAMA NEPHROLOGY PC NPI 1225197197


NPI Information

NPI: 1225197197
Provider Name: WEST ALABAMA NEPHROLOGY, PC
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 01D2020612

Address:
4400 WATERMELON RD
SUITE B
NORTHPORT, AL
ZIP 35473
Phone: (205) 345-6302
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WEST ALABAMA NEPHROLOGY, PC is a specialist in Northport, AL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. WEST ALABAMA NEPHROLOGY, PC NPI is 1225197197. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4400 WATERMELON RD
SUITE B
NORTHPORT, AL
ZIP 35473-204
Phone: (205) 345-6302
Fax: (205) 247-4300

The provider's authorized official is Geoffrey N Alilonu .
The authorized official title is Owner and has the following contact phone number (205) 345-6302.

The CLIA number assigned to this NPI record is 01D2020612 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 12/7/2006 and was last updated on 5/13/2015.


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
1174400000XSpecialist9748ALABAMAYes

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
1510I130027MEDICARE PINALABAMA
2103380MEDICAIDALABAMA
3529603880MEDICAIDALABAMA
49748OTHERALABAMAAL LICENSE
5I342MEDICARE PINALABAMA
6000037267MEDICAIDALABAMA
751591962OTHERALABAMABCBS NUMBER
8C76965MEDICARE UPINALABAMA
928996OTHERALABAMAAL LICENSE
1051037267OTHERALABAMABCBS

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.