MEDICAL ASSOCIATES OF EAST AL PC NPI 1376658476

NPI Information

NPI: 1376658476
Provider Name: MEDICAL ASSOCIATES OF EAST AL, PC
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

CLIA Number: 01D2156039

Address:
209 FOB JAMES DR
VALLEY, AL
ZIP 36854
Phone: (334) 756-6936
Get Directions

MEDICAL ASSOCIATES OF EAST AL, PC is a cardiovascular disease internal medicine in Valley, AL. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. MEDICAL ASSOCIATES OF EAST AL, PC NPI is 1376658476. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

209 FOB JAMES DR
VALLEY, AL
ZIP 36854-079
Phone: (334) 756-6936
Fax: (334) 756-6937

The provider's authorized official is Ivan Lewis Slavich .
The authorized official title is President and has the following contact phone number (334) 756-6936.

The CLIA number assigned to this NPI record is 01D2156039 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/20/2006 and was last updated on 12/5/2018.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RC0000X	Internal Medicine	Cardiovascular Disease	DO222	ALABAMA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000034036	MEDICAID	ALABAMA
2	000033687	MEDICAID	ALABAMA

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: 11/14/2023

NPI Synchronization or Removal

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