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EAST ALABAMA CARDIAC AND THORACIC SURGERY NPI 1598827420


NPI Information

NPI: 1598827420
Provider Name: EAST ALABAMA CARDIAC AND THORACIC SURGERY
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
2000 PEPPERELL PKWY
OPELIKA, AL
ZIP 36801
Phone: (334) 528-1720
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EAST ALABAMA CARDIAC AND THORACIC SURGERY is a specialist in Opelika, 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. EAST ALABAMA CARDIAC AND THORACIC SURGERY NPI is 1598827420. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

2000 PEPPERELL PKWY
OPELIKA, AL
ZIP 36801-452
Phone: (334) 528-1720
Fax: (334) 528-1693

The provider's authorized official is Kelly Marie Farr .
The authorized official title is Office Manager and has the following contact phone number (334) 528-1720.

The enumeration date for this NPI number is 12/15/2006 and was last updated on 10/16/2009.


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
1174400000XSpecialist22312ALABAMANo
2174400000XSpecialist19855ALABAMAYes

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
1G17874MEDICARE UPINALABAMA
2051502404MEDICARE ID-TYPE UNSPECIFIEDALABAMALEE D. ROBERSON, MD
3102I783675MEDICARE PINALABAMA
4I19071MEDICARE UPINALABAMA
5009960240MEDICAIDALABAMA
6110274MEDICAIDALABAMA

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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