NPIMap

Organization Active NPI

NWMC-Winfield Physician Practices LLC

  • Surgery Physician
  • Winfield, AL
National Provider Identifier
1003015231
Registry record updated May 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
23436 Issued in AL
Legal business name
NWMC-WINFIELD PHYSICIAN PRACTICES LLC
Practice address
255 Medical Drive
Suite 4
Winfield, AL 35594
Phone
(205) 487-7800
Fax
(205) 487-7614
NPI assigned
Jul 17, 2007
Organization subpart
Yes
Parent organization
NWMC-WINFIELD PHYSICIAN PRACTICES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 5, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jeffrey Manord, M. D.
Title
Physician
Phone
(205) 487-7800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X 23436 AL Primary

Addresses

Primary practice location

255 Medical Drive
Suite 4
Winfield, AL 35594

Mailing address

255 Medical Drive
Suite 4
Winfield, AL 35594
Phone (205) 487-7800

Other identifiers 2

IdentifierTypeStateIssuer
529932829MedicaidAL
DG4823OtherALRAILROAD MEDICARE

Other names 1

  • Northwest Surgical Associates Doing business as

National Provider Directory

National Provider Directory
Part of
NWMC-Winfield Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209945600000",
    "number": "1003015231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 MEDICAL DRIVE",
            "address_2": "SUITE 4",
            "city": "WINFIELD",
            "state": "AL",
            "postal_code": "35594",
            "telephone_number": "205-487-7800",
            "fax_number": "205-487-7614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 MEDICAL DRIVE",
            "address_2": "SUITE 4",
            "city": "WINFIELD",
            "state": "AL",
            "postal_code": "35594",
            "telephone_number": "205-487-7800",
            "fax_number": "205-487-7614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NWMC-WINFIELD PHYSICIAN PRACTICES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NWMC-WINFIELD PHYSICIAN PRACTICES LLC",
        "enumeration_date": "2007-07-17",
        "last_updated": "2008-05-05",
        "status": "A",
        "authorized_official_last_name": "MANORD",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "205-487-7800",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "AL",
            "license": "23436",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529932829",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DG4823",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northwest Surgical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winfield, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.