Marshall Medical Center South

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

MARSHALL MEDICAL CENTER SOUTH

Practice address

133 Wall St
Albertville, AL 35951-9300

Phone

(256) 840-5547

NPI assigned

Jun 3, 2010

Organization subpart

Yes

Parent organization

MARSHALL MEDICAL CENTER SOUTHAs reported in NPPES

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

Authorized official

Name

Mrs. Kathy B. Nelson, CPA

Title

Cfo

Phone

(256) 894-6600

Specialties & licenses 1

Addresses

Other names 1

• Willis Surgical Doing business as

Part of

James a Clement Jr MMC

Locations

Interoperability endpoints

• FHIR API: https://fhir-usa.unify.chbase.com/org/marshso-0747d29f

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alan K Willis, M.D.

  • Vascular Surgery Physician
  • Boaz, AL
  • NPI 1225219256
  NPD

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

{
    "created_epoch": "1275523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275523200000",
    "number": "1003136896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 WALL ST",
            "city": "ALBERTVILLE",
            "state": "AL",
            "postal_code": "359519300",
            "telephone_number": "256-840-5547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 WALL ST",
            "city": "ALBERTVILLE",
            "state": "AL",
            "postal_code": "359519300",
            "telephone_number": "256-840-5547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARSHALL MEDICAL CENTER SOUTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARSHALL MEDICAL CENTER SOUTH",
        "enumeration_date": "2010-06-03",
        "last_updated": "2010-06-03",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "256-894-6600",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Willis Surgical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marathon Health, LLC
• Marshall County Foot Clinic, LLC
• Marshall County Foot Clinic, LLC
• Marshall Family Health Clinic
• Marshall Imaging Center, LLC
• Marshall Medical Center South
• Marshall Medical Center South Cerimele Family Practice
• Marshall Medical Center South Dba MMC Radiologist
• Marshall Medical Center South Heather Krausse MD
• Martin Wound Care LLC

• Vascular Surgery Physician in Albertville, AL
• Providers in Albertville, AL by specialty
• Vascular Surgery Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2010; 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.