Gulf Coast Occupational Sports and Pain Medicine LLC
Organization Active NPI Family Medicine Physician · Foley, AL
NPI 1003238569 · NPPES record last updated Dec 30, 2024
Key facts
- NPI
- 1003238569
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 23039 (AL)
- Legal business name
- GULF COAST OCCUPATIONAL SPORTS AND PAIN MEDICINE LLC
- Practice address
- 1400 N McKenzie St
Foley, AL 36535-2234 - Phone
- (251) 923-2050
- Fax
- (251) 923-2051
- NPI assigned
- Jan 16, 2014
- Organization subpart
- No
Authorized official
- Name
- Ron R Lee, M.D.
- Title
- Owner
- Phone
- (251) 923-2050
Practitioners 1
-
Rony R. Lee, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140825002687 | AL | Part B Supplier - Clinic/Group Practice | 6406074905 |
Receives reassigned benefits from 1 practitioner Practice locations: Foley, AL |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | 23039 | AL | Yes |
Addresses
Primary practice location
1400 N McKenzie St
Foley, AL 36535-2234
Mailing address
1400 N McKenzie St
Foley, AL 36535-2234
Phone (251) 923-2050
Other providers in Foley, AL
- Katy Ellen Gregory
- Greyhawk Counseling Services, LLC.
- Shawn T. Guffin
- Gulf Coast Behavioral Medicine P. C.
- Gulf Coast Counseling Services
- Gulf Coast Radiation Oncology Professional Services PC
- Gulf Coast Specialty Pharmacy LLC
- Gulf Coast Therapy, Inc.
- Gulf Coast Urology LLC
- Gulfcare, LLC Dba Fedok Plastic Surgery
All providers in Foley, AL · Family Medicine Physician in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 30, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.