NPIMap

Organization Active NPI

Muhammad Ejaz Ata

  • Rural Health Clinic/Center
  • Scottsboro, AL
National Provider Identifier
1003904368
Registry record updated Feb 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
MUHAMMAD EJAZ ATA
Practice address
506 Harley St
Scottsboro Medical Clinic
Scottsboro, AL 35768-4219
Phone
(256) 574-6157
Fax
(256) 259-0560
NPI assigned
Oct 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2009

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

Authorized official

Name
Muhammad Ejaz Ata, MDNPI 1023112307
Title
Medical Director
Phone
(256) 451-1250

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

506 Harley St
Scottsboro Medical Clinic
Scottsboro, AL 35768-4219

Mailing address

PO Box 246
Pisgah, AL 35765-0246
Phone (256) 451-1250

Other identifiers 3

IdentifierTypeStateIssuer
541003935MedicaidAL
CM0511OtherRAILROAD MEDICARE
013209OtherALBLUE CROSS OF ALABAMA

Other names 1

  • Scottsboro Medical Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Muhammad Ejaz Ata2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234224000000",
    "number": "1003904368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 246",
            "city": "PISGAH",
            "state": "AL",
            "postal_code": "357650246",
            "telephone_number": "256-451-1250",
            "fax_number": "256-451-1270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 HARLEY ST",
            "address_2": "SCOTTSBORO MEDICAL CLINIC",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "357684219",
            "telephone_number": "256-574-6157",
            "fax_number": "256-259-0560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUHAMMAD EJAZ ATA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2009-02-10",
        "status": "A",
        "authorized_official_last_name": "ATA",
        "authorized_official_first_name": "MUHAMMAD",
        "authorized_official_middle_name": "EJAZ",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "256-451-1250",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "541003935",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CM0511",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF ALABAMA",
            "identifier": "013209",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Scottsboro Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Scottsboro, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2009; 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.