University of South Alabama Mitchell Cancer Institute

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

UNIVERSITY OF SOUTH ALABAMA MITCHELL CANCER INSTITUTE

Practice address

1660 Springhill Ave
Mobile, AL 36604

Phone

(251) 665-8000

Fax

(251) 665-8010

NPI assigned

Jun 1, 2007

Organization subpart

No

Name

William B Bush

Title

Asst VP/Chief Financial Officer

Phone

(251) 471-7114

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• University of South Alabama

  • Clinical Medical Laboratory
  • Mobile, AL
  • NPI 1497859052

  O20040115000773

  Same enrollment
• University of South Alabama

  • Internal Medicine Physician
  • Mobile, AL
  • NPI 1700241015

  O20040115000773

  Same enrollment
• University of South Alabama

  • Multi-Specialty Clinic/Center
  • Mobile, AL
  • NPI 1992013593

  O20040115000773

  Same enrollment
• University of South Alabama

  • Family Medicine Physician
  • Mobile, AL
  • NPI 1992746838

  O20040115000773

  Same enrollment

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

• Stephanie D Aikin, PA

  • Medical Physician Assistant
  • Mobile, AL
  • NPI 1699856856
  NPD
• Emad Al Jaber, M.D.

  • Nephrology Physician
  • Mobile, AL
  • NPI 1477920528
  NPD
• Mary Barros, CRNP

  • Family Nurse Practitioner
  • Mobile, AL
  • NPI 1922464288
  NPD
• Thaddeus Beeker, MD

  • Hematology & Oncology Physician
  • Mobile, AL
  • NPI 1780637579
  NPD
• Kelsey Leigh Bell, PA

  • Physician Assistant
  • Mobile, AL
  • NPI 1831747203
  NPD
• Wilburn Donald Bolton III, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Mobile, AL
  • NPI 1225267289
  NPD
• Michael C Boudreaux, CRNA

  • Certified Registered Nurse Anesthetist
  • Mobile, AL
  • NPI 1306810759
  NPD
• Stephen E Bowden, M.D.

  • Specialist
  • Mobile, AL
  • NPI 1891777173
  NPD
• Ashleigh Bowman

  • Critical Care Pediatric Nurse Practitioner
  • Mobile, AL
  • NPI 1679921704
  NPD
• Brian Emanuel Brocato, D.O.

  • Maternal & Fetal Medicine Physician
  • Birmingham, AL
  • NPI 1538385703
  NPD
• Thomas Wayne Butler, MD

  • Hematology & Oncology Physician
  • Mobile, AL
  • NPI 1396787230
  NPD
• James Elliot Carter, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Mobile, AL
  • NPI 1215988696
  NPD

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare fee-for-service enrollment

Enrolled in AL

Locations

• USA Mitchell Cancer Institute Other name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 27, 2013.

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385510400000",
    "number": "1023210259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40430",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366400430",
            "telephone_number": "251-470-5842",
            "fax_number": "251-470-5809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 SPRINGHILL AVE",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "36604",
            "telephone_number": "251-665-8000",
            "fax_number": "251-665-8010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF SOUTH ALABAMA MITCHELL CANCER INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-01",
        "last_updated": "2013-11-27",
        "status": "A",
        "authorized_official_last_name": "BUSH",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "ASST VP/CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "251-471-7114"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS COMMON PAY",
            "identifier": "G332",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529932818",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01256281",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "USA Mitchell Cancer Institute",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• University of South Alabama Health Services Foundation
• University of South Alabama Health Services Foundation
• University of South Alabama Hospitals
• University of South Alabama Hosptital
• University of South Alabama Medical Center
• University of South Alabama Psychology Clinic
• University of South Alabama, Dept of Radiology
• University South Alabama Children'S and Women'S Hospital
• Upperline Healthcare, PC
• Trinity Upshaw

• All providers in Mobile, AL
• Multi-Specialty Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.