Gadsden Lung Center, P.C. Inc

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

17934 Issued in AL

Legal business name

GADSDEN LUNG CENTER, P.C. INC

Practice address

1026 Goodyear Ave
Suite 302
Gadsden, AL 35903-1102

Phone

(256) 543-3877

Fax

(256) 543-1539

NPI assigned

Jan 7, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Mazen Hakim, M.D.NPI 1114016920

Title

President

Phone

(256) 543-3877

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Practitioners 1

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

• Mazen Hakim, M.D.

  • Pulmonary Disease Physician
  • Gadsden, AL
  • NPI 1114016920
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1262822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446076800000",
    "number": "1023348398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1859",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359021859",
            "telephone_number": "256-543-3877",
            "fax_number": "256-543-1539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1026 GOODYEAR AVE",
            "address_2": "SUITE 302",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359031102",
            "telephone_number": "256-543-3877",
            "fax_number": "256-543-1539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GADSDEN LUNG CENTER, P.C. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-07",
        "last_updated": "2015-10-29",
        "status": "A",
        "authorized_official_last_name": "HAKIM",
        "authorized_official_first_name": "MAZEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-543-3877",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "AL",
            "license": "17934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gadsden Hma Physician Management Inc
• Gadsden Hma Physician Management LLC
• Gadsden Hma Physician Management, LLC
• Gadsden Home Care Services LLC
• Gadsden Limb & Brace, Inc.
• Gadsden Medical Clinic
• Gadsden Nephrology LLC
• Gadsden Orthodontics, PC
• Gadsden Pediatric Clinic, P.a.
• Gadsden Pharmacy LLC

• Pulmonary Disease Physician in Gadsden, AL
• Providers in Gadsden, AL by specialty
• Pulmonary Disease Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.