Organization Active NPI

O'Gorman Vein & Vascular

  • Specialist
  • Mobile, AL
National Provider Identifier
1023549292
Registry record updated Mar 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
13943 Issued in AL
Legal business name
O'GORMAN VEIN & VASCULAR
Practice address
861 Hillcrest Rd
Mobile, AL 36695-3909
Phone
(251) 410-8346
Fax
(251) 410-8347
NPI assigned
Mar 21, 2017
Last updated
Mar 21, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2017

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

Authorized official

Name
Karen C Freeman, COORDINATOR
Title
Physician Coordinator
Phone
(251) 414-5900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 13943 AL Primary

Addresses

Primary practice location

861 Hillcrest Rd
Mobile, AL 36695-3909

Mailing address

861 Hillcret Rd
Mobile, AL 36685-0819
Phone (251) 410-8346

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1490054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490054400000",
    "number": "1023549292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "861 HILLCRET RD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366850819",
            "telephone_number": "251-410-8346",
            "fax_number": "251-410-8347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "861 HILLCREST RD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366953909",
            "telephone_number": "251-410-8346",
            "fax_number": "251-410-8347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "O'GORMAN VEIN & VASCULAR",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-21",
        "last_updated": "2017-03-21",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PHYSICIAN COORDINATOR",
        "authorized_official_telephone_number": "251-414-5900",
        "authorized_official_credential": "COORDINATOR"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AL",
            "license": "13943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2017; 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.