Active NPI
O'Gorman Vein & Vascular
- Specialist
- Mobile, AL
National Provider Identifier
1023549292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 13943
- 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, 2017
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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 DirectoryNPI 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.