Bay Area Oral Surgery PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

3814 Issued in AL

Legal business name

BAY AREA ORAL SURGERY PC

Practice address

5901 Grelot Rd
Building C
Mobile, AL 36609-3603

Phone

(251) 344-6191

Fax

(251) 344-6794

NPI assigned

Jun 17, 2006

Last updated

Aug 22, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Jeanne Marzullo

Title

Office Manager

Phone

(251) 344-6191

Specialties & licenses 3

Addresses

Other identifiers 8

Other names 1

• Zieman Pfeffle & Sheppard DMD PC Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• C. Allen Martin Jr., DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Mobile, AL
  • NPI 1003894536
  NPD (past)

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692662400000",
    "number": "1063457919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 GRELOT RD",
            "address_2": "BUILDING C",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366093603",
            "telephone_number": "251-344-6191",
            "fax_number": "251-344-6794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 GRELOT RD",
            "address_2": "BUILDING C",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366093603",
            "telephone_number": "251-344-6191",
            "fax_number": "251-344-6794"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9815 Millwood Cir",
            "address_purpose": "LOCATION",
            "city": "Spanish Fort",
            "state": "AL",
            "postal_code": "365275450",
            "country_code": "US",
            "telephone_number": "251-344-6191",
            "fax_number": "251-344-6797",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BAY AREA ORAL SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A",
        "authorized_official_last_name": "MARZULLO",
        "authorized_official_first_name": "JEANNE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "251-344-6191",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AL",
            "license": "4598",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AL",
            "license": "5437",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AL",
            "license": "3814",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000005454",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AL",
            "identifier": "0000090524",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "257083",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AL",
            "identifier": "0000032729",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "167941",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN  SHEPPARD",
            "identifier": "1021853899",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "165624",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AL",
            "identifier": "0000094869",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Zieman Pfeffle & Sheppard DMD PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Bay Area Home Care LLC.
• Bay Area Home Medical Equipment Co
• Bay Area Integrative Medicine LLC
• Bay Area Laser Skin Care Center
• Bay Area Nutrition, Inc
• Bay Area Palliative Care PC
• Bay Area Physicians for Women PC
• Bay Area Plastic Surgery
• Bay Area Professional Counseling LLC
• Bay Audiology Services Inc (Bay Audiology Services)

• Specialist in Mobile, AL
• Providers in Mobile, AL by specialty
• Specialist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; 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.