Mobile Family Physicians PC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

MOBILE FAMILY PHYSICIANS PC

Practice address

1924-K Dauphin Island Parkway
Mobile, AL 36605

Phone

(251) 476-6330

Fax

(251) 473-1083

NPI assigned

May 21, 2007

Last updated

Aug 22, 2020By 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

Mrs. Eleanor N Neal

Title

Office Manager

Phone

(251) 476-6330

Specialties & licenses 1

Addresses

Other identifiers 12

Locations

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073722708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1924-K DAUPHIN ISLAND PARKWAY",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "36605",
            "telephone_number": "251-476-6330",
            "fax_number": "251-473-1083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1924-K DAUPHIN ISLAND PARKWAY",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "36605",
            "telephone_number": "251-476-6330",
            "fax_number": "251-473-1083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE FAMILY PHYSICIANS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NEAL",
        "authorized_official_first_name": "ELEANOR",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "251-476-6330",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI MARK C WILES",
            "identifier": "1598772204",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TEXEL D JOHNSON",
            "identifier": "13975",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ROBERT L KOMINEK",
            "identifier": "3489",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS RONALD W PERDUE",
            "identifier": "92780",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS HENRIETTA T KOVACS",
            "identifier": "29364",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS LEON D MCLAUGHLIN",
            "identifier": "4235",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI LEON D MCLAUGHLIN",
            "identifier": "1649286188",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TEXEL D JOHNSON",
            "identifier": "1669489340",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI RONALD W PERDUE",
            "identifier": "1730196437",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI HENRIETTA T KOVACS",
            "identifier": "1558377002",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI ROBERT L KOMINEK",
            "identifier": "1811915242",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MARK C WILES",
            "identifier": "19606",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in Mobile, AL
• Providers in Mobile, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.