Active NPI
LHM Clinic, P.C. of Sylacauga
- Internal Medicine Physician
- Sylacauga, AL
National Provider Identifier
1073757548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 23571
- Legal business name
- LHM CLINIC, P.C. OF SYLACAUGA
- Practice address
- 303 N Main Ave
Sylacauga, AL 35150-2629 - Phone
- (256) 245-9140
- Fax
- (256) 245-9142
- NPI assigned
- Apr 28, 2009
- Last updated
- Apr 28, 2009
- 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
- Adetokunbo Ladipo, M.D.
- Title
- Owner
- Phone
- (256) 245-9140
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 23571 | AL | Primary |
Addresses
Primary practice location
303 N Main Ave
Sylacauga, AL 35150-2629
Mailing address
303 N Main Ave
Sylacauga, AL 35150-2629
Phone (256) 245-9140
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090831000381 | AL | Part B Supplier - Clinic/Group Practice | 8325193113 |
Receives reassigned benefits from 1 practitioner 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Anniston, AL |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240876800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1240876800000",
"number": "1073757548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 N MAIN AVE",
"city": "SYLACAUGA",
"state": "AL",
"postal_code": "351502629",
"telephone_number": "256-245-9140",
"fax_number": "256-245-9142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 N MAIN AVE",
"city": "SYLACAUGA",
"state": "AL",
"postal_code": "351502629",
"telephone_number": "256-245-9140",
"fax_number": "256-245-9142"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LHM CLINIC, P.C. OF SYLACAUGA",
"organizational_subpart": "NO",
"enumeration_date": "2009-04-28",
"last_updated": "2009-04-28",
"status": "A",
"authorized_official_last_name": "LADIPO",
"authorized_official_first_name": "ADETOKUNBO",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "256-245-9140",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AL",
"license": "23571",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sylacauga, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2009; 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.