Organization Active NPI

LHM Clinic, P.C. of Sylacauga

  • Internal Medicine Physician
  • Sylacauga, AL
National Provider Identifier
1073757548
Registry record updated Apr 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
23571 Issued in AL
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, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2009

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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 Directory

NPI 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.

Verify at the official NPI Registry.