Alabama Bariatrics and Minimally Invasive Surgery, PC
Organization Active NPI Surgery Physician · Decatur, AL
NPI 1083087340 · NPPES record last updated Nov 9, 2015
Key facts
- NPI
- 1083087340
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Surgery Physician 208600000X
- Legal business name
- ALABAMA BARIATRICS AND MINIMALLY INVASIVE SURGERY, PC
- Practice address
- 705 Bank St NE
Decatur, AL 35601-1609 - Phone
- (256) 221-6784
- NPI assigned
- Nov 9, 2015
- Organization subpart
- No
Authorized official
- Name
- Dr. William Jay Suggs, MD
- Title
- President/Owner
- Phone
- (256) 221-6784
Practitioners 3
-
Andrew Harner, MD
-
Katherine Wilson, CRNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20151204000843 | AL | Part B Supplier - Clinic/Group Practice | 6002116514 |
Receives reassigned benefits from 3 practitioners Practice locations: Decatur, AL; Huntsville, AL |
National Provider Directory
Locations
705 Bank St NE
Decatur, AL 35601
Phone (256) 221-6784
610 Airport Rd SW
Ste 100
Huntsville, AL 35802
Phone (256) 429-4809
333 Whitesport Dr SW
Huntsville, AL 35801
Phone (256) 274-4523
610 Airport Rd SW
Huntsville, AL 35802
Phone (256) 265-7480
460 Lanier Rd
Ste 202A
Madison, AL 35758
Phone (256) 274-4523
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician |
208600000X | Yes |
Addresses
Primary practice location
705 Bank St NE
Decatur, AL 35601-1609
Mailing address
PO Box 1684
Decatur, AL 35602-1684
Other providers in Decatur, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 9, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.