Active NPI
Richard Lewis Palesano, MD
- Otolaryngology Physician
- Mobile, AL
National Provider Identifier
1083669444
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 18122
- Practice address
- 2880 Dauphin St
Mobile, AL 36606-2457 - Phone
- (251) 473-1900
- Fax
- (251) 470-8940
- NPI assigned
- May 24, 2006
- Last updated
- Oct 7, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 18122 | AL | Primary |
Addresses
Primary practice location
2880 Dauphin St
Mobile, AL 36606-2457
Mailing address
2880 Dauphin St
Mobile, AL 36606-2457
Phone (251) 473-1900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18122 | AL | MD | Otolaryngology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254873600000",
"number": "1083669444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2880 DAUPHIN ST",
"city": "MOBILE",
"state": "AL",
"postal_code": "366062457",
"telephone_number": "251-473-1900",
"fax_number": "251-470-8940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2880 DAUPHIN ST",
"city": "MOBILE",
"state": "AL",
"postal_code": "366062457",
"telephone_number": "251-473-1900",
"fax_number": "251-470-8940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALESANO",
"first_name": "RICHARD",
"middle_name": "LEWIS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-24",
"last_updated": "2009-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "AL",
"license": "18122",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mobile, AL
- Pain Diagnosis and Treatment, Inc. (Pain Diagnosis And Treatment Center)
- Anna Leigh Painter
- Juan Esteban Palacio, M.D.
- Rajesh Paladugu, MD
- Dhaarani Giri Palanisamy Velliangiri
- Palm Gardens Health and Rehabilitation, LLC
- Elizabeth Gayle Palmer Hill, DMD
- Deborah A Palmer, RN
- Lauren Elizabeth Palmer
- Lauren Parker Palmer, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.