Self Center PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

6916 Issued in AL

Legal business name

SELF CENTER PC

Practice address

306 S Greeno Rd
Suite a
Fairhope, AL 36532-1905

Phone

(251) 928-8760

Fax

(251) 928-7028

NPI assigned

Apr 23, 2007

Last updated

Jun 13, 2008By 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

Karl Stanley Self, M.D.NPI 1427015247

Title

Owner

Phone

(251) 928-8760

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Karl Stanley Self, M.D.

  • Family Medicine Physician
  • Fairhope, AL
  • NPI 1427015247
  NPD Authorized official

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1083832968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 S GREENO RD",
            "address_2": "SUITE A",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365321905",
            "telephone_number": "251-928-8760",
            "fax_number": "251-928-7028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 S GREENO RD",
            "address_2": "SUITE A",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365321905",
            "telephone_number": "251-928-8760",
            "fax_number": "251-928-7028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELF CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "SELF",
        "authorized_official_first_name": "KARL",
        "authorized_official_middle_name": "STANLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "251-928-8760",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "6916",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUESHIELD OF ALABAMA",
            "identifier": "51083390",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wanda Carol Schoen
• Duane Michael Schrock, O.D.
• Benjamin Powell Schrubbe, MD
• Chelsea Elizabeth Seitz
• Self and Self Company, LLC
• Karl Stanley Self, M.D.
• Senior Wellness Group of Alabama
• Sensory in Motion Therapy Services, LLC
• Monica Paige Shambo, MSN, CRNP, FNP-C
• Jonathan Jason Shammaa, MD

• Family Medicine Physician in Fairhope, AL
• Providers in Fairhope, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; 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.