Organization Active NPI

Jasper General Surgery

  • Surgery Physician
  • Jasper, AL
National Provider Identifier
1093959082
Registry record updated Apr 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
JASPER GENERAL SURGERY
Practice address
3400 Highway 78 E
Medical Arts Tower; Suite 504
Jasper, AL 35501-8907
Phone
(205) 221-9816
Fax
(205) 221-9819
NPI assigned
Apr 22, 2009
Last updated
Apr 22, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
BAPTIST HEALTH CENTERS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 22, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
George Scott Fenn
Title
Chief Integration Officier
Phone
(205) 715-5415

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

3400 Highway 78 E
Medical Arts Tower; Suite 504
Jasper, AL 35501-8907

Mailing address

PO Box 13128
Birmingham, AL 35202-3128
Phone (205) 715-5904

National Provider Directory

National Provider Directory
Part of
James R Gewin MD

NPI Registry JSON

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

{
    "created_epoch": "1240358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240358400000",
    "number": "1093959082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13128",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352023128",
            "telephone_number": "205-715-5904",
            "fax_number": "205-715-5928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 HIGHWAY 78 E",
            "address_2": "MEDICAL ARTS TOWER; SUITE 504",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355018907",
            "telephone_number": "205-221-9816",
            "fax_number": "205-221-9819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASPER GENERAL SURGERY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BAPTIST HEALTH CENTERS, INC.",
        "enumeration_date": "2009-04-22",
        "last_updated": "2009-04-22",
        "status": "A",
        "authorized_official_last_name": "FENN",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "CHIEF INTEGRATION OFFICIER",
        "authorized_official_telephone_number": "205-715-5415"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.

Verify at the official NPI Registry.