Shelby Plastic Surgery Skin Cancer and Laser Surgery Center P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

00010998 Issued in AL

Legal business name

SHELBY PLASTIC SURGERY SKIN CANCER AND LASER SURGERY CENTER P.C.

Practice address

1216 1St St N
Hwy 31
Alabaster, AL 35007-8702

Phone

(205) 664-4630

Fax

(205) 664-4658

NPI assigned

Jul 21, 2006

Last updated

Aug 22, 2020By 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

Dr. Clement P. Cotter Jr., M.D.NPI 1609984152

Title

Ceo

Phone

(205) 664-4630

Specialties & licenses 1

Addresses

Locations

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.

• Clement P Cotter Jr., M.D.

  • Specialist
  • Alabaster, AL
  • NPI 1609984152
  Authorized official Same address or phone

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104847706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1216 1ST ST N",
            "address_2": "HWY 31",
            "city": "ALABASTER",
            "state": "AL",
            "postal_code": "350078702",
            "telephone_number": "205-664-4630",
            "fax_number": "205-664-4658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1216 1ST ST N",
            "address_2": "HWY 31",
            "city": "ALABASTER",
            "state": "AL",
            "postal_code": "350078702",
            "telephone_number": "205-664-4630",
            "fax_number": "205-664-4658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELBY PLASTIC SURGERY SKIN CANCER AND LASER SURGERY CENTER P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COTTER",
        "authorized_official_first_name": "CLEMENT",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "205-664-4630",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AL",
            "license": "00010998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelby Family Chiropractic LLC
• Shelby Family Eye Care, LLC
• Shelby Family Foot Clinic
• Shelby Family Foot Clinic
• Shelby Oral Facial Surgery PC
• Shelby Psychiatry
• Shelby Ridge Acquisition Corporation (Shelby Ridge Nursing Home)
• Shelby-Chilton Hematology and Oncology LLC
• Rex Alan Sherer, M.D.
• Joshua Peter Shoemake, LPC

• Specialist in Alabaster, AL
• Providers in Alabaster, AL by specialty
• Specialist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.