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

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.

Title

Ceo

Phone

(205) 664-4630

Specialties & licenses 1

Addresses

Locations

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
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• Shelby Oral Facial Surgery PC
• Shelby Psychiatry
• Shelby Ridge Acquisition Corporation
• 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.