NPIMap

Organization Active NPI

Phoenix Emergency Care, PC

  • Emergency Medicine Physician
  • Huntsville, AL
National Provider Identifier
1104958933
Registry record updated Apr 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
C70324 Issued in AL
Legal business name
PHOENIX EMERGENCY CARE, PC
Practice address
7105B Bailey Creek Cir SE
Huntsville, AL 35802-2797
Phone
(256) 882-7469
NPI assigned
Mar 9, 2007
Last updated
Apr 18, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2011

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

Authorized official

Name
Karen R Hall
Title
Business Manager
Phone
(256) 882-7469

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207P00000X C70324 AL Primary
Family Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LF0000X 1-087797 AL
Family Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LF0000X 1-060554 AL

Addresses

Primary practice location

7105B Bailey Creek Cir SE
Huntsville, AL 35802-2797

Mailing address

7105B Bailey Creek Cir SE
Huntsville, AL 35802-2797
Phone (256) 882-7469

Other identifiers 3

IdentifierTypeStateIssuer
1821059288OtherALNPI
1467506535OtherALNPI
51514602OtherAL51514602

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303084800000",
    "number": "1104958933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7105B BAILEY CREEK CIR SE",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358022797",
            "telephone_number": "256-882-7469",
            "fax_number": "256-425-0046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7105B BAILEY CREEK CIR SE",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358022797",
            "telephone_number": "256-882-7469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX EMERGENCY CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2011-04-18",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "256-882-7469"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": "AL",
            "license": "C70324",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-087797",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-060554",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1821059288",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1467506535",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "51514602",
            "identifier": "51514602",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2011; 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.