Staff of Life Med Corp PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

STAFF OF LIFE MED CORP PC

Doing business as

Mohammad F Ismail md

Practice address

1011 Leighton Ave
Anniston, AL 36207-5701

Phone

(256) 770-7197

Fax

(256) 405-4439

NPI assigned

Oct 18, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Margaret S. Porter

Title

Off MGR

Phone

(256) 770-7197

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Mohammad F Ismail md Doing business as

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664409600000",
    "number": "1144301128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 LEIGHTON AVE",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362075701",
            "telephone_number": "256-770-7197",
            "fax_number": "256-405-4439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 LEIGHTON AVE",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362075701",
            "telephone_number": "256-770-7197",
            "fax_number": "256-405-4439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAFF OF LIFE MED CORP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OFF MGR",
        "authorized_official_telephone_number": "256-770-7197",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "AL",
            "license": "19946",
            "primary": false
        },
        {
            "code": "173000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Legal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529919080",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158627",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mohammad F Ismail md",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shelby Nicole Spurlin, CRNP
• SSG Chiropractic, Inc (Steven S. Greene, D.C.)
• Sara Kaylee St.John-Bean, PHARMD.
• Staff Medical Service Home Health, Inc
• Staff Medical Service Home Health,Inc
• Jean F Stanko, CRNP
• Cordelia Stanley, ALC
• Kayley Stanley, MS, ALC
• Ty K Stansell, MD
• Chanae Staples

• Internal Medicine Physician in Anniston, AL
• Providers in Anniston, AL by specialty
• Internal Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2022; 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.