NPIMap

Organization Active NPI

West Alabama Physician Associates LLC

Doing business as Cardiac Electrophysiology of Alabama

  • Clinical Cardiac Electrophysiology Physician
  • Tuscaloosa, AL
National Provider Identifier
1184036865
Registry record updated Jun 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
Legal business name
WEST ALABAMA PHYSICIAN ASSOCIATES LLC
Doing business as
Cardiac Electrophysiology of Alabama
Practice address
701 University Blvd E
Suite 809
Tuscaloosa, AL 35401-2086
Phone
(205) 759-6921
Fax
(205) 759-6922
NPI assigned
May 29, 2014
Last updated
Jun 9, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2020

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

Authorized official

Name
Daniel Clay Conville
Title
Corp Director, Physician Services
Phone
(205) 759-6165

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Cardiac Electrophysiology Physician 207RC0001X NU Primary

Addresses

Primary practice location

701 University Blvd E
Suite 809
Tuscaloosa, AL 35401-2086

Mailing address

1110 Dr Edward Hillard Dr Ste a
Tuscaloosa, AL 35401-7446
Phone (205) 333-4661

Other names 1

  • Cardiac Electrophysiology of Alabama Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080918000595 AL Part B Supplier - Clinic/Group Practice 3476620311 Receives reassigned benefits from 43 practitioners
10 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Fayette, AL; Tuscaloosa, AL

Other NPIs on the same Medicare enrollment 8

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1401321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591660800000",
    "number": "1184036865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 DR EDWARD HILLARD DR STE A",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354017446",
            "telephone_number": "205-333-4661",
            "fax_number": "205-333-4660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 UNIVERSITY BLVD E",
            "address_2": "SUITE 809",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354012086",
            "telephone_number": "205-759-6921",
            "fax_number": "205-759-6922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST ALABAMA PHYSICIAN ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-29",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A",
        "authorized_official_last_name": "CONVILLE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "CLAY",
        "authorized_official_title_or_position": "CORP DIRECTOR, PHYSICIAN SERVICES",
        "authorized_official_telephone_number": "205-759-6165"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cardiac Electrophysiology of Alabama",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cardiac Electrophysiology of Alabama",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tuscaloosa, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.