Active NPI
Jeffery C Laubenthal, MD
- Family Medicine Physician
- Tuscaloosa, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 00021965
- Practice address
- 100 Rice Mine Road Loop
Suite 206
Tuscaloosa, AL 35406-2414 - Phone
- (205) 339-0171
- Fax
- (205) 333-8681
- NPI assigned
- Nov 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 00021965 | AL | Primary |
Addresses
Primary practice location
100 Rice Mine Road Loop
Suite 206
Tuscaloosa, AL 35406-2414
Mailing address
100 Rice Mine Road Loop
Suite 206
Tuscaloosa, AL 35406-2414
Phone (205) 339-0171
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009956980 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Alabama School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Rice Mine Rd Loop
Suite 206
Tuscaloosa, AL 35406-2418
Phone (205) 339-0171
Hospital & facility affiliations
- Amedisys Home Health of Tuscaloosa
- Enhabit Home Health
- DCH Home Health Care Agency
- DCH Regional Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00021965 | AL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Alabama Family Practice & Sports Medicine PC | Family Medicine | Current | Accepting new patients |
Locations
1325 McFarland Blvd
Ste 206
Northport, AL 35476
Phone (205) 330-4989
100 Rice Mine Road Loop
Ste 206
Tuscaloosa, AL 35406
Phone (205) 339-0171
Interoperability endpoints
- jeffery.laubenthal@wafpsm.gwaydirect.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Tuscaloosa, AL
- NPI 1376615476
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Amedisys Home Health of Tuscaloosa
- Home Health Agency
- Northport, AL
- NPI 1093773319
-
dba Enhabit Home Health
- Home Health Agency
- Hoover, AL
- NPI 1629539077
-
dba DCH Home Health Care Agency
- Home Health Agency
- Tuscaloosa, AL
- NPI 1275587073
-
dba DCH Health & Wellness Clinic
- Clinic/Center
- Tuscaloosa, AL
- NPI 1306613211
Hospital
-
dba DCH Outpatient Services
- Clinic/Center
- Tuscaloosa, AL
- NPI 1780927681
Hospital
-
dba DCH Regional Medical Center
- General Acute Care Hospital
- Tuscaloosa, AL
- NPI 1841394418
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203552000000",
"number": "1184796211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 RICE MINE ROAD LOOP",
"address_2": "SUITE 206",
"city": "TUSCALOOSA",
"state": "AL",
"postal_code": "354062414",
"telephone_number": "205-339-0171",
"fax_number": "205-333-8681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 RICE MINE ROAD LOOP",
"address_2": "SUITE 206",
"city": "TUSCALOOSA",
"state": "AL",
"postal_code": "354062414",
"telephone_number": "205-339-0171",
"fax_number": "205-333-8681"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAUBENTHAL",
"first_name": "JEFFERY",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-14",
"last_updated": "2008-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AL",
"license": "00021965",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009956980",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
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 Feb 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.