Organization Active NPI

Imc-Baldwin Surgery, LLC

  • Surgery Physician
  • Foley, AL
National Provider Identifier
1194062166
Registry record updated Aug 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
IMC-BALDWIN SURGERY, LLC
Practice address
1340 N McKenzie St
Foley, AL 36535-2232
Phone
(251) 943-1045
Fax
(251) 943-4833
NPI assigned
Jan 11, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2019

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

Authorized official

Name
Anthony Palazzo
Title
Vice President of Finance
Phone
(251) 435-1361

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

1340 N McKenzie St
Foley, AL 36535-2232

Mailing address

1340 N McKenzie St
Foley, AL 36535-2232
Phone (251) 943-1045

National Provider Directory

National Provider Directory

Locations

27961 US Highway 98
Ste 12
Daphne, AL 36526
Phone (251) 445-0075

1340 N McKenzie St
Foley, AL 36535
Phone (251) 942-8761

NPI Registry JSON

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

{
    "created_epoch": "1357862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565654400000",
    "number": "1194062166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 N MCKENZIE ST",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "365352232",
            "telephone_number": "251-943-1045",
            "fax_number": "251-943-4833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 N MCKENZIE ST",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "365352232",
            "telephone_number": "251-943-1045",
            "fax_number": "251-943-4833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMC-BALDWIN SURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-11",
        "last_updated": "2019-08-13",
        "status": "A",
        "authorized_official_last_name": "PALAZZO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "VICE PRESIDENT OF FINANCE",
        "authorized_official_telephone_number": "251-435-1361"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Foley, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2019; 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.