Organization Active NPI

Hishak Hakim M.D., M.P.H., P.C.

  • Health Service Clinic/Center
  • Talladega, AL
National Provider Identifier
1205246709
Registry record updated May 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
14336 Issued in AL
Legal business name
HISHAK HAKIM M.D., M.P.H., P.C.
Practice address
202 Medical Park Ofc Park
Talladega, AL 35160-2213
Phone
(256) 362-7009
Fax
(256) 362-0190
NPI assigned
May 6, 2014
Organization subpart
Yes
Parent organization
HISHAM HAKIM, M.D., M.P.H., P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 6, 2014

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

Authorized official

Name
Hisham Hakim, M.D., M.P.H.
Title
Physician/Owner
Phone
(205) 991-3300

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 14336 AL Primary
Pain Clinic/Center 261QP3300X 14336 AL

Addresses

Primary practice location

202 Medical Park Ofc Park
Talladega, AL 35160-2213

Mailing address

7500 Hugh Daniel Dr
Suite 250
Birmingham, AL 35242-7148
Phone (205) 991-3300

Other identifiers 3

IdentifierTypeStateIssuer
051095117OtherALBCBS
00996330MedicaidAL
051095118OtherALBCBS

Other names 1

  • Greystone Neurology Doing business as

National Provider Directory

National Provider Directory
Part of
Hisham Hakim MD MPH PC

Locations

1528 Carraway Blvd
Ste 1000
Birmingham, AL 35234
Phone (205) 502-4800

202 Medical Park
Talladega, AL 35160
Phone (256) 362-0266

101 Medical Park
Bldg Arts
Talladega, AL 35160
Phone (256) 362-7009

202 Medical Park
Ofc Park
Talladega, AL 35160
Phone (256) 362-7009

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1399334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399334400000",
    "number": "1205246709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 HUGH DANIEL DR",
            "address_2": "SUITE 250",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352427148",
            "telephone_number": "205-991-3300",
            "fax_number": "205-991-3327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 MEDICAL PARK OFC PARK",
            "city": "TALLADEGA",
            "state": "AL",
            "postal_code": "351602213",
            "telephone_number": "256-362-7009",
            "fax_number": "256-362-0190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HISHAK HAKIM M.D., M.P.H., P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HISHAM HAKIM, M.D., M.P.H., P.C.",
        "enumeration_date": "2014-05-06",
        "last_updated": "2014-05-06",
        "status": "A",
        "authorized_official_last_name": "HAKIM",
        "authorized_official_first_name": "HISHAM",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "205-991-3300",
        "authorized_official_credential": "M.D., M.P.H."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "AL",
            "license": "14336",
            "primary": true
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "AL",
            "license": "14336",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "051095117",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00996330",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "051095118",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greystone Neurology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Talladega, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2014; 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.