Active NPI
Hishak Hakim M.D., M.P.H., P.C.
- Health Service Clinic/Center
- Talladega, AL
National Provider Identifier
1205246709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- License
- 14336
- 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.
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 051095117 | Other | AL | BCBS |
| 00996330 | Medicaid | AL | |
| 051095118 | Other | AL | BCBS |
Other names 1
- Greystone Neurology
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.
-
- Specialist
- Birmingham, AL
- NPI 1932259272
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.