Baldwin County Cancer Center LLC

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

AL9773 Issued in AL

Legal business name

BALDWIN COUNTY CANCER CENTER LLC

Practice address

808 Morphy Ave
Fairhope, AL 36532-1908

Phone

(251) 210-2961

Fax

(251) 990-4491

NPI assigned

Jul 28, 2014

Last updated

Aug 19, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gregory W Cotter, MD

Title

Sole MBR

Phone

(251) 210-2961

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1406505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408406400000",
    "number": "1215345723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 MORPHY AVE",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365321908",
            "telephone_number": "251-210-2961",
            "fax_number": "251-990-4491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 MORPHY AVE",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365321908",
            "telephone_number": "251-210-2961",
            "fax_number": "251-990-4491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALDWIN COUNTY CANCER CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-28",
        "last_updated": "2014-08-19",
        "status": "A",
        "authorized_official_last_name": "COTTER",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "251-210-2961",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "AL",
            "license": "AL9773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam W Aziz, DO
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• Baldwin County Mental Health Center, Inc. - Allkids Plus

• Radiation Oncology Physician in Fairhope, AL
• Providers in Fairhope, AL by specialty
• Radiation Oncology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.