Joseph N M Ndolo, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

21199 Issued in AL

Practice address

310 S Greeno Rd
Fairhope, AL 36532-1905

Phone

(251) 929-0500

Fax

(251) 929-0501

NPI assigned

Nov 21, 2005

Last updated

Sep 17, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

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.

• Premier Internal Medicine, P.C.

  • Specialist
  • Fairhope, AL
  • NPI 1073595773
  Authorized official Same address or phone

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

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347840000000",
    "number": "1225011612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 S GREENO RD",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365321905",
            "telephone_number": "251-929-0500",
            "fax_number": "251-929-0501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 S GREENO RD",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365321905",
            "telephone_number": "251-929-0500",
            "fax_number": "251-929-0501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NDOLO",
        "first_name": "JOSEPH",
        "middle_name": "N M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-21",
        "last_updated": "2012-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AL",
            "license": "21199",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "51509057NDO",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Misty James Murphy, RN/MSN
• Lori Ann Myers, M.D.
• N Bruce Blaum DMD Magd LLC
• Nancy E Beth Boyett Licsw LLC
• Roland Naseman, R.PH.
• Blake D. Neal, M.D.
• Daneve K. Neal, CRNA
• Michael Albert Nebrig, DMD
• Katie Marie Neese, CRNP
• Gary Wayne Nelson, MD

• Specialist in Fairhope, AL
• Providers in Fairhope, AL by specialty
• Specialist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.