NPIMap

Organization Active NPI

Physicians Medical Center, LLC

Doing business as Physicians-Carraway Medical Center

  • Certified Registered Nurse Anesthetist
  • Birmingham, AL
National Provider Identifier
1235251810
Registry record updated May 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
PHYSICIANS MEDICAL CENTER, LLC
Doing business as
Physicians-Carraway Medical Center
Practice address
1600 Carraway Blvd
Birmingham, AL 35234-1913
Phone
(205) 502-6000
Fax
(205) 502-5720
NPI assigned
Apr 4, 2007
Last updated
May 14, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
PHYSICIANS MEDICAL CENTER, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 14, 2008

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

Authorized official

Name
Mr. Thomas A Gallagher
Title
President
Phone
(615) 665-1223

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X NU
General Acute Care Hospital 282N00000X H3703 AL
Certified Registered Nurse Anesthetist 367500000X NU Primary

Addresses

Primary practice location

1600 Carraway Blvd
Birmingham, AL 35234-1913

Mailing address

PO Box 830469
MSC 511
Birmingham, AL 35283-0469
Phone (205) 979-8552

Other identifiers 3

IdentifierTypeStateIssuer
529932340MedicaidAL
529932814MedicaidAL
529932815MedicaidAL

Other names 1

  • Physicians-Carraway Medical Center Doing business as

National Provider Directory

National Provider Directory
Part of
Physician Medical Center LLC

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210723200000",
    "number": "1235251810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 830469",
            "address_2": "MSC 511",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352830469",
            "telephone_number": "205-979-8552",
            "fax_number": "205-979-1248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 CARRAWAY BLVD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352341913",
            "telephone_number": "205-502-6000",
            "fax_number": "205-502-5720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS MEDICAL CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PHYSICIANS MEDICAL CENTER, LLC",
        "enumeration_date": "2007-04-04",
        "last_updated": "2008-05-14",
        "status": "A",
        "authorized_official_last_name": "GALLAGHER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-665-1223",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "AL",
            "license": "H3703",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529932340",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529932814",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529932815",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physicians-Carraway Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; 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.