Organization Active NPI

Healthcare Authority of the City of Huntsville

Doing business as Huntsville Surgical Associates

  • Trauma Surgery Physician
  • Huntsville, AL
National Provider Identifier
1265508626
Registry record updated Jun 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Trauma Surgery PhysicianTaxonomy code 2086S0127X
Legal business name
HEALTHCARE AUTHORITY OF THE CITY OF HUNTSVILLE
Doing business as
Huntsville Surgical Associates
Practice address
201 Sivley Rd SW Ste 400
Huntsville, AL 35801-5177
Phone
(256) 265-2895
Fax
(256) 265-9777
NPI assigned
Nov 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2022

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

Authorized official

Name
Clinton Carter
Title
Cfo
Phone
(256) 265-8818

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Trauma Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0127X Primary

Addresses

Primary practice location

201 Sivley Rd SW Ste 400
Huntsville, AL 35801-5177

Mailing address

PO Box 21007
Huntsville, AL 35813-5007
Phone (256) 801-6036

Other identifiers 4

IdentifierTypeStateIssuer
529701430MedicaidAL
4401245MedicaidTN
G456OtherALBCBS
168001500OtherALDEPT OF LABOR

Other names 1

  • Huntsville Surgical Associates Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

201 Sivley Rd SW
Ste 420
Huntsville, AL 35801

903 Madison St SE
Huntsville, AL 35801
Phone (205) 539-2728

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656547200000",
    "number": "1265508626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21007",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358135007",
            "telephone_number": "256-801-6036",
            "fax_number": "256-801-6218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 SIVLEY RD SW STE 400",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015177",
            "telephone_number": "256-265-2895",
            "fax_number": "256-265-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHCARE AUTHORITY OF THE CITY OF HUNTSVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "CLINTON",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "256-265-8818"
    },
    "taxonomies": [
        {
            "code": "2086S0127X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Trauma Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529701430",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4401245",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "G456",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR",
            "identifier": "168001500",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Huntsville Surgical Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Huntsville Surgical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; 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.