Organization Active NPI

East Alabama Internal Medicine,PC

  • Internal Medicine Physician
  • Opelika, AL
National Provider Identifier
1285761353
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
16363 Issued in AL
Legal business name
EAST ALABAMA INTERNAL MEDICINE,PC
Doing business as
East Alabama Internal Medicine, PC
Practice address
1995 Pepperell Pkwy
Suite #3
Opelika, AL 36801-5460
Phone
(334) 749-4724
Fax
(334) 749-7003
NPI assigned
Feb 27, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Patricia A Wade, M.D.NPI 1982796694
Title
Physician
Phone
(334) 749-4724

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 16363 AL Primary

Addresses

Primary practice location

1995 Pepperell Pkwy
Suite #3
Opelika, AL 36801-5460

Mailing address

1995 Pepperell Pkwy
Suite #3
Opelika, AL 36801-5460
Phone (334) 749-4724

Other names 1

  • EAST ALABAMA INTERNAL MEDICINE, PC Doing business as

National Provider Directory

National Provider Directory

Locations

1995 Pepperell Pkwy
Ste 3
Opelika, AL 36801
Phone (205) 749-4724

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285761353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1995 PEPPERELL PKWY",
            "address_2": "SUITE #3",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368015460",
            "telephone_number": "334-749-4724",
            "fax_number": "334-749-7003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1995 PEPPERELL PKWY",
            "address_2": "SUITE #3",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368015460",
            "telephone_number": "334-749-4724",
            "fax_number": "334-749-7003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST ALABAMA INTERNAL MEDICINE,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WADE",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "334-749-4724",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "16363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EAST ALABAMA INTERNAL MEDICINE, PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Opelika, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.