Organization Active NPI

Surgical Clinic St. Clair PC

  • Specialist
  • Pell City, AL
National Provider Identifier
1285987388
Registry record updated Oct 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
SURGICAL CLINIC ST. CLAIR PC
Practice address
7067 Veterans Parkway
Suite 220 Physicians Plaza
Pell City, AL 35125-5118
Phone
(256) 282-4189
Fax
(205) 814-2334
NPI assigned
Oct 26, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2012

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

Authorized official

Name
James E West, MDNPI 1649243916
Title
President
Phone
(256) 282-4189

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

7067 Veterans Parkway
Suite 220 Physicians Plaza
Pell City, AL 35125-5118

Mailing address

7067 Veterans Parkway
Suite 220 Physicians Plaza
Pell City, AL 35125-5118
Phone (256) 282-4189

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130213000170 AL Part B Supplier - Clinic/Group Practice 8426202839 Receives reassigned benefits from 1 practitioner
Practice locations: Pell City, AL; Talladega, AL

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/5675/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1351209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351209600000",
    "number": "1285987388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7067 VETERANS PARKWAY",
            "address_2": "SUITE 220 PHYSICIANS PLAZA",
            "city": "PELL CITY",
            "state": "AL",
            "postal_code": "351255118",
            "telephone_number": "256-282-4189",
            "fax_number": "205-814-2334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7067 VETERANS PARKWAY",
            "address_2": "SUITE 220 PHYSICIANS PLAZA",
            "city": "PELL CITY",
            "state": "AL",
            "postal_code": "351255118",
            "telephone_number": "256-282-4189",
            "fax_number": "205-814-2334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL CLINIC ST. CLAIR PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-26",
        "last_updated": "2012-10-26",
        "status": "A",
        "authorized_official_last_name": "WEST",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-282-4189",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pell City, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.