Fairhope Internal Medicine PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

FAIRHOPE INTERNAL MEDICINE PC

Practice address

6 Medical Park Drive
Fairhope, AL 36532

Phone

(251) 990-1740

Fax

(251) 929-1886

NPI assigned

Jul 12, 2006

Last updated

Jul 24, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Frank Wang, MDNPI 1821286451

Title

Physician Owner

Phone

(251) 990-1740

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 25

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.

• Frank Wang

  • Internal Medicine Physician
  • Fairhope, AL
  • NPI 1821286451
  Medicare reassignment Care Compare group NPD Authorized official
• Zachary Kyle Clark, MD

  • Internal Medicine Physician
  • Fairhope, AL
  • NPI 1063049054
  Medicare reassignment Care Compare group NPD
• Mollie Wallace Dean, CRNP

  • Family Nurse Practitioner
  • Fairhope, AL
  • NPI 1578057535
  Medicare reassignment Care Compare group NPD
• Regina Valentine Felkner, D.O.

  • Internal Medicine Physician
  • Foley, AL
  • NPI 1710244983
  Medicare reassignment Care Compare group NPD
• William Brooks Herron, M.D.

  • Internal Medicine Physician
  • Fairhope, AL
  • NPI 1962685958
  Medicare reassignment Care Compare group NPD
• Kayla Leist Labrato, CRNP

  • Adult Health Nurse Practitioner
  • Fairhope, AL
  • NPI 1689441271
  Medicare reassignment Care Compare group NPD
• Kimberly Dawn Nolte, NP

  • Family Nurse Practitioner
  • Fairhope, AL
  • NPI 1184809691
  Medicare reassignment Care Compare group NPD
• Laura Susan Ray, MD

  • Internal Medicine Physician
  • Fairhope, AL
  • NPI 1932167434
  Medicare reassignment Care Compare group NPD
• Steven Philip Wittmer, MD

  • Internal Medicine Physician
  • Fairhope, AL
  • NPI 1104820869
  Medicare reassignment Care Compare group NPD
• Megan B Dimoff, M.D.

  • Obstetrics & Gynecology Physician
  • Fairhope, AL
  • NPI 1033538483
  NPD
• Leslie Logan Evans, MD

  • Obstetrics & Gynecology Physician
  • Fairhope, AL
  • NPI 1487872271
  NPD
• Audrey Elizabeth Flower, DO

  • Internal Medicine Physician
  • Fairhope, AL
  • NPI 1811682610
  NPD

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721779200000",
    "number": "1295760494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 MEDICAL PARK DRIVE",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "36532",
            "telephone_number": "251-990-1740",
            "fax_number": "251-929-1886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 MEDICAL PARK DRIVE",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "36532",
            "telephone_number": "251-990-1740",
            "fax_number": "251-929-1886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRHOPE INTERNAL MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "251-990-1740",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fairhope Eye and Laser Center, LLC
• Fairhope Family Medicine, LLC
• Fairhope Gastroenterology, LLC
• Fairhope Health & Rehab, LLC (Fairhope Health & Rehab)
• Fairhope Health & Wellness Center (Healing Touch Chiropractic)
• Fairhope Modern Dental, PC
• Fairhope Pediatric Dentistry, PC
• Fairhope Pediatrics, Inc.
• Fairhope Pharmacy Inc.
• Fairhope Physical Therapy Services, Inc.

• Internal Medicine Physician in Fairhope, AL
• Providers in Fairhope, AL by specialty
• Internal Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.