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

Organization subpart

No

Name

Frank Wang, MDNPI 1821286451

Title

Physician Owner

Phone

(251) 990-1740

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

• Frank Wang

  • Internal Medicine Physician
  • Fairhope, AL
  • NPI 1821286451

  AL, Internal Medicine

  Medicare reassignment Care Compare group NPD Authorized official
• Zachary Kyle Clark, MD

  • Internal Medicine Physician
  • Fairhope, AL
  • NPI 1063049054

  AL, Internal Medicine

  Medicare reassignment Care Compare group NPD
• Mollie Wallace Dean, CRNP

  • Family Nurse Practitioner
  • Fairhope, AL
  • NPI 1578057535

  AL

  Medicare reassignment Care Compare group NPD
• Regina Valentine Felkner, D.O.

  • Internal Medicine Physician
  • Foley, AL
  • NPI 1710244983

  AL, Internal Medicine

  Medicare reassignment Care Compare group NPD
• William Brooks Herron, M.D.

  • Internal Medicine Physician
  • Fairhope, AL
  • NPI 1962685958

  AL, Internal Medicine

  Medicare reassignment Care Compare group NPD
• Kayla Leist Labrato, CRNP

  • Adult Health Nurse Practitioner
  • Fairhope, AL
  • NPI 1689441271

  AL

  Medicare reassignment Care Compare group NPD
• Kimberly Dawn Nolte, NP

  • Family Nurse Practitioner
  • Fairhope, AL
  • NPI 1184809691

  AL

  Medicare reassignment Care Compare group NPD
• Laura Susan Ray, MD

  • Internal Medicine Physician
  • Fairhope, AL
  • NPI 1932167434

  AL, Internal Medicine

  Medicare reassignment Care Compare group NPD
• Steven Philip Wittmer, MD

  • Internal Medicine Physician
  • Fairhope, AL
  • NPI 1104820869

  AL, Internal Medicine

  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

  Internal Medicine

  NPD

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

CLIA laboratory certificates

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 24, 2024.

{
    "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529917330",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• All providers in Fairhope, AL
• 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.