Active NPI
The Cancer Center of Southern Alabama, PA
- Radiation Oncology Physician
- Mobile, AL
National Provider Identifier
1295828770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 2085R0001X
- Legal business name
- THE CANCER CENTER OF SOUTHERN ALABAMA, PA
- Practice address
- 3 Mobile Infirmary Cir Ste 306
Mobile, AL 36607-3515 - Phone
- (251) 544-5400
- Fax
- (251) 433-3122
- NPI assigned
- Oct 2, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John R Russell, M.D.
- Title
- President
- Phone
- (251) 544-5400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | 2085R0001X | AL | Primary |
Addresses
Primary practice location
3 Mobile Infirmary Cir Ste 306
Mobile, AL 36607-3515
Mailing address
PO Box 91119
Mobile, AL 36691-1119
Phone (251) 544-5400
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 578302580 GROUP | Medicaid | AL | |
| 09015791 GROUP | Medicaid | MS |
National Provider Directory
National Provider DirectoryLocations
3 Mobile Infirmary Cir
Ste 306
Mobile, AL 36607
Phone (251) 433-3122
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Hematology & Oncology Physician
- Greensboro, NC
- NPI 1639122070
-
- Hematology & Oncology Physician
- Boise, ID
- NPI 1376596247
-
- Cardiovascular Disease Physician
- Bay Shore, NY
- NPI 1801861398
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1219622400000",
"number": "1295828770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 91119",
"city": "MOBILE",
"state": "AL",
"postal_code": "366911119",
"telephone_number": "251-544-5400",
"fax_number": "251-433-3122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 MOBILE INFIRMARY CIR STE 306",
"city": "MOBILE",
"state": "AL",
"postal_code": "366073515",
"telephone_number": "251-544-5400",
"fax_number": "251-433-3122"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE CANCER CENTER OF SOUTHERN ALABAMA, PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-02",
"last_updated": "2008-08-25",
"status": "A",
"authorized_official_last_name": "RUSSELL",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "251-544-5400",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Radiation Oncology",
"state": "AL",
"license": "2085R0001X",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "578302580 GROUP",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "09015791 GROUP",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mobile, AL
- Jai Deep Thakur, MD
- Cheryl Lambert Thames, PT
- The Asthma & Allergy Institute
- The Behavior Agency Alabama LLC
- The Bridge Center, Inc.
- The Carpenter'S House, PC
- The Center for Balance and Rehabilitation, LLC
- The Center for Dermatology, P.C
- The Center for Pain of Montgomery LLC
- The Center for Reproductive Medicine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.