Active NPI
Obstetrics and Gynecology of West Alabama PC
- Specialist
- Northport, AL
National Provider Identifier
1316912934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 17027
- Legal business name
- OBSTETRICS AND GYNECOLOGY OF WEST ALABAMA PC
- Practice address
- 2750 Hospital Dr
Northport, AL 35476-3360 - Phone
- (205) 339-3039
- Fax
- (205) 339-9908
- NPI assigned
- Feb 17, 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
- Stephen E Allen, M.D.
- Title
- Employer
- Phone
- (205) 339-3039
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 17027 | AL | Primary |
Addresses
Primary practice location
2750 Hospital Dr
Northport, AL 35476-3360
Mailing address
2750 Hospital Dr
Northport, AL 35476-3360
Phone (205) 339-3039
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00028095 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040909000755 | AL | Part B Supplier - Clinic/Group Practice | 9436125531 |
Receives reassigned benefits from 12 practitioners Practice locations: Northport, AL |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 01D0867242 | Obstetrics and Gynecology of West Alabama | Provider-performed microscopy | Jan 12, 2028 |
National Provider Directory
National Provider DirectoryLocations
2750 Hospital Dr
Northport, AL 35476
Phone (205) 339-3039
100 Rice Mine Road Loop
Ste B
Tuscaloosa, AL 35406
Practitioners & affiliated clinicians
Practitioners 13
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Student in an Organized Health Care Education/Training Program
- Birmingham, AL
- NPI 1871026419
AL
-
- Obstetrics & Gynecology Nurse Practitioner
- Northport, AL
- NPI 1174752638
AL
-
- Student in an Organized Health Care Education/Training Program
- Winston Salem, NC
- NPI 1932528981
AL
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140134400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1312761600000",
"number": "1316912934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2750 HOSPITAL DR",
"city": "NORTHPORT",
"state": "AL",
"postal_code": "354763360",
"telephone_number": "205-339-3039",
"fax_number": "205-339-9908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2750 HOSPITAL DR",
"city": "NORTHPORT",
"state": "AL",
"postal_code": "354763360",
"telephone_number": "205-339-3039",
"fax_number": "205-339-9908"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OBSTETRICS AND GYNECOLOGY OF WEST ALABAMA PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-17",
"last_updated": "2011-08-08",
"status": "A",
"authorized_official_last_name": "ALLEN",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "EMPLOYER",
"authorized_official_telephone_number": "205-339-3039",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": "AL",
"license": "17027",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00028095",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Northport, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2011; 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.