NPIMap

Organization Active NPI

Internal Medicine and Pediatrics of Cullman

  • Specialist
  • Cullman, AL
National Provider Identifier
1326130550
Registry record updated Oct 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
22073 Issued in AL
Legal business name
INTERNAL MEDICINE AND PEDIATRICS OF CULLMAN
Practice address
1948 Al Highway 157
Suite 360
Cullman, AL 35058-0642
Phone
(256) 739-1575
Fax
(256) 255-1492
NPI assigned
Sep 28, 2006
Last updated
Oct 18, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2007

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

Authorized official

Name
Michael J. Lunsford, M.D.NPI 1962484311
Title
President
Phone
(256) 739-1575

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 24413 AL
Specialist 174400000X 22073 AL Primary

Addresses

Primary practice location

1948 Al Highway 157
Suite 360
Cullman, AL 35058-0642

Mailing address

1948 Al Highway 157
Suite 360
Cullman, AL 35058-0642
Phone (256) 739-1575

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061025000493 AL Part B Supplier - Clinic/Group Practice 1052318532 Receives reassigned benefits from 5 practitioners
Practice locations: Cullman, AL

National Provider Directory

National Provider Directory

Locations

1890 AL Highway 157
Ste 430
Cullman, AL 35058
Phone (256) 739-1515

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/93522848-eb1f-4ed3-b857-907cddfe003b/

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192665600000",
    "number": "1326130550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1948 AL HIGHWAY 157",
            "address_2": "SUITE 360",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350580642",
            "telephone_number": "256-739-1575",
            "fax_number": "256-255-1492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1948 AL HIGHWAY 157",
            "address_2": "SUITE 360",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350580642",
            "telephone_number": "256-739-1575",
            "fax_number": "256-255-1492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE AND PEDIATRICS OF CULLMAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2007-10-18",
        "status": "A",
        "authorized_official_last_name": "LUNSFORD",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-739-1575",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AL",
            "license": "24413",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AL",
            "license": "22073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cullman, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; 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.