East Alabama Arthritis Center PC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

00023033 Issued in AL

Legal business name

EAST ALABAMA ARTHRITIS CENTER PC

Practice address

1536 Professional Pkwy
Auburn, AL 36830-2857

Phone

(334) 501-4424

Fax

(334) 501-1223

NPI assigned

Nov 30, 2007

Organization subpart

Yes

Parent organization

EAST ALABAMA ARTHRITIS CENTER PCAs reported in NPPES

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

Authorized official

Name

Susan Wood

Title

Billing Manager

Phone

(334) 501-4424

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Part of

East Al Arthritis Ctr PC

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/16936/brand/1/csg/1/fhir/r4

Practitioners 3

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

• Adahli E Massey, MD

  • Rheumatology Physician
  • Auburn, AL
  • NPI 1295825461
  Medicare reassignment Care Compare group NPD
• Anna Collins, FNP-BC

  • Nurse Practitioner
  • Auburn, AL
  • NPI 1073182127
  Medicare reassignment Care Compare group
• Ronda D Bertus, PA-C

  • Physician Assistant
  • Oklahoma City, OK
  • NPI 1437100260
  NPD (past)

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

{
    "created_epoch": "1196380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549411200000",
    "number": "1326220351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1536 PROFESSIONAL PKWY",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368302857",
            "telephone_number": "334-501-4424",
            "fax_number": "334-501-1223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1536 PROFESSIONAL PKWY",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368302857",
            "telephone_number": "334-501-4424",
            "fax_number": "334-501-1223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7104 University Ct",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "AL",
            "postal_code": "361178045",
            "country_code": "US",
            "telephone_number": "334-277-3300 x3",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EAST ALABAMA ARTHRITIS CENTER PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EAST ALABAMA ARTHRITIS CENTER PC",
        "enumeration_date": "2007-11-30",
        "last_updated": "2019-02-06",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "334-501-4424"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "AL",
            "license": "00023033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529906060",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009943130",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "51098534",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Joseph Eagan Jr., O.D.
• Eagle Vision LLC (Auburn Eye Care)
• Eamc Eye Clinic, LLC (Surgical Eye Consultants of East Alabama)
• East Alabama Allergy and Asthma, PLLC
• East Alabama Ambulatory Surgery Center, LLC (East Alabama Ambulatory Surgery Center)
• East Alabama Campus Health LLC
• East Alabama Campus Health, LLC (Auburn University Medical Clinic)
• East Alabama Center for Change, LLC
• East Alabama EMS, LLC
• East Alabama Eye Associates,Inc.

• Medical Specialty Clinic/Center in Auburn, AL
• Providers in Auburn, AL by specialty
• Medical Specialty Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2019; 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.