Organization Active NPI

Omni Clinic Sylcauga

  • Internal Medicine Physician
  • Sylacauga, AL
National Provider Identifier
1326259300
Registry record updated Jul 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
OMNI CLINIC SYLCAUGA
Practice address
303 N Main Ave
Sylacauga, AL 35150-2629
Phone
(256) 245-9140
NPI assigned
May 24, 2007
Last updated
Jul 24, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
OMNI CLINICAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 24, 2007

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

Authorized official

Name
Ade Ladipo
Title
Dr
Phone
(256) 236-3031

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

303 N Main Ave
Sylacauga, AL 35150-2629

Mailing address

PO Box 1308
Sylacauga, AL 35150-1308

National Provider Directory

National Provider Directory
Part of
Omni Clinic

Locations

303 N Main Ave
Sylacauga, AL 35150
Phone (256) 245-9140

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185235200000",
    "number": "1326259300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1308",
            "city": "SYLACAUGA",
            "state": "AL",
            "postal_code": "351501308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 N MAIN AVE",
            "city": "SYLACAUGA",
            "state": "AL",
            "postal_code": "351502629",
            "telephone_number": "256-245-9140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNI CLINIC SYLCAUGA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OMNI CLINIC",
        "enumeration_date": "2007-05-24",
        "last_updated": "2007-07-24",
        "status": "A",
        "authorized_official_last_name": "LADIPO",
        "authorized_official_first_name": "ADE",
        "authorized_official_title_or_position": "DR",
        "authorized_official_telephone_number": "256-236-3031"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylacauga, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.