NPIMap

Organization Active NPI

Marshall Medical Center South Medical Oncology Services

  • Hematology & Oncology Physician
  • Boaz, AL
National Provider Identifier
1336409838
Registry record updated May 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
MARSHALL MEDICAL CENTER SOUTH MEDICAL ONCOLOGY SERVICES
Practice address
2505 U. S. Highway 431
Boaz, AL 35957-9999
Phone
(256) 593-8310
NPI assigned
May 18, 2012
Last updated
May 18, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
MARSHALL MEDICAL CENTER SOUTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 18, 2012

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

Authorized official

Name
Kathy Nelson
Title
Cfo
Phone
(256) 894-6701

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X Primary

Addresses

Primary practice location

2505 U. S. Highway 431
Boaz, AL 35957-9999

Mailing address

227 Brittany Rd
Guntersville, AL 35976-5766

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120618000698 AL Part B Supplier - Clinic/Group Practice 7012171317 Receives reassigned benefits from 5 practitioners
Practice locations: Albertville, AL

National Provider Directory

National Provider Directory
Part of
Boaz-Albertville Hospital

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 5

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": "1337299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337299200000",
    "number": "1336409838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 BRITTANY RD",
            "city": "GUNTERSVILLE",
            "state": "AL",
            "postal_code": "359765766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 U. S. HIGHWAY 431",
            "city": "BOAZ",
            "state": "AL",
            "postal_code": "359579999",
            "telephone_number": "256-593-8310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARSHALL MEDICAL CENTER SOUTH MEDICAL ONCOLOGY SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARSHALL MEDICAL CENTER SOUTH",
        "enumeration_date": "2012-05-18",
        "last_updated": "2012-05-18",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "256-894-6701"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boaz, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2012; 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.