Organization Active NPI

Central Alabama Thoracic & Cardiovascular Surgery, P. a.

  • Vascular Surgery Physician
  • Montgomery, AL
National Provider Identifier
1356404362
Registry record updated Nov 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
9494 Issued in AL
Legal business name
CENTRAL ALABAMA THORACIC & CARDIOVASCULAR SURGERY, P. A.
Practice address
2055 E South Blvd
Suite 301
Montgomery, AL 36116-2001
Phone
(334) 286-9500
Fax
(334) 286-9380
NPI assigned
Dec 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2007

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

Authorized official

Name
Dr. Paul Louis Cammack, M. D.
Title
President
Phone
(334) 286-9500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0129X 9494 AL Primary

Addresses

Primary practice location

2055 E South Blvd
Suite 301
Montgomery, AL 36116-2001

Mailing address

2055 E South Blvd
Suite 301
Montgomery, AL 36116-2001
Phone (334) 286-9500

Other identifiers 1

IdentifierTypeStateIssuer
CI0175OtherGARRMC-PIN

National Provider Directory

National Provider Directory

Locations

2055 E South Blvd
Ste 301
Montgomery, AL 36116
Phone (334) 286-9500

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195084800000",
    "number": "1356404362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2055 E SOUTH BLVD",
            "address_2": "SUITE 301",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361162001",
            "telephone_number": "334-286-9500",
            "fax_number": "334-286-9380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 E SOUTH BLVD",
            "address_2": "SUITE 301",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361162001",
            "telephone_number": "334-286-9500",
            "fax_number": "334-286-9380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL ALABAMA THORACIC & CARDIOVASCULAR SURGERY, P. A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2007-11-15",
        "status": "A",
        "authorized_official_last_name": "CAMMACK",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "334-286-9500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "AL",
            "license": "9494",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMC-PIN",
            "identifier": "CI0175",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.