Spanish Fort Internal Medicine, P C

Primary specialty

SpecialistTaxonomy code 174400000X

License

30706 Issued in AL

Legal business name

SPANISH FORT INTERNAL MEDICINE, P C

Practice address

7552 Spanish Fort Blvd
Spanish Fort, AL 36527

Phone

(251) 929-3058

NPI assigned

Jun 3, 2016

Organization subpart

No

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

Authorized official

Name

Jennifer C Sykora, M. D.NPI 1629208277

Title

Owner

Phone

(251) 929-3058

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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

• Jennifer Sykora, M.D.

  • Internal Medicine Physician
  • Fairhope, AL
  • NPI 1629208277
  Medicare reassignment Authorized official
• Michael S Pursley, MD

  • Specialist
  • Fairhope, AL
  • NPI 1467430777
  NPD

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

{
    "created_epoch": "1464912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464912000000",
    "number": "1356799076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7552 SPANISH FORT BLVD",
            "city": "SPANISH FORT",
            "state": "AL",
            "postal_code": "36527",
            "telephone_number": "251-929-3058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7552 SPANISH FORT BLVD",
            "city": "SPANISH FORT",
            "state": "AL",
            "postal_code": "36527",
            "telephone_number": "251-929-3058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPANISH FORT INTERNAL MEDICINE, P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-03",
        "last_updated": "2016-06-03",
        "status": "A",
        "authorized_official_last_name": "SYKORA",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "251-929-3058",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AL",
            "license": "30706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Snyder
• Sonya Broadus, LPC PC
• Spanish Fort Chiropractic LLC
• Spanish Fort Dental Associates, LLC
• Spanish Fort Dental Care, P.C.
• Shelby Stewart, PHARMD
• Herbert A Stone Jr., MD
• Makenzie Portella Stringfellow
• Sara S Stringfellow
• Sarah Elizabeth Sumrall, OTR/L

• Specialist in Spanish Fort, AL
• Providers in Spanish Fort, AL by specialty
• Specialist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.