Focusal1011, LLC

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

Legal business name

FOCUSAL1011, LLC

Practice address

2202 Jordan Rd SW Ste 501
Fort Payne, AL 35968-3691

Phone

(888) 414-5810

Fax

(251) 414-5809

NPI assigned

Apr 7, 2014

Last updated

Apr 7, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Frine T Roca, MD

Title

Owner/Medical Director

Phone

(888) 414-5810

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1396828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396828800000",
    "number": "1366861395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8159",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366890159",
            "telephone_number": "888-414-5810",
            "fax_number": "251-414-5809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 JORDAN RD SW STE 501",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "359683691",
            "telephone_number": "888-414-5810",
            "fax_number": "251-414-5809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOCUSAL1011, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-07",
        "last_updated": "2014-04-07",
        "status": "A",
        "authorized_official_last_name": "ROCA",
        "authorized_official_first_name": "FRINE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "888-414-5810",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beverly Michelle Feeney
• Frederico Yambao Fernandez, M.D.
• Brooke Erin Fields, MA, ALC
• Timothy Lee Fiquett, D.M.D.
• Katie Fleming, NP
• Fort Payne Anesthesia Services LLC
• Fort Payne City
• Fort Payne Clinic Corp (Dekalb Orthopedics & Sports Medicine)
• Fort Payne Clinic Corp (DeKalb Occupational Health Center)
• Fort Payne Clinic Corp (DeKalb Internal Medicine)

• Pediatric Adolescent Medicine Physician in Fort Payne, AL
• Providers in Fort Payne, AL by specialty
• Pediatric Adolescent Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2014; 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.