Foley Walk-in Med Care

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

FOLEY WALK-IN MED CARE

Practice address

1440 N McKenzie St
Foley, AL 36535-2234

Phone

(251) 970-3400

Fax

(251) 970-3406

NPI assigned

Oct 2, 2006

Organization subpart

No

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

Authorized official

Name

Awadhesh K Gupta, MD

Title

Owner

Phone

(251) 970-3400

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214870400000",
    "number": "1396838199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 N MCKENZIE ST",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "365352234",
            "telephone_number": "251-970-3400",
            "fax_number": "251-970-3406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 N MCKENZIE ST",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "365352234",
            "telephone_number": "251-970-3400",
            "fax_number": "251-970-3406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOLEY WALK-IN MED CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2008-07-01",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "AWADHESH",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "251-970-3400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529901230",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "51008296",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Foley Therapy LLC
• Foley Therapy LLC
• Foley Therapy LLC
• Foley Therapy LLC
• Foley Urgent Care LLC
• Luke Burkett Fondren, DO
• Shelley Young Fontaine
• Laura Ford, CRNP
• Marilyn Courtney Forehand, CRNP
• Katarina Forsthoefel

• Internal Medicine Physician in Foley, AL
• Providers in Foley, AL by specialty
• Internal Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2008; 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.