East Alabama Neurology Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

3874 Issued in AL

Legal business name

EAST ALABAMA NEUROLOGY INC

Practice address

3120 Frederick Rd
Suite I
Opelika, AL 36801-7134

Phone

(334) 887-0955

Fax

(334) 887-0964

NPI assigned

Sep 20, 2007

Last updated

Sep 6, 2013By 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

Dr. Krishna Kishore Chivukula, M.D.NPI 1174503304

Title

Physician

Phone

(334) 887-0955

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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.

• Krishna Kishore Chivukula, M.D.

  • Neurology Physician
  • Opelika, AL
  • NPI 1174503304
  Authorized official Same address or phone
• Ivan Lewis Slavich III, D.O.

  • Cardiovascular Disease Physician
  • Auburn, AL
  • NPI 1669587960
  NPD (past)

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378425600000",
    "number": "1407042740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3120 FREDERICK RD STE I",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368017135",
            "telephone_number": "334-887-0955",
            "fax_number": "334-887-0964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 FREDERICK RD",
            "address_2": "SUITE I",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368017134",
            "telephone_number": "334-887-0955",
            "fax_number": "334-887-0964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST ALABAMA NEUROLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-20",
        "last_updated": "2013-09-06",
        "status": "A",
        "authorized_official_last_name": "CHIVUKULA",
        "authorized_official_first_name": "KRISHNA",
        "authorized_official_middle_name": "KISHORE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "334-887-0955",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AL",
            "license": "3874",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "52906460",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• East Alabama Medical&Gi Clinic LLC
• East Alabama Mental Health Center
• East Alabama Mental Health-Mental Retardation Board Incorpor (Integrea Community Mental Health System)
• East Alabama Mental Health-Mental Retardation Board Incorpor
• East Alabama Mental Health-Mental Retardation Board Incorpor (East Alabama Mental Health Center)
• East Alabama Orthopaedics and Sports Medicine, LLC
• East Alabama Pathologists, LLC
• East Alabama Physicians, LLC (East Alabama Rheumatology Center)
• East Alabama Physicians, LLC (East Alabama Psychiatric Services)
• East Alabama Podiatry, PC

• Specialist in Opelika, AL
• Providers in Opelika, AL by specialty
• Specialist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2013; 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.