Usaf

Primary specialty

Military General Acute Care HospitalTaxonomy code 2865M2000X

License

1068201 Issued in AL

Legal business name

USAF

Practice address

BLD 760 Maxwell AFB Clinic
Montgomery, AL 36117

Phone

(334) 953-1126

NPI assigned

Aug 24, 2005

Last updated

Aug 22, 2020By 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

Wayne Sheridan Cox, PA-C

Title

Physician Assistant

Phone

(210) 393-2465

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427041441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "728 SUMMER LN",
            "city": "PRATTVILLE",
            "state": "AL",
            "postal_code": "360666161",
            "telephone_number": "210-393-2465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BLD 760 MAXWELL AFB CLINIC",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "36117",
            "telephone_number": "334-953-1126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USAF",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "SHERIDAN",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "210-393-2465",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "2865M2000X",
            "taxonomy_group": "",
            "desc": "Military Hospital, Military General Acute Care Hospital",
            "state": "AL",
            "license": "1068201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Military Hospital in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Military Hospital in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.