NPIMap

Organization Active NPI

Greater Mobile Laser & Aesthetic

  • General Practice Physician
  • Mobile, AL
National Provider Identifier
1437593423
Registry record updated Apr 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
GREATER MOBILE LASER & AESTHETIC
Practice address
4402B Old Shell Rd
Mobile, AL 36608-1912
Phone
(251) 445-7546
NPI assigned
Apr 22, 2013
Last updated
Apr 22, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2013

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

Authorized official

Name
Dr. Richard F Hwang, MDNPI 1457448219
Title
Medical Director
Phone
(251) 445-7546

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X Primary

Addresses

Primary practice location

4402B Old Shell Rd
Mobile, AL 36608-1912

Mailing address

4402B Old Shell Rd
Mobile, AL 36608-1912

Other names 1

  • GMLAC Other name

National Provider Directory

National Provider Directory

Locations

4402B Old Shell Rd
Mobile, AL 36608
Phone (251) 445-7546

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1366588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366588800000",
    "number": "1437593423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4402B OLD SHELL RD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366081912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4402B OLD SHELL RD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366081912",
            "telephone_number": "251-445-7546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER MOBILE LASER & AESTHETIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-22",
        "last_updated": "2013-04-22",
        "status": "A",
        "authorized_official_last_name": "HWANG",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "251-445-7546",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GMLAC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mobile, AL

Sources for this page

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