Organization Active NPI

Express Mro

  • Family Medicine Physician
  • Deatsville, AL
National Provider Identifier
1437653037
Registry record updated Apr 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
EXPRESS MRO
Doing business as
Pine Level Family Care
Practice address
2175 US Highway 31 N
Deatsville, AL 36022-2714
Phone
(334) 358-3777
Fax
(334) 358-0026
NPI assigned
Mar 20, 2018
Organization subpart
Yes
Parent organization
EXPRESS MROAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 18, 2018

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

Authorized official

Name
Mrs. Steven L Allen, MD
Title
MD/Owner
Phone
(334) 358-3777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2175 US Highway 31 N
Deatsville, AL 36022-2714

Mailing address

2175 US Highway 31 N
Deatsville, AL 36022-2714
Phone (334) 568-2120

Other names 1

  • Pine Level Family Care Doing business as

National Provider Directory

National Provider Directory
Part of
Express Mro

NPI Registry JSON

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

{
    "created_epoch": "1521504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524009600000",
    "number": "1437653037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2175 US HIGHWAY 31 N",
            "city": "DEATSVILLE",
            "state": "AL",
            "postal_code": "360222714",
            "telephone_number": "334-568-2120",
            "fax_number": "334-568-2140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2175 US HIGHWAY 31 N",
            "city": "DEATSVILLE",
            "state": "AL",
            "postal_code": "360222714",
            "telephone_number": "334-358-3777",
            "fax_number": "334-358-0026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPRESS MRO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EXPRESS MRO",
        "enumeration_date": "2018-03-20",
        "last_updated": "2018-04-18",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "334-358-3777",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pine Level Family Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pine Level Family Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Deatsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2018; 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.