Imc Eastern Shore Women'S Health LLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

IMC EASTERN SHORE WOMEN'S HEALTH LLC

Practice address

188 Hospital Dr Ste 202
Fairhope, AL 36532-2038

Phone

(251) 279-3794

NPI assigned

Aug 13, 2019

Organization subpart

No

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

Authorized official

Name

Anthony Palazzo

Title

Vice President of Finance

Phone

(251) 435-1361

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1565654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565654400000",
    "number": "1437705704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 HOSPITAL DR STE 202",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365322038",
            "telephone_number": "251-279-3794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 HOSPITAL DR STE 202",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365322038",
            "telephone_number": "251-279-3794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMC EASTERN SHORE WOMEN'S HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-13",
        "last_updated": "2019-08-13",
        "status": "A",
        "authorized_official_last_name": "PALAZZO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "VICE PRESIDENT OF FINANCE",
        "authorized_official_telephone_number": "251-435-1361"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Humble Servants Ministry LLC
• Lorena E Hunt, MD
• Gogo-Ogute Emmanuel Ibodeng, MD
• Iyare Idiakhoa, MD
• Imc -Gulf Orthopaedics LLC
• Imc-Eastern Shore Adult Medicine, LLC
• Imc-Gulf Coast Gastroenterology LLC
• Infiniti Health LLC
• Infirmary ASC - Fairhope, LLC
• Infirmary Therapy Services

• Obstetrics & Gynecology Physician in Fairhope, AL
• Providers in Fairhope, AL by specialty
• Obstetrics & Gynecology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2019; 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.