NPIMap

Organization Active NPI

Azalea City Plastic Surgery PC

  • Specialist
  • Mobile, AL
National Provider Identifier
1447425533
Registry record updated Apr 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
AL10348 Issued in AL
Legal business name
AZALEA CITY PLASTIC SURGERY PC
Practice address
101 Memorial Hospital Dr
BLDG #3 Suite #309
Mobile, AL 36608-1786
Phone
(251) 344-1151
Fax
(251) 344-2113
NPI assigned
Apr 29, 2008
Last updated
Apr 29, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2008

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

Authorized official

Name
Dr. Stephen R Sheppard, M.D.NPI 1194832360
Title
Owner
Phone
(251) 344-1151

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
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X AL10348 AL Primary

Addresses

Primary practice location

101 Memorial Hospital Dr
BLDG #3 Suite #309
Mobile, AL 36608-1786

Mailing address

101 Memorial Hospital Dr
BLDG #3 Suite #309
Mobile, AL 36608-1786
Phone (251) 344-1151

National Provider Directory

National Provider Directory

Locations

101 Memorial Hospital Dr
Ste 309
Mobile, AL 36608
Phone (251) 344-1151

3719 Dauphin St
Ste 101
Mobile, AL 36608
Phone (251) 344-1151

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": "1209427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209427200000",
    "number": "1447425533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 MEMORIAL HOSPITAL DR",
            "address_2": "BLDG #3 SUITE #309",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366081786",
            "telephone_number": "251-344-1151",
            "fax_number": "251-344-2113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MEMORIAL HOSPITAL DR",
            "address_2": "BLDG #3 SUITE #309",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366081786",
            "telephone_number": "251-344-1151",
            "fax_number": "251-344-2113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZALEA CITY PLASTIC SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-29",
        "last_updated": "2008-04-29",
        "status": "A",
        "authorized_official_last_name": "SHEPPARD",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "251-344-1151",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "AL",
            "license": "AL10348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 29, 2008; 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.