Azalea City Plastic Surgery PC

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

Organization subpart

No

Locations

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.

Title

Owner

Phone

(251) 344-1151

Specialties & licenses 1

Addresses

Other identifiers 2

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 29, 2008.

{
    "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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR STEPHEN R SHEPPARD NPI",
            "identifier": "1194832360",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSAL PROVIER #",
            "identifier": "17398",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Azalea City Hand & Rehab, Inc.
• Azalea City Medical Services
• Azalea City Medical Services, Inc.
• Azalea City Physical Therapy
• Azalea City Physicians for Women,PC
• Azalea City Primary Care and Wellness
• Azalea Coast Counseling LLC
• Azalea Compcare
• Azalea Health and Rehab LLC
• Azalea Health Care, Inc.

• All providers in Mobile, AL
• Specialist in Alabama

• 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.