Individual provider Active NPI

Maria Ladisla, M.D.

  • Internal Medicine Physician
  • Auburn University, AL
National Provider Identifier
1467429480
Registry record updated Sep 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
19959 Issued in AL
Practice address
400 Lem Morrison Drive
Auburn University, AL 36849-0001
Phone
(334) 844-4416
Fax
(334) 844-6216
NPI assigned
Mar 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 19959 AL Primary

Addresses

Primary practice location

400 Lem Morrison Drive
Auburn University, AL 36849-0001

Mailing address

PO Box 3476
Auburn, AL 36831-3476
Phone (334) 844-4416

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
19959ALMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
East Alabama Internal Medicine,PC Internal Medicine Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
East Alabama Campus Health, LLC Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222214400000",
    "number": "1467429480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3476",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368313476",
            "telephone_number": "334-844-4416",
            "fax_number": "334-844-6216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 LEM MORRISON DRIVE",
            "city": "AUBURN UNIVERSITY",
            "state": "AL",
            "postal_code": "368490001",
            "telephone_number": "334-844-4416",
            "fax_number": "334-844-6216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LADISLA",
        "first_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-08",
        "last_updated": "2008-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "19959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn University, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.