Active NPI
Alabama OB/GYN Assoiciates, P.C.
- Obstetrics & Gynecology Physician
- Huntsville, AL
National Provider Identifier
1467635540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- ALABAMA OB/GYN ASSOICIATES, P.C.
- Practice address
- 401 Lowell Dr SE
Suite 11
Huntsville, AL 35801-3748 - Phone
- (256) 265-6550
- Fax
- (256) 265-6552
- NPI assigned
- Dec 11, 2007
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Mr. Eric A Tallent, MD
- Title
- Owner
- Phone
- (256) 265-6550
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050823000579 | AL | Part B Supplier - Clinic/Group Practice | 2062443708 |
Receives reassigned benefits from 1 practitioner Practice locations: Huntsville, AL |
National Provider Directory
National Provider DirectoryLocations
420 Lowell Dr SE
Ste 302
Huntsville, AL 35801
Phone (256) 265-1910
420 Lowell Dr SE
Ste 11
Huntsville, AL 35801
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
401 Lowell Dr SE
Suite 11
Huntsville, AL 35801-3748
Mailing address
401 Lowell Dr SE
Suite 11
Huntsville, AL 35801-3748
Phone (256) 265-6550
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000023091 | Medicaid | AL |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 18, 2013.
{
"created_epoch": "1197331200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1366243200000",
"number": "1467635540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 LOWELL DR SE",
"address_2": "SUITE 11",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358013748",
"telephone_number": "256-265-6550",
"fax_number": "256-265-6552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 LOWELL DR SE",
"address_2": "SUITE 11",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358013748",
"telephone_number": "256-265-6550",
"fax_number": "256-265-6552"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALABAMA OB/GYN ASSOICIATES, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-11",
"last_updated": "2013-04-18",
"status": "A",
"authorized_official_last_name": "TALLENT",
"authorized_official_first_name": "ERIC",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "256-265-6550",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000023091",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.