Organization Active NPI

Alabama OB/GYN Assoiciates, P.C.

  • Obstetrics & Gynecology Physician
  • Huntsville, AL
National Provider Identifier
1467635540
Registry record updated Apr 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
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, MDNPI 1801883715
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 IDStateProvider typePAC IDDetails
O20050823000579 AL Part B Supplier - Clinic/Group Practice 2062443708 Receives reassigned benefits from 1 practitioner
Practice locations: Huntsville, AL

National Provider Directory

National Provider Directory

Locations

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)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

NPPES NPI Registry

Primary 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
IdentifierTypeStateIssuer
000023091MedicaidAL

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": []
}

Other providers in Huntsville, AL

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.

Verify at the official NPI Registry.