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
Last updated
Apr 18, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2013

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

Authorized official

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.

Specialties & licenses 1

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

Addresses

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

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 11
Huntsville, AL 35801

420 Lowell Dr SE
Ste 302
Huntsville, AL 35801
Phone (256) 265-1910

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": "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": [],
    "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.