Saraland Family Pract PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

00012136 Issued in AL

Legal business name

SARALAND FAMILY PRACT PC

Practice address

119 Ennis St
Saraland, AL 36571-2706

Phone

(251) 544-2000

Fax

(251) 544-2004

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Mark A McDaniel, M.D.

Title

MD/Owner

Phone

(251) 544-2000

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Courtney McDaniel Nix, CRNP

  • Family Nurse Practitioner
  • Saraland, AL
  • NPI 1093130205
  NPD
• Leah Kimberly Williams, NP

  • Family Nurse Practitioner
  • Saraland, AL
  • NPI 1891409330
  NPD

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186704000000",
    "number": "1477664779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 ENNIS ST",
            "city": "SARALAND",
            "state": "AL",
            "postal_code": "365712706",
            "telephone_number": "251-544-2000",
            "fax_number": "251-544-2004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 ENNIS ST",
            "city": "SARALAND",
            "state": "AL",
            "postal_code": "365712706",
            "telephone_number": "251-544-2000",
            "fax_number": "251-544-2004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARALAND FAMILY PRACT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-08-10",
        "status": "A",
        "authorized_official_last_name": "MCDANIEL",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "251-544-2000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "00012136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "K961",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer K. Ronderos, M.D.
• Rubenstein Family Medical Associates
• Howard Jay Rubenstein, M.D.
• Blake Salter, PHARMD
• Saraland Dental Center
• Saraland Physical Therapy Services Inc
• Seton Medical Management Inc.
• Keragan Elizabeth Sheffield, AU.D.
• Shelton Beach Dental Center Inc
• Telina Michelle Sikes-Doggett, DNP, AGNP-C

• Family Medicine Physician in Saraland, AL
• Providers in Saraland, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2007; 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.