Mora Surgical Clinic, P.C.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

20392 Issued in AL

Legal business name

MORA SURGICAL CLINIC, P.C.

Practice address

841 Gillespie St
Prattville, AL 36067-3609

Phone

(334) 361-6126

Fax

(334) 361-6177

NPI assigned

Feb 7, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. April Tiller

Title

Office Manager

Phone

(334) 361-6126

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487794574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "841 GILLESPIE ST",
            "city": "PRATTVILLE",
            "state": "AL",
            "postal_code": "360673609",
            "telephone_number": "334-361-6126",
            "fax_number": "334-361-6177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "841 GILLESPIE ST",
            "city": "PRATTVILLE",
            "state": "AL",
            "postal_code": "360673609",
            "telephone_number": "334-361-6126",
            "fax_number": "334-361-6177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORA SURGICAL CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TILLER",
        "authorized_official_first_name": "APRIL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "334-361-6126",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "AL",
            "license": "20392",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "51501010",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "51501010",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Montgomery Cancer Center LLC
• Montgomery Drug Company
• Montgomery Eye Physicians P.C
• Anne Blakely Montgomery, MS CCC-SLP
• William Ricardo Montiel, M.D.
• Parham Mora, M.D.
• David L Morgan
• Marianne Morgan, MCD
• Melanie A Morrow, LCSW, PIP
• Mountain Smiles - Prattville PLLC

• Surgery Physician in Prattville, AL
• Providers in Prattville, AL by specialty
• Surgery Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.