NPIMap

Organization Active NPI

Bay Area Laser Skin Care Center

  • Dermatology Physician
  • Mobile, AL
National Provider Identifier
1508097833
Registry record updated Aug 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
BAY AREA LASER SKIN CARE CENTER
Practice address
3715 Dauphin St
Suite 3 C
Mobile, AL 36608-1771
Phone
(251) 706-1880
Fax
(251) 344-5172
NPI assigned
Aug 4, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2009

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

Authorized official

Name
Dr. Ruth Lyons Shields, M.D.
Title
President
Phone
(251) 706-1880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

3715 Dauphin St
Suite 3 C
Mobile, AL 36608-1771

Mailing address

3715 Dauphin St
Suite 3 C
Mobile, AL 36608-1771
Phone (251) 706-1880

National Provider Directory

National Provider Directory

Locations

3715 Dauphin St
Ste 3C
Mobile, AL 36608
Phone (251) 706-1880

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1249344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249344000000",
    "number": "1508097833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3715 DAUPHIN ST",
            "address_2": "SUITE 3 C",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366081771",
            "telephone_number": "251-706-1880",
            "fax_number": "251-344-5172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3715 DAUPHIN ST",
            "address_2": "SUITE 3 C",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366081771",
            "telephone_number": "251-706-1880",
            "fax_number": "251-344-5172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY AREA LASER SKIN CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-04",
        "last_updated": "2009-08-04",
        "status": "A",
        "authorized_official_last_name": "SHIELDS",
        "authorized_official_first_name": "RUTH",
        "authorized_official_middle_name": "LYONS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "251-706-1880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2009; 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.