Organization Active NPI

Azalea City Physicians for Women,PC

  • Obstetrics & Gynecology Physician
  • Mobile, AL
National Provider Identifier
1528107000
Registry record updated Nov 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD.5725 Issued in AL
Legal business name
AZALEA CITY PHYSICIANS FOR WOMEN,PC
Practice address
3715 Dauphin St
Suite 2a
Mobile, AL 36608-1771
Phone
(251) 344-5265
Fax
(251) 344-5321
NPI assigned
Feb 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2011

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

Authorized official

Name
Glenn Todd Gallaspy Jr., MDNPI 1568680163
Title
Practicing Partner
Phone
(251) 344-5265

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 MD.5725 AL Primary

Addresses

Primary practice location

3715 Dauphin St
Suite 2a
Mobile, AL 36608-1771

Mailing address

3715 Dauphin St
Suite 2a
Mobile, AL 36608-1771
Phone (251) 344-5265

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060109000136 AL Part B Supplier - Clinic/Group Practice 5294758033 Receives reassigned benefits from 5 practitioners
Practice locations: Mobile, AL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D0305748Azalea City Physicians3715 Dauphin 2-a, Mobile, AL 36608Provider-performed microscopySep 8, 2026

National Provider Directory

National Provider Directory

Locations

3715 Dauphin St
Ste 2A
Mobile, AL 36608
Phone (251) 344-5265

Practitioners & affiliated clinicians

Practitioners 5

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": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320278400000",
    "number": "1528107000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3715 DAUPHIN ST",
            "address_2": "SUITE 2A",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366081771",
            "telephone_number": "251-344-5265",
            "fax_number": "251-344-5321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3715 DAUPHIN ST",
            "address_2": "SUITE 2A",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366081771",
            "telephone_number": "251-344-5265",
            "fax_number": "251-344-5321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZALEA CITY PHYSICIANS FOR WOMEN,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2011-11-03",
        "status": "A",
        "authorized_official_last_name": "GALLASPY",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "PRACTICING PARTNER",
        "authorized_official_telephone_number": "251-344-5265",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "AL",
            "license": "MD.5725",
            "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 Nov 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.