Active NPI
Mobile Surgical Services, P.C.
- Surgery Physician
- Mobile, AL
National Provider Identifier
1558382671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 00006907
- Legal business name
- MOBILE SURGICAL SERVICES, P.C.
- Practice address
- 6701 Airport Blvd
Suite D231
Mobile, AL 36608-6705 - Phone
- (251) 633-4064
- Fax
- (251) 633-0122
- NPI assigned
- Jul 22, 2006
- Last updated
- Dec 17, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- William Malcolm Lightfoot, M.D.
- Title
- President
- Phone
- (251) 633-4064
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 00026047 | AL | |
| Surgery Physician | 208600000X | 00006907 | AL | Primary |
Addresses
Primary practice location
6701 Airport Blvd
Suite D231
Mobile, AL 36608-6705
Mailing address
6701 Airport Blvd
Suite D231
Mobile, AL 36608-6705
Phone (251) 633-4064
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51006999 | Other | AL | BCBS-WML |
| 020038001 | Other | AL | RAILROAD MEDICARE-WML |
| 1710151 | Other | AL | UNITED HEALTHCARE-WML |
| 51523580 | Other | AL | BCBS-RFH |
| LI000006999 | Medicaid | AL | |
| 3700108 | Other | AL | UNITED HEALTHCARE-RFH |
| CI2733 | Other | AL | RAILROAD MEDICARE-GROUP |
| HW0099964115 | Medicaid | AL | |
| P00157802 | Other | AL | RAILROAD MEDICARE-RFH |
National Provider Directory
National Provider DirectoryLocations
6701 Airport Blvd
Ste D231
Mobile, AL 36608
Phone (251) 633-4064
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.
-
- Emergency Medicine Physician
- Mobile, AL
- NPI 1932289402
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153526400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1229472000000",
"number": "1558382671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6701 AIRPORT BLVD",
"address_2": "SUITE D231",
"city": "MOBILE",
"state": "AL",
"postal_code": "366086705",
"telephone_number": "251-633-4064",
"fax_number": "251-633-0122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6701 AIRPORT BLVD",
"address_2": "SUITE D231",
"city": "MOBILE",
"state": "AL",
"postal_code": "366086705",
"telephone_number": "251-633-4064",
"fax_number": "251-633-0122"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOBILE SURGICAL SERVICES, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-22",
"last_updated": "2008-12-17",
"status": "A",
"authorized_official_last_name": "LIGHTFOOT",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "MALCOLM",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "251-633-4064",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "AL",
"license": "00026047",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "AL",
"license": "00006907",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS-WML",
"identifier": "51006999",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE-WML",
"identifier": "020038001",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE-WML",
"identifier": "1710151",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS-RFH",
"identifier": "51523580",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "LI000006999",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE-RFH",
"identifier": "3700108",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE-GROUP",
"identifier": "CI2733",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "HW0099964115",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE-RFH",
"identifier": "P00157802",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mobile, AL
- Mobile SNF Opco LLC (Mobile Rehabilitation and Wellness Center)
- Mobile Spine & Rehabilitation Limited Partnership
- Mobile Spine and Rehabilitation Limited Partnership
- Mobile Surgery Clinics
- Mobile Surgical Center PA
- Mobile Urology Group, P.a.
- Mobile Vascular Labs LLC
- Mobile-Oms, LLC (Mobile Oral and Facial Surgery)
- Mobile-SC, LTD (Mobile Surgery Center)
- Mobility Metabolism & Wellness P C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.