Organization Active NPI

Mobile Surgical Services, P.C.

  • Surgery Physician
  • Mobile, AL
National Provider Identifier
1558382671
Registry record updated Dec 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
00006907 Issued in AL
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
51006999OtherALBCBS-WML
020038001OtherALRAILROAD MEDICARE-WML
1710151OtherALUNITED HEALTHCARE-WML
51523580OtherALBCBS-RFH
LI000006999MedicaidAL
3700108OtherALUNITED HEALTHCARE-RFH
CI2733OtherALRAILROAD MEDICARE-GROUP
HW0099964115MedicaidAL
P00157802OtherALRAILROAD MEDICARE-RFH

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.