Blue Bayou Services Group Inc

Primary specialty

Obesity Medicine (Obstetrics & Gynecology) PhysicianTaxonomy code 207VB0002X

License

21413 Issued in AL

Legal business name

BLUE BAYOU SERVICES GROUP INC

Practice address

2214 3Rd Ave N
Birmingham, AL 35203-3822

Phone

(205) 415-1539

NPI assigned

Sep 20, 2010

Organization subpart

No

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

Authorized official

Name

Marshall Shoemaker

Title

Ceo

Phone

(205) 415-1539

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1284940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284940800000",
    "number": "1598073868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2214 3RD AVE N",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352033822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2214 3RD AVE N",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352033822",
            "telephone_number": "205-415-1539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE BAYOU SERVICES GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-20",
        "last_updated": "2010-09-20",
        "status": "A",
        "authorized_official_last_name": "SHOEMAKER",
        "authorized_official_first_name": "MARSHALL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "205-415-1539"
    },
    "taxonomies": [
        {
            "code": "207VB0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Obesity Medicine",
            "state": "AL",
            "license": "21413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Hamlin Blount, NP
• Jeffrey P Blount, MD
• Jeremy Paul Blount, CRNA
• Virginia Bryant Blount, RPH
• Blue Bayou Inc
• Blue Ridge Healthcare Birmingham LLC
• Blue Vision Center LLC
• Elizabeth Blue
• Latandra Blue, O.D.
• Blue42 Therapies, LLC

• Obstetrics & Gynecology Physician in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Obstetrics & Gynecology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2010; 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.