Active NPI
RTG Medical
- Nursing Facility/Intermediate Care Facility
- Demopolis, AL
National Provider Identifier
1609077577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Facility/Intermediate Care Facility
- License
- 749
- Legal business name
- RTG MEDICAL
- Practice address
- 400 N Ash Ave
Demopolis, AL 36732-2444 - Phone
- (205) 391-7382
- NPI assigned
- May 30, 2007
- Last updated
- Aug 18, 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
- Mr. Jeff Maxxon
- Title
- Recruiter
- Phone
- (402) 970-8001
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | 749 | AL | Primary |
Addresses
Primary practice location
400 N Ash Ave
Demopolis, AL 36732-2444
Mailing address
400 N Ash Ave
Demopolis, AL 36732-2444
Phone (205) 391-7382
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5663186 | Other | AL | DRIVERS LICENSE |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180483200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1219017600000",
"number": "1609077577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 N ASH AVE",
"city": "DEMOPOLIS",
"state": "AL",
"postal_code": "367322444",
"telephone_number": "205-391-7382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 N ASH AVE",
"city": "DEMOPOLIS",
"state": "AL",
"postal_code": "367322444",
"telephone_number": "205-391-7382"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RTG MEDICAL",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-30",
"last_updated": "2008-08-18",
"status": "A",
"authorized_official_last_name": "MAXXON",
"authorized_official_first_name": "JEFF",
"authorized_official_title_or_position": "RECRUITER",
"authorized_official_telephone_number": "402-970-8001",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": "AL",
"license": "749",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVERS LICENSE",
"identifier": "5663186",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Demopolis, AL
- RH Emergency Medicine of Whitfield LLC
- Keith F. Roberts Jr., MD
- Ronnie T Chu MD P C
- Alvin Wayne Rowell, D.O.
- Susan Flexer Roy, CRNP, FNP
- Rural Health Medical Program, Inc (Demopolis Health Center)
- Mohammed Salehuddin, MD
- Kayla J Scott, CRNP
- Selma Family Practice Optometry, Inc. (Eyemax Vision Center)
- Mary Juanita Shakes, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.