Organization Active NPI

Alabama Vascular Solutions , LLC

  • Vascular Surgery Physician
  • Alabaster, AL
National Provider Identifier
1609266386
Registry record updated Feb 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
ALABAMA VASCULAR SOLUTIONS , LLC
Practice address
1004 1St St N
Ste 150
Alabaster, AL 35007-8766
Phone
(205) 664-2420
NPI assigned
Feb 2, 2015
Last updated
Feb 2, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2015

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

Authorized official

Name
Jilda Stephenson
Title
Manager
Phone
(205) 664-2420

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X NU Primary

Addresses

Primary practice location

1004 1St St N
Ste 150
Alabaster, AL 35007-8766

Mailing address

1004 1St St N
Ste 150
Alabaster, AL 35007-8766
Phone (205) 664-2420

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150424000902 AL Part B Supplier - Clinic/Group Practice 2264751288 Receives reassigned benefits from 2 practitioners
Practice locations: Alabaster, AL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1422835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422835200000",
    "number": "1609266386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 1ST ST N",
            "address_2": "STE 150",
            "city": "ALABASTER",
            "state": "AL",
            "postal_code": "350078766",
            "telephone_number": "205-664-2420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 1ST ST N",
            "address_2": "STE 150",
            "city": "ALABASTER",
            "state": "AL",
            "postal_code": "350078766",
            "telephone_number": "205-664-2420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALABAMA VASCULAR SOLUTIONS , LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-02",
        "last_updated": "2015-02-02",
        "status": "A",
        "authorized_official_last_name": "STEPHENSON",
        "authorized_official_first_name": "JILDA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "205-664-2420"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alabaster, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.