Organization Active NPI

USA Health Community Providers LLC

Doing business as USA Health Community - Surgery

  • Surgery Physician
  • Mobile, AL
National Provider Identifier
1619655842
Registry record updated Dec 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
USA HEALTH COMMUNITY PROVIDERS LLC
Doing business as
USA Health Community - Surgery
Practice address
6701 Airport Blvd Ste A208
Mobile, AL 36608-3763
Phone
(251) 266-3544
NPI assigned
Jul 7, 2023
Last updated
Dec 26, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2023

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

Authorized official

Name
Benny Stover
Title
Cfo
Phone
(251) 445-9164

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

6701 Airport Blvd Ste A208
Mobile, AL 36608-3763

Mailing address

PO Box 36258
Belfast, ME 04915-1204

Other names 1

  • USA HEALTH COMMUNITY - SURGERY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
USA Health Community Providers LLC18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

Organizations that report the same tax identification number in the National Provider Directory.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1688688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703548800000",
    "number": "1619655842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 36258",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049151204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 AIRPORT BLVD STE A208",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366083763",
            "telephone_number": "251-266-3544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USA HEALTH COMMUNITY PROVIDERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-07",
        "last_updated": "2023-12-26",
        "certification_date": "2023-12-26",
        "status": "A",
        "authorized_official_last_name": "STOVER",
        "authorized_official_first_name": "BENNY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "251-445-9164"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "USA HEALTH COMMUNITY - SURGERY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "USA HEALTH COMMUNITY - SURGERY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 26, 2023; 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.