Active NPI
Connexus Health, LLC
- Urology Physician
- Mobile, AL
National Provider Identifier
1619695822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- Legal business name
- CONNEXUS HEALTH, LLC
- Practice address
- 2864 Dauphin St Ste a
Mobile, AL 36606-2440 - Phone
- (251) 200-8724
- NPI assigned
- Aug 15, 2022
- 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
- Blake Martin
- Title
- Owner
- Phone
- (251) 300-8724
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | Primary |
Addresses
Primary practice location
2864 Dauphin St Ste a
Mobile, AL 36606-2440
Mailing address
2864 Dauphin St Ste a
Mobile, AL 36606-2440
Phone (251) 200-8724
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | www.theconncexusclinic.com |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660521600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1660521600000",
"number": "1619695822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2864 DAUPHIN ST STE A",
"city": "MOBILE",
"state": "AL",
"postal_code": "366062440",
"telephone_number": "251-200-8724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2864 DAUPHIN ST STE A",
"city": "MOBILE",
"state": "AL",
"postal_code": "366062440",
"telephone_number": "251-200-8724"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CONNEXUS HEALTH, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-08-15",
"last_updated": "2022-08-15",
"certification_date": "2022-08-15",
"status": "A",
"authorized_official_last_name": "MARTIN",
"authorized_official_first_name": "BLAKE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "251-300-8724"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Urology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "www.theconncexusclinic.com",
"affiliation": "N",
"endpointDescription": "website",
"address_1": "2864 Dauphin St Ste A",
"city": "Mobile",
"state": "AL",
"country_code": "US",
"postal_code": "366062440",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Aug 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.