Organization Active NPI

Connexus Health, LLC

  • Urology Physician
  • Mobile, AL
National Provider Identifier
1619695822
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
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

Updated by the provider on Aug 15, 2022

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)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

TypeEndpointUseAffiliation
Other URL www.theconncexusclinic.com

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.