Organization Active NPI

Traffanstedt Internal Medicine, LLC

  • Internal Medicine Physician
  • Hoover, AL
National Provider Identifier
1659630408
Registry record updated Nov 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
TRAFFANSTEDT INTERNAL MEDICINE, LLC
Practice address
5330 Stadium Trace Pkwy
Suite 150
Hoover, AL 35244-4525
Phone
(205) 403-2020
Fax
(205) 403-2888
NPI assigned
May 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2012

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

Authorized official

Name
Dr. F. Darlene H. Traffanstedt, M.D.
Title
Owner
Phone
(205) 403-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

5330 Stadium Trace Pkwy
Suite 150
Hoover, AL 35244-4525

Mailing address

5330 Stadium Trace Pkwy
Suite 150
Hoover, AL 35244-4525
Phone (205) 403-2020

Other identifiers 1

IdentifierTypeStateIssuer
102G709443OtherALMEDICARE PTAN

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1337040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351814400000",
    "number": "1659630408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5330 STADIUM TRACE PKWY",
            "address_2": "SUITE 150",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352444525",
            "telephone_number": "205-403-2020",
            "fax_number": "205-403-2888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5330 STADIUM TRACE PKWY",
            "address_2": "SUITE 150",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352444525",
            "telephone_number": "205-403-2020",
            "fax_number": "205-403-2888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAFFANSTEDT INTERNAL MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-15",
        "last_updated": "2012-11-02",
        "status": "A",
        "authorized_official_last_name": "TRAFFANSTEDT",
        "authorized_official_first_name": "F. DARLENE",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-403-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "102G709443",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoover, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2012; 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.