Organization Active NPI

Southeast Surgery, PC

  • Surgery Physician
  • Montgomery, AL
National Provider Identifier
1669568838
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
00016198 Issued in AL
Legal business name
SOUTHEAST SURGERY, PC
Practice address
4224 Carmichael CT N
Montgomery, AL 36106-3621
Phone
(334) 270-8887
Fax
(334) 270-8837
NPI assigned
Oct 5, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Edward Neal Foxhall, MD
Title
Owner
Phone
(334) 270-8020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 00016198 AL Primary

Addresses

Primary practice location

4224 Carmichael CT N
Montgomery, AL 36106-3621

Mailing address

2648 Aimee Dr
Montgomery, AL 36106-3330
Phone (334) 270-8020

National Provider Directory

National Provider Directory

Locations

4224 Carmichael Ct N
Montgomery, AL 36106
Phone (205) 641-0062

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669568838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2648 AIMEE DR",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361063330",
            "telephone_number": "334-270-8020",
            "fax_number": "334-409-0956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4224 CARMICHAEL CT N",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361063621",
            "telephone_number": "334-270-8887",
            "fax_number": "334-270-8837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST SURGERY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FOXHALL",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "NEAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-270-8020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AL",
            "license": "00016198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.