Organization Active NPI

R. Gordon Mowry, M.D.

  • MOHS-Micrographic Surgery Physician
  • Mobile, AL
National Provider Identifier
1679658256
Registry record updated Sep 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
Legal business name
R. GORDON MOWRY, M.D.
Practice address
100 Memorial Hospital Dr Ste 2B
Mobile, AL 36608-1129
Phone
(251) 343-8030
Fax
(251) 343-2499
NPI assigned
Oct 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2010

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

Authorized official

Name
R Gordon Mowry, M.D.
Title
President
Phone
(251) 343-8030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ND0101X Primary

Addresses

Primary practice location

100 Memorial Hospital Dr Ste 2B
Mobile, AL 36608-1129

Mailing address

100 Memorial Hospital Dr Ste 2B
Mobile, AL 36608-1129
Phone (251) 343-8030

National Provider Directory

National Provider Directory

Locations

100 Memorial Hospital Dr
Ste 2B
Mobile, AL 36608
Phone (251) 343-8030

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284681600000",
    "number": "1679658256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MEMORIAL HOSPITAL DR STE 2B",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366081129",
            "telephone_number": "251-343-8030",
            "fax_number": "251-343-2499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MEMORIAL HOSPITAL DR STE 2B",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366081129",
            "telephone_number": "251-343-8030",
            "fax_number": "251-343-2499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R. GORDON MOWRY, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2010-09-17",
        "status": "A",
        "authorized_official_last_name": "MOWRY",
        "authorized_official_first_name": "R",
        "authorized_official_middle_name": "GORDON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "251-343-8030",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Sep 17, 2010; 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.