NPIMap

Organization Active NPI

University of South Alabama

Doing business as USA Surgery

  • Surgery Physician
  • Mobile, AL
National Provider Identifier
1689034803
Registry record updated Mar 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
UNIVERSITY OF SOUTH ALABAMA
Doing business as
USA Surgery
Practice address
2451 Fillingim St
Mastin Ste 101
Mobile, AL 36617-2238
Phone
(251) 445-8282
Fax
(251) 445-8281
NPI assigned
Mar 1, 2016
Last updated
Mar 1, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
UNIVERSITY OF SOUTH ALABAMAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 1, 2016

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

Authorized official

Name
Harvey Ikner
Title
Asso Admin of Ambulatory Clinics
Phone
(251) 470-1671

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

2451 Fillingim St
Mastin Ste 101
Mobile, AL 36617-2238

Mailing address

PO Box 40480
Mobile, AL 36640-0480
Phone (251) 434-3626

Other names 1

  • USA Surgery Doing business as

National Provider Directory

National Provider Directory
Tax ID family
USA HLT Ser FD Medicine53 organizations share this tax ID, including this one
Part of
USA HLT Ser FD Medicine

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1456790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456790400000",
    "number": "1689034803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40480",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366400480",
            "telephone_number": "251-434-3626",
            "fax_number": "251-445-2464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2451 FILLINGIM ST",
            "address_2": "MASTIN STE 101",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366172238",
            "telephone_number": "251-445-8282",
            "fax_number": "251-445-8281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF SOUTH ALABAMA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNIVERSITY OF SOUTH ALABAMA",
        "enumeration_date": "2016-03-01",
        "last_updated": "2016-03-01",
        "status": "A",
        "authorized_official_last_name": "IKNER",
        "authorized_official_first_name": "HARVEY",
        "authorized_official_title_or_position": "ASSO ADMIN OF AMBULATORY CLINICS",
        "authorized_official_telephone_number": "251-470-1671"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "USA Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 1, 2016; 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.