Shelby Ear Nose and Throat

Primary specialty

SpecialistTaxonomy code 174400000X

License

20146 Issued in AL

Legal business name

SHELBY EAR NOSE AND THROAT

Practice address

1228 1St St N
Alabaster, AL 35007-8702

Phone

(205) 621-8900

Fax

(205) 621-7169

NPI assigned

Sep 15, 2006

Organization subpart

No

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

Authorized official

Name

Melanie Goggins

Title

Office Adminstrator

Phone

(205) 621-8900

Specialties & licenses 1

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 2

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

• Dana S Tulloss, AUD

  • Audiologist
  • Birmingham, AL
  • NPI 1487801940
  NPD
• James L. Masdon, M.D.

  • Otolaryngology Physician
  • Guntersville, AL
  • NPI 1295848471
  NPD (past)

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725840000000",
    "number": "1689770174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1228 1ST ST N STE 301",
            "city": "ALABASTER",
            "state": "AL",
            "postal_code": "350078702",
            "telephone_number": "205-621-8900",
            "fax_number": "205-621-7169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1228 1ST ST N",
            "city": "ALABASTER",
            "state": "AL",
            "postal_code": "350078702",
            "telephone_number": "205-621-8900",
            "fax_number": "205-621-7169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELBY EAR NOSE AND THROAT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A",
        "authorized_official_last_name": "GOGGINS",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_title_or_position": "OFFICE ADMINSTRATOR",
        "authorized_official_telephone_number": "205-621-8900"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AL",
            "license": "20146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2512856002",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHSPRINGS OF ALABAMA",
            "identifier": "F51696",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AL",
            "identifier": "51025753",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AL",
            "identifier": "51530334",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AL",
            "identifier": "51008484",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529902750",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1010027",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shelby Baptist Ambulatory Surgery Center, LLC (Shelby Ambulatory Surgery at The Physicians Center)
• Shelby Baptist Health Center Endocrinology
• Shelby Baptist Sports Medicine and Family Medicine
• Shelby County Treatment Center
• Shelby Dermatology, PC
• Shelby Ear Nose and Throat PC, Associates (Shelby Ear Nose and Throat)
• Shelby Family Chiropractic LLC
• Shelby Family Eye Care, LLC
• Shelby Family Foot Clinic
• Shelby Family Foot Clinic

• Specialist in Alabaster, AL
• Providers in Alabaster, AL by specialty
• Specialist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.