Individual provider Active NPI

Laurie Danielle Ward, PA

  • Medical Physician Assistant
  • Hoover, AL
National Provider Identifier
1740429356
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA634 Issued in AL
Practice address
1000 Southlake Park Ste 200
Hoover, AL 35244-5700
Phone
(205) 536-8736
Fax
(205) 536-8737
NPI assigned
Feb 5, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA634 AL Primary

Addresses

Primary practice location

1000 Southlake Park Ste 200
Hoover, AL 35244-5700

Mailing address

1000 Southlake Park Ste 200
Hoover, AL 35244-5700
Phone (205) 536-8736

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180119001039 AL Practitioner - Physician Assistant 5395004352 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neurology and Neurodiagnostics of Alabama, LLCGroup PAC ID 3870674377, 3 clinicians

Practice addresses (Care Compare)

1000 Southlake Park
Suite 200
Hoover, AL 35244-5700
Phone (205) 536-8736

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA634ALMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University of Alabama Health Services Foundation, PC. CurrentSince Nov 1, 2017 Accepting new patients
Cardiology , PC PastSince Mar 3, 1995 Accepting new patients
Nephrology Medical Associates of Georgia LLC Past Accepting new patients

Locations

619 19th St S
Birmingham, AL 35249

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1233792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1740429356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 SOUTHLAKE PARK STE 200",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352445700",
            "telephone_number": "205-536-8736",
            "fax_number": "205-536-8737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 SOUTHLAKE PARK STE 200",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352445700",
            "telephone_number": "205-536-8736",
            "fax_number": "205-536-8737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "LAURIE",
        "middle_name": "DANIELLE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-05",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AL",
            "license": "PA634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoover, AL

Sources for this page

Verify at the official NPI Registry.