NPIMap

Organization Active NPI

Physicians Medical Center, LLC

Doing business as Physicians Medical Center Carraway

  • Multi-Specialty Clinic/Center
  • Birmingham, AL
National Provider Identifier
1760696066
Registry record updated Apr 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
PHYSICIANS MEDICAL CENTER, LLC
Doing business as
Physicians Medical Center Carraway
Practice address
3001 27TH St N
Birmingham, AL 35207-4549
Phone
(205) 502-5801
Fax
(205) 502-5586
NPI assigned
May 9, 2007
Last updated
Apr 22, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2008

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

Authorized official

Name
Mrs. Jan Dicesare
Title
Cfo
Phone
(205) 502-6000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X NU Primary

Addresses

Primary practice location

3001 27TH St N
Birmingham, AL 35207-4549

Mailing address

PO Box 10288
Birmingham, AL 35202-0288
Phone (205) 502-5610

Other names 1

  • Physicians Medical Center Carraway Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Physicians Medical Center LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3001 27th St N
Birmingham, AL 35207
Phone (205) 226-5801

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1760696066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10288",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352020288",
            "telephone_number": "205-502-5610",
            "fax_number": "205-502-5513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 27TH ST N",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352074549",
            "telephone_number": "205-502-5801",
            "fax_number": "205-502-5586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS MEDICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "DICESARE",
        "authorized_official_first_name": "JAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "205-502-6000",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physicians Medical Center Carraway",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; 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.