NPIMap

Organization Active NPI

Pathway Healthcare Alabama LLC

  • Addiction Medicine (Family Medicine) Physician
  • Robertsdale, AL
National Provider Identifier
1770085441
Registry record updated Mar 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
Legal business name
PATHWAY HEALTHCARE ALABAMA LLC
Practice address
22765 State Highway 59 S
Robertsdale, AL 36567-3197
Phone
(251) 947-2320
NPI assigned
Mar 8, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2018

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

Authorized official

Name
Krystal L Spencer
Title
Business Office Manager
Phone
(731) 265-6025

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QA0401X Primary

Addresses

Primary practice location

22765 State Highway 59 S
Robertsdale, AL 36567-3197

Mailing address

22765 State Highway 59 S
Robertsdale, AL 36567-3197
Phone (251) 947-2320

National Provider Directory

National Provider Directory
Tax ID family
Pathway Healthcare Alabama 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

22765 State Highway 59 S
Robertsdale, AL 36567
Phone (251) 947-2320

Practitioners & affiliated clinicians

Practitioners 2

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": "1520467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520467200000",
    "number": "1770085441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22765 STATE HIGHWAY 59 S",
            "city": "ROBERTSDALE",
            "state": "AL",
            "postal_code": "365673197",
            "telephone_number": "251-947-2320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22765 STATE HIGHWAY 59 S",
            "city": "ROBERTSDALE",
            "state": "AL",
            "postal_code": "365673197",
            "telephone_number": "251-947-2320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAY HEALTHCARE ALABAMA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-08",
        "last_updated": "2018-03-08",
        "status": "A",
        "authorized_official_last_name": "SPENCER",
        "authorized_official_first_name": "KRYSTAL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "731-265-6025"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Robertsdale, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2018; 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.