Organization Active NPI

Manuel Pouparina MD LLC

  • Clinic/Center
  • Huntsville, AL
National Provider Identifier
1780966085
Registry record updated Oct 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
28396 Issued in AL
Legal business name
MANUEL POUPARINA MD LLC
Practice address
1237 Deborah Dr SE
Huntsville, AL 35801-1414
Phone
(256) 337-2297
NPI assigned
Sep 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2011

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

Authorized official

Name
Manuel Pouparina, MDNPI 1942240445
Title
President
Phone
(256) 337-2297

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 28396 AL Primary

Addresses

Primary practice location

1237 Deborah Dr SE
Huntsville, AL 35801-1414

Mailing address

1237 Deborah Dr SE
Huntsville, AL 35801-1414
Phone (256) 337-2297

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1315872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319068800000",
    "number": "1780966085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1237 DEBORAH DR SE",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358011414",
            "telephone_number": "256-337-2297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1237 DEBORAH DR SE",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358011414",
            "telephone_number": "256-337-2297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANUEL POUPARINA MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-13",
        "last_updated": "2011-10-20",
        "status": "A",
        "authorized_official_last_name": "POUPARINA",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-337-2297",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "AL",
            "license": "28396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2011; 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.