Active NPI
Lydia a Stefanecu M.D.
- Internal Medicine Physician
- Tuscaloosa, AL
National Provider Identifier
1790908770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 10809
- Legal business name
- LYDIA A STEFANECU M.D.
- Practice address
- 1435 2ND CT E
Tuscaloosa, AL 35401-3276 - Phone
- (205) 349-1606
- NPI assigned
- Apr 10, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Rachel A Durrough
- Title
- Insurance Specialist
- Phone
- (205) 349-1606
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 10809 | AL | Primary |
Addresses
Primary practice location
1435 2ND CT E
Tuscaloosa, AL 35401-3276
Mailing address
1435 2ND CT E
Tuscaloosa, AL 35401-3276
Phone (205) 349-1606
National Provider Directory
National Provider DirectoryLocations
1435 2nd Ct E
Ste 1
Tuscaloosa, AL 35401
Phone (205) 349-1606
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1790908770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1435 2ND CT E",
"city": "TUSCALOOSA",
"state": "AL",
"postal_code": "354013276",
"telephone_number": "205-349-1606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1435 2ND CT E",
"city": "TUSCALOOSA",
"state": "AL",
"postal_code": "354013276",
"telephone_number": "205-349-1606"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LYDIA A STEFANECU M.D.",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-10",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "DURROUGH",
"authorized_official_first_name": "RACHEL",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "INSURANCE SPECIALIST",
"authorized_official_telephone_number": "205-349-1606",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "AL",
"license": "10809",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tuscaloosa, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.