Active NPI
Izabela Anna Koper-Skladaniec, MD
- Neurology Physician
- Mobile, AL
National Provider Identifier
1841402864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 30313
- Practice address
- 2451 Fillingim St
Mobile, AL 36617-2238 - Phone
- (251) 471-7000
- NPI assigned
- May 3, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 30313 | AL | Primary |
Addresses
Primary practice location
2451 Fillingim St
Mobile, AL 36617-2238
Mailing address
1504 Spring Hill Ave
Mobile, AL 36604-3207
Phone (251) 219-3900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30313 | AL | MD | Neurology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470960000000",
"number": "1841402864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1504 SPRING HILL AVE",
"city": "MOBILE",
"state": "AL",
"postal_code": "366043207",
"telephone_number": "251-219-3900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2451 FILLINGIM ST",
"city": "MOBILE",
"state": "AL",
"postal_code": "366172238",
"telephone_number": "251-471-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOPER-SKLADANIEC",
"first_name": "IZABELA",
"middle_name": "ANNA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-03",
"last_updated": "2016-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "AL",
"license": "30313",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.