Active NPI
Mens Executive Health Services LLC
- Family Medicine Physician
- Hoover, AL
National Provider Identifier
1881956290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- AL 20705
- Legal business name
- MENS EXECUTIVE HEALTH SERVICES LLC
- Practice address
- 2798 John Hawkins Pkwy Ste 128
Hoover, AL 35244-3108 - Phone
- (770) 328-2006
- NPI assigned
- Jun 12, 2012
- Last updated
- Jun 12, 2012
- 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
- Mr. Robert Chris Salter, CPRN
- Title
- Nurse Practitioner
- Phone
- (770) 328-2006
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | AL 20705 | AL | Primary |
| Family Medicine Physician | 207Q00000X | AL 24557 | AL | |
| Nurse Practitioner | 363L00000X | 1071631 | AL |
Addresses
Primary practice location
2798 John Hawkins Pkwy Ste 128
Hoover, AL 35244-3108
Mailing address
1250 Watts Rd
Bowdon, GA 30108-2757
National Provider Directory
National Provider DirectoryLocations
2798 John Hawkins Pkwy
Ste 128
Hoover, AL 35244
Phone (770) 328-2006
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339459200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1339459200000",
"number": "1881956290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1250 WATTS RD",
"city": "BOWDON",
"state": "GA",
"postal_code": "301082757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2798 JOHN HAWKINS PKWY STE 128",
"city": "HOOVER",
"state": "AL",
"postal_code": "352443108",
"telephone_number": "770-328-2006"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MENS EXECUTIVE HEALTH SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-06-12",
"last_updated": "2012-06-12",
"status": "A",
"authorized_official_last_name": "SALTER",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "CHRIS",
"authorized_official_title_or_position": "NURSE PRACTITIONER",
"authorized_official_telephone_number": "770-328-2006",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "CPRN"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AL",
"license": "AL 20705",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AL",
"license": "AL 24557",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AL",
"license": "1071631",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hoover, AL
- Medscan, LLC (Open MRI of Birmingham)
- Julian Mehl, RPH
- Natasha Denise Melton, DNP, FNP-C
- Rachel M Mendonca-Hasenbein, MSN, CRNP, PMHNP
- Menm, LLC (Miracle Ear Center)
- Tracey L. Mercer, O.D.
- Remington Messick, PHARMD
- James Harold Metcalf, M.S, ATC, LAT,
- Brendan Patrick Meyer
- Michael S. Anglin, DDS, PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.