Organization Active NPI

Mens Executive Health Services LLC

  • Family Medicine Physician
  • Hoover, AL
National Provider Identifier
1881956290
Registry record updated Jun 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
AL 20705 Issued in AL
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, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2012

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)CodeLicenseStatePrimary
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 Directory

Locations

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

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.

Verify at the official NPI Registry.