Active NPI
East Alabama Occupational Medicine
- Occupational Medicine Physician
- Auburn, AL
National Provider Identifier
1891236964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Physician
- Legal business name
- EAST ALABAMA OCCUPATIONAL MEDICINE
- Practice address
- 2515 E Glenn Ave
Suite 106
Auburn, AL 36830-6453 - Phone
- (334) 821-7787
- Fax
- (334) 821-7555
- NPI assigned
- Mar 9, 2017
- Last updated
- Mar 9, 2017
- Organization subpart
- Yes
- Parent organization
- EAST ALABAMA MEDICAL DEVELOPMENT
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Samuel A Price Jr.
- Title
- Cfo
- Phone
- (334) 528-1310
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Medicine Physician | 2083X0100X | NU | Primary |
Addresses
Primary practice location
2515 E Glenn Ave
Suite 106
Auburn, AL 36830-6453
Mailing address
2515 E Glenn Ave
Suite 106
Auburn, AL 36830-6453
Phone (334) 821-7787
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 01D1052045 | Alabama Occupational Medicine | Certificate of waiver | Mar 15, 2028 |
National Provider Directory
National Provider Directory- Part of
- Smiths Station Medical
Locations
2515 E Glenn Ave
Ste 106
Auburn, AL 36830
Phone (334) 821-7787
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.
-
- Occupational Medicine Physician
- Auburn, AL
- NPI 1124108238
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489017600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1489017600000",
"number": "1891236964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2515 E GLENN AVE",
"address_2": "SUITE 106",
"city": "AUBURN",
"state": "AL",
"postal_code": "368306453",
"telephone_number": "334-821-7787",
"fax_number": "334-821-7555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2515 E GLENN AVE",
"address_2": "SUITE 106",
"city": "AUBURN",
"state": "AL",
"postal_code": "368306453",
"telephone_number": "334-821-7787",
"fax_number": "334-821-7555"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EAST ALABAMA OCCUPATIONAL MEDICINE",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "EAST ALABAMA MEDICAL DEVELOPMENT",
"enumeration_date": "2017-03-09",
"last_updated": "2017-03-09",
"status": "A",
"authorized_official_last_name": "PRICE",
"authorized_official_first_name": "SAMUEL",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "334-528-1310",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Auburn, AL
- East Alabama Maternal Fetal Medicine
- East Alabama Medical Center
- East Alabama Medical Center Homecare, LLC (Adoration Home Health)
- East Alabama Neurosurgery and Spine
- East Alabama OBGYN LLC
- East Alabama Optical Shop, LLC
- East Alabama Pediatric Dentistry & Orthodontics
- East Alabama Plastic Surgery, LLC
- East Alabama Primary Care, LLC (East Alabama Primary Care)
- East Alabama Services for the Elderly, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.