Active NPI
Decatur General Hospital
Doing business as Decatur Heart and Vascular
- Interventional Cardiology Physician
- Decatur, AL
National Provider Identifier
1902947542
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- Legal business name
- DECATUR GENERAL HOSPITAL
- Doing business as
- Decatur Heart and Vascular
- Practice address
- 1121 Somerville Rd SE
Decatur, AL 35601-3256 - Phone
- (256) 340-5185
- Fax
- (256) 301-3870
- NPI assigned
- Feb 8, 2007
- Organization subpart
- Yes
- Parent organization
- DECATUR GENERAL HOSPITAL
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James Hahn
- Title
- Ceo
- Phone
- (256) 341-2000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Cardiology Physician | 207RI0011X | Primary |
Addresses
Primary practice location
1121 Somerville Rd SE
Decatur, AL 35601-3256
Mailing address
1121 Somerville Rd SE
Decatur, AL 35601-3256
Phone (256) 340-5185
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G037 | Other | AL | BCBS |
Other names 1
- Decatur Heart and Vascular
National Provider Directory
National Provider Directory- Part of
- Decatur General Hospita
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170892800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1186012800000",
"number": "1902947542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1121 SOMERVILLE RD SE",
"city": "DECATUR",
"state": "AL",
"postal_code": "356013256",
"telephone_number": "256-340-5185",
"fax_number": "256-301-3870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1121 SOMERVILLE RD SE",
"city": "DECATUR",
"state": "AL",
"postal_code": "356013256",
"telephone_number": "256-340-5185",
"fax_number": "256-301-3870"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DECATUR GENERAL HOSPITAL",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "DECATUR GENERAL HOSPITAL",
"enumeration_date": "2007-02-08",
"last_updated": "2007-08-02",
"status": "A",
"authorized_official_last_name": "HAHN",
"authorized_official_first_name": "JAMES",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "256-341-2000"
},
"taxonomies": [
{
"code": "207RI0011X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Interventional Cardiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "G037",
"state": "AL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Decatur Heart and Vascular",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Decatur, AL
- Decatur General Hospital (Mark A Sweeny, M.D.)
- Decatur General Hospital (Decatur Pediatrics)
- Decatur General Hospital (Internal Medicine Matthews/Neal)
- Decatur General Hospital (Tanya D DeLaVergne, MD)
- Decatur General Hospital (Janice Neal, M.D.)
- Decatur General Hospital (Monarch Women's Health)
- Decatur General Oncology Center, LLC
- Decatur Health Imaging L L C
- Decatur Internal Medicine Center, P.C.
- Decatur Maxillofacial & Cosmetic Surgery Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.