Organization Active NPI

Decatur General Hospital

Doing business as Decatur Heart and Vascular

  • Interventional Cardiology Physician
  • Decatur, AL
National Provider Identifier
1902947542
Registry record updated Aug 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
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 HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 2, 2007

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)CodeLicenseStatePrimary
Interventional Cardiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
G037OtherALBCBS

Other names 1

  • Decatur Heart and Vascular Doing business as

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

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.

Verify at the official NPI Registry.