NPIMap

Organization Active NPI

Imc- Mobile OB/GYN Ctr PC

  • Gynecology Physician
  • Mobile, AL
National Provider Identifier
1952596975
Registry record updated Jan 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
3443 Issued in AL
Legal business name
IMC- MOBILE OB/GYN CTR PC
Practice address
3 Mobile Infirmary Cir
Suite 201C
Mobile, AL 36607-3520
Phone
(251) 433-1887
Fax
(251) 433-1929
NPI assigned
Sep 12, 2007
Last updated
Jan 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Joyce Austin
Title
Office Manager
Phone
(251) 433-1887

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 3443 AL Primary

Addresses

Primary practice location

3 Mobile Infirmary Cir
Suite 201C
Mobile, AL 36607-3520

Mailing address

3 Mobile Infirmary Cir
Suite 201C
Mobile, AL 36607-3520
Phone (251) 433-1887

Other identifiers 2

IdentifierTypeStateIssuer
51003216OtherALBLUE CROSS BLUE SHIELD
C038OtherALMEDICARE LEGACY

National Provider Directory

National Provider Directory

Locations

1 Mobile Infirmary Cir
Fl 2
Mobile, AL 36607
Phone (251) 432-3636

3 Mobile Infirmary Cir
Ste 201C
Mobile, AL 36607
Phone (251) 433-1887

Practitioners & affiliated clinicians

Practitioners 19

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.

View all 19

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200528000000",
    "number": "1952596975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 MOBILE INFIRMARY CIR",
            "address_2": "SUITE 201C",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366073520",
            "telephone_number": "251-433-1887",
            "fax_number": "251-433-1929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 MOBILE INFIRMARY CIR",
            "address_2": "SUITE 201C",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366073520",
            "telephone_number": "251-433-1887",
            "fax_number": "251-433-1929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMC- MOBILE OB/GYN CTR PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-12",
        "last_updated": "2008-01-17",
        "status": "A",
        "authorized_official_last_name": "AUSTIN",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "251-433-1887"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "AL",
            "license": "3443",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "51003216",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE LEGACY",
            "identifier": "C038",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2008; 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.