Active NPI
James Cecil Labresh, PA
- Surgical Physician Assistant
- Tuscaloosa, AL
National Provider Identifier
1962418988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA-79
- Practice address
- 701 University Blvd E Ste 808
Tuscaloosa, AL 35401-7433 - Phone
- (205) 759-5640
- Fax
- (205) 759-5639
- NPI assigned
- Jul 31, 2006
- Last updated
- Dec 30, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA-79 | AL | Primary |
Addresses
Primary practice location
701 University Blvd E Ste 808
Tuscaloosa, AL 35401-7433
Mailing address
701 University Blvd E Ste 808
Tuscaloosa, AL 35401-7433
Phone (205) 759-5640
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00395581 | Other | RAILROAD MEDICARE PIN | |
| 515-39606 | Other | AL | BCBS OF AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA-79 | AL | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thoracic & Cardiovascular Associates of Tuscaloosa PC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Tuscaloosa, AL
- NPI 1174608871
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198972800000",
"number": "1962418988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 UNIVERSITY BLVD E STE 808",
"city": "TUSCALOOSA",
"state": "AL",
"postal_code": "354017433",
"telephone_number": "205-759-5640",
"fax_number": "205-759-5639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 UNIVERSITY BLVD E STE 808",
"city": "TUSCALOOSA",
"state": "AL",
"postal_code": "354017433",
"telephone_number": "205-759-5640",
"fax_number": "205-759-5639"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LABRESH",
"first_name": "JAMES",
"middle_name": "CECIL",
"name_prefix": "Mr.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-31",
"last_updated": "2007-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "AL",
"license": "PA-79",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PIN",
"identifier": "P00395581",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF AL",
"identifier": "515-39606",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tuscaloosa, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.