Northwest Alabama Surgical Specialists, PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

22074 Issued in AL

Legal business name

NORTHWEST ALABAMA SURGICAL SPECIALISTS, PC

Practice address

42030 Highway 195
Suite C
Haleyville, AL 35565-7054

Phone

(205) 486-3800

Fax

(205) 486-3802

NPI assigned

Aug 19, 2010

Organization subpart

No

Name

Dr. Jeff Ryan, MD

Title

Owner

Phone

(205) 486-3800

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 19, 2010.

{
    "created_epoch": "1282176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282176000000",
    "number": "1962718650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1046",
            "city": "HALEYVILLE",
            "state": "AL",
            "postal_code": "355651046",
            "telephone_number": "205-486-3800",
            "fax_number": "205-486-3802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42030 HIGHWAY 195",
            "address_2": "SUITE C",
            "city": "HALEYVILLE",
            "state": "AL",
            "postal_code": "355657054",
            "telephone_number": "205-486-3800",
            "fax_number": "205-486-3802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST ALABAMA SURGICAL SPECIALISTS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-19",
        "last_updated": "2010-08-19",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-486-3800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "AL",
            "license": "22074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2010; 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.