Active NPI
Steven P Dale, CRNA
- Anesthesiologist Assistant
- Mobile, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiologist Assistant
- License
- AA806
- Practice address
- 5 Mobile Infirmary Cir
Mobile, AL 36607-3513 - Phone
- (251) 432-4497
- Fax
- (251) 432-0577
- NPI assigned
- Sep 19, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | AA-806 | AL | |
| Anesthesiologist Assistant | 367H00000X | AA806 | AL | Primary |
Addresses
Primary practice location
5 Mobile Infirmary Cir
Mobile, AL 36607-3513
Mailing address
PO Box 934369
Atlanta, GA 31193-0001
Phone (800) 897-6169
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000058745 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology Assistant
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
701 Princeton Ave SW
Birmingham, AL 35211-1303
Phone (205) 848-2925
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Associate of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AA-806 | AL | MD | Anesthesiology Physician |
| AA806 | AL | MD | Anesthesiologist Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesiologists Associated PC | Anesthesiology | Current | Accepting new patients |
| Anesthesiologists Associated PC | Current | Accepting new patients | |
| Imc- Mobile OB/GYN Ctr PC | Past | Accepting new patients |
Locations
701 Princeton Ave SW
Birmingham, AL 35211
Phone (205) 279-2860
5 Mobile Infirmary Cir
Mobile, AL 36607
Phone (251) 432-4415
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Birmingham, AL
- NPI 1851371850
-
dba SAM Critical Response Service
- Critical Care Medicine (Internal Medicine) Physician
- Birmingham, AL
- NPI 1396353280
-
- Gynecology Physician
- Mobile, AL
- NPI 1952596975
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mobile Infirmary Medical Center
- General Acute Care Hospital
- Mobile, AL
- NPI 1558364802
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414454400000",
"number": "1972598688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 934369",
"city": "ATLANTA",
"state": "GA",
"postal_code": "311930001",
"telephone_number": "800-897-6169",
"fax_number": "800-897-6170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 MOBILE INFIRMARY CIR",
"city": "MOBILE",
"state": "AL",
"postal_code": "366073513",
"telephone_number": "251-432-4497",
"fax_number": "251-432-0577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DALE",
"first_name": "STEVEN",
"middle_name": "P",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-19",
"last_updated": "2014-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "AL",
"license": "AA-806",
"primary": false
},
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": "AL",
"license": "AA806",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000058745",
"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 Oct 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.