Alabama Skin Institute, Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

22467 Issued in AL

Legal business name

ALABAMA SKIN INSTITUTE, INC

Practice address

6285 Park South Dr
Bessemer, AL 35022-5670

Phone

(205) 426-5507

Fax

(205) 426-5563

NPI assigned

Jun 2, 2008

Last updated

Jun 2, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jason L Lockridge, M.D.

Title

Physician/Owner

Phone

(205) 426-5507

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1212364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212364800000",
    "number": "1972761377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6285 PARK SOUTH DR",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350225670",
            "telephone_number": "205-426-5507",
            "fax_number": "205-426-5563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6285 PARK SOUTH DR",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350225670",
            "telephone_number": "205-426-5507",
            "fax_number": "205-426-5563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALABAMA SKIN INSTITUTE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-02",
        "last_updated": "2008-06-02",
        "status": "A",
        "authorized_official_last_name": "LOCKRIDGE",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "205-426-5507",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AL",
            "license": "22467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Bessemer, AL
• Providers in Bessemer, AL by specialty
• Specialist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.