MEDICAL CENTER OBGYN – NPI #1639321789
Obstetrics & Gynecology

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

MEDICAL CENTER OBGYN is a provider located in BOAZ, AL. NPPES has assigned the NPI number 1639321789 to MEDICAL CENTER OBGYN on October 21, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MEDICAL CENTER OBGYN” is a dba name, the actual legal business name for this organization is MARSHALL MEDICAL CENTER SOUTH. The primary taxonomy selected by this provider is 207V00000X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology.

The NPI profile was previously updated about 7 years ago on Mar 14, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MEDICAL CENTER OBGYN below.

NPI Profile for
MARSHALL MEDICAL CENTER SOUTH

NPI Number
1639321789
Enumeration Date

(more than 17 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MARSHALL MEDICAL CENTER SOUTH
Doing Business As (dba): MEDICAL CENTER OBGYN
Primary location
2525 US HIGHWAY 431
210
BOAZ, AL 35957-5934
Phone: (256) 840-4601 Fax: (256) 840-4613
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
TAYLOR WALKER
CFO
Phone: (256) 894-6600
Updated
Identifiers

Identifiers for MEDICAL CENTER OBGYN

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERNPI INDIVIDUALAL1114948270
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207V00000X
- Obstetrics & Gynecology (Primary)
AL 28483

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.