PROVIDENCE MEDICAL GROUP
NPI 1013113760
Obstetrics & Gynecology - Gynecologic Oncology in Mobile, AL

Q: What is Providence Healthcare Services's NPI number?

The NPI number for Providence Healthcare Services is 1013113760. It was assigned to this organization in the NPPES registry on June 21, 2007. The provider is doing business as Providence Medical Group.

Q: What is Providence Healthcare Services's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecologic Oncology, with taxonomy code 207VX0201X.

Active since June 21, 2007

6701 AIRPORT BLVD, SUITE B127, MOBILE, AL 36608(251) 631-3490(251) 631-3461 Get Directions Write a Review

NPPES record last updated: September 17, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Providence Medical Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROVIDENCE MEDICAL GROUP (NPI 1013113760) is a healthcare organization registered as a gynecologic oncology in Mobile, Alabama and active in the NPI registry since June 2007. The organization lists Clark P. Christianson, President, as its authorized official.

NPPES Registry Identity

NPI1013113760

Entity TypeOrganization

Primary Taxonomy207VX0201X

Legal Business NamePROVIDENCE HEALTHCARE SERVICES

Location Address6701 AIRPORT BLVD, SUITE B127Mobile, AL 36608-6705

Mailing AddressPo Box 850489Mobile, AL 36685-0489 · (251) 342-3949 · Fax (251) 631-3361

Phone(251) 631-3490

Fax(251) 631-3461

Organization SubpartNo

Authorized OfficialClark P. ChristiansonPresident · (251) 631-3574

Enumeration DateJune 21, 2007

Last NPPES UpdateSeptember 17, 2012

✔ NPI 1013113760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · Gynecologic OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207VX0201X

Definition

An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.

6701 AIRPORT BLVD, Mobile, AL 36608

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Other Names 1

Doing Business AsProvidence Medical Group

Other Identifiers 2

Medicaid529907120AL

Medicare PINH970AL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. LISA M MCKINLEY CRNA

Nurse Anesthetist, Certified Registered

6701 AIRPORT BLVD, SUITE 430
MOBILE, AL 36608

Mobile County (251) 631-3270

SETON MEDICAL MANAGEMENT INC.

Nurse Practitioner

6701 AIRPORT BLVD, SUITE C132
MOBILE, AL 36608

Mobile County (251) 631-3501

PETER CHESTNUTT COATS M.D.

Internal Medicine

6701 AIRPORT BLVD, SUITE A-101
MOBILE, AL 36608

Mobile County (251) 633-8880

MOBILE SURGERY CLINICS

Surgery

6701 AIRPORT BLVD, D231
MOBILE, AL 36608

Mobile County (251) 631-3530

BLANKENSHIP GENERAL SURGERY, LLC

Surgery

6701 AIRPORT BLVD, SUITE B-316
MOBILE, AL 36608

Mobile County (251) 634-2900

DR. CHRYSTAL MICHELLE GRIFFIS M.D.

Internal Medicine

6701 AIRPORT BLVD, SUITE A101
MOBILE, AL 36608

Mobile County (251) 633-8880

WARREN E. KOFFLER M.D.

Internal Medicine

6701 AIRPORT BLVD, SUITE A-101
MOBILE, AL 36608

Mobile County (251) 633-8880

RALPH STOWELL BUCKLEY MD

Internal Medicine (Cardiovascular Disease)

6701 AIRPORT BLVD, SUITE D-330
MOBILE, AL 36608

Mobile County (251) 607-9797

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Providence Healthcare Services's NPI number?

The NPI number for Providence Healthcare Services is 1013113760. It was assigned to this organization in the NPPES registry on June 21, 2007. The provider is doing business as Providence Medical Group.

Where is Providence Healthcare Services located?

Providence Healthcare Services is located at 6701 Airport Blvd Suite B127, Mobile, AL 36608. The listed phone number is (251) 631-3490.

What is Providence Healthcare Services's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecologic Oncology, with taxonomy code 207VX0201X.

When was this NPI record last updated?

The NPPES record for Providence Healthcare Services was last updated on September 17, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.