1. Home
  2. Directory
  3. Alabama
  4. Gulf Shores
  5. Obstetrics Gynecology
  6. NPI Profile

PROVIDENCE MEDICAL GROUP
NPI 1801188503
Obstetrics & Gynecology - Gynecologic Oncology in Gulf Shores, AL

Active since May 12, 2011
253 PROFESSIONAL LN, GULF SHORES, AL 36542(251) 631-3490(251) 631-3461 Get Directions Write a Review

NPPES record last updated: August 27, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Providence Medical Group NPPES

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

PROVIDENCE MEDICAL GROUP (NPI 1801188503) is a healthcare organization registered as a gynecologic oncology in Gulf Shores, Alabama and active in the NPI registry since May 2011. The organization lists Clark P. Christianson, President, as its authorized official.

NPPES Registry Identity

NPI1801188503
Entity TypeOrganization
Primary Taxonomy207VX0201X
Legal Business NamePROVIDENCE HEALTHCARE SERVICES
Location Address253 PROFESSIONAL LNGulf Shores, AL 36542-3461
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 DateMay 12, 2011
Last NPPES UpdateAugust 27, 2012
✔ NPI 1801188503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · Gynecologic OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207VX0201X
License✔ Licensed in TX · 940365
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.
253 PROFESSIONAL LN, Gulf Shores, AL 36542
Open in Google Maps ↗

Other Names 1

Doing Business AsProvidence Medical Group

Other Identifiers 2

Medicaid529907120AL
Medicare PINH970AL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

SAWRIE ONCOLOGY INC
Radiology (Radiation Oncology)
253 PROFESSIONAL LN
GULF SHORES, AL 36542
Baldwin County (251) 948-7897

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 1801188503. It was assigned to this organization in the NPPES registry on May 12, 2011. The provider is doing business as Providence Medical Group.

Where is Providence Healthcare Services located?

Providence Healthcare Services is located at 253 Professional Ln, Gulf Shores, AL 36542. 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 August 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.