Basic Information
| Provider Information | |||||||||
| NPI: | 1164740155 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HITT | ||||||||
| FirstName: | CASEY | ||||||||
| MiddleName: | LAUREN | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2006 FRANKLIN ST SE STE 301 | ||||||||
| Address2: | |||||||||
| City: | HUNTSVILLE | ||||||||
| State: | AL | ||||||||
| PostalCode: | 358014537 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2565399471 | ||||||||
| FaxNumber: | 2565399472 | ||||||||
| Practice Location | |||||||||
| Address1: | 2006 FRANKLIN ST SE STE 301 | ||||||||
| Address2: | |||||||||
| City: | HUNTSVILLE | ||||||||
| State: | AL | ||||||||
| PostalCode: | 358014537 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2565399471 | ||||||||
| FaxNumber: | 2565399472 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/14/2010 | ||||||||
| LastUpdateDate: | 11/04/2014 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | 31364 | AL | Y | Allopathic & Osteopathic Physicians | Anesthesiology |
ID Information
| ID | Type | State | Issuer | Description | 0511-49764 | 01 | AR | BCBS- AL | OTHER | 0511-49762 | 01 | AL | BCBS AL | OTHER | 1164740155 | 05 | AL | MEDICAID | 051149763 | 01 | AL | BCBS- AL | OTHER |