| Name: | Medical Center Podiatry, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Dissolved |
| Date of registration: | 07 Jan 1987 (38 years ago) |
| Date of dissolution: | 29 May 2024 |
| Entity Number: | 000-114-809 |
| Register Number: | 000114809 |
| Historical Names: |
G. Michael Johnson, Jr., D.P.M., P.C.
|
| County: | Mobile |
| Place of Formation: | Mobile County |
| Principal Address: | MOBILE, AL |
| Registered Office Street Address: | 705 NORTH BISHOPS LANEMOBILE, AL 36608 |
| Registered Office Street Address ZIP Code: | 36608 |
| Authorized Capital: | $1,000 |
Activities
PODIATRY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1164465878 | 2006-06-13 | 2023-01-30 | PO BOX 8407, MOBILE, AL, 366890407, US | 705 BISHOP LN N, MOBILE, AL, 366085838, US | |||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 251-343-5971 |
| Fax | 2513437589 |
| Phone | +1 251-373-5971 |
| Fax | 2513737589 |
Authorized person
| Name | CATHERINE DENISE MATHEWS |
| Role | PRACTICE MANAGER |
| Phone | 2513435971 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| License Number | 00041 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICARE GROUP |
| Number | H589 |
| State | AL |
| Issuer | RAILROAD PTAN |
| Number | 480000819 |
| State | AL |
| Issuer | RAILROAD PTAN |
| Number | 480028125 |
| State | AL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MEDICAL CENTER PODIATRY, P.C. MONEY PURCHASE PENSION PLAN | 2011 | 630943860 | 2012-07-30 | MEDICAL CENTER PODIATRY, P.,C. | 7 | |||||||||||||||||||||||||||||||||||||||||||||
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| Administrator’s EIN | 631003976 |
| Plan administrator’s name | INVESTMENT ADVISORY & MANAGEMENT CORPORATION |
| Plan administrator’s address | 26 S. JULIA STREET, MOBILE, AL, 36604 |
| Administrator’s telephone number | 2514324090 |
Number of participants as of the end of the plan year
| Active participants | 0 |
| Retired or separated participants receiving benefits | 0 |
| Other retired or separated participants entitled to future benefits | 0 |
| Deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 0 |
| Number of participants with account balances as of the end of the plan year | 0 |
| Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 0 |
Signature of
| Role | Plan administrator |
| Date | 2012-07-30 |
| Name of individual signing | KAREN GIEGER |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1987-01-01 |
| Business code | 621391 |
| Sponsor’s telephone number | 2513435971 |
| Plan sponsor’s mailing address | P.O. BOX 8407, MOBILE, AL, 366890407 |
| Plan sponsor’s address | 705 N. BISHOP LANE, MOBILE, AL, 36608 |
Plan administrator’s name and address
| Administrator’s EIN | 631003976 |
| Plan administrator’s name | INVESTMENT ADVISORY & MANAGEMENT CORPORATION |
| Plan administrator’s address | 26 S. JULIA STREET, MOBILE, AL, 36604 |
| Administrator’s telephone number | 2514324090 |
Number of participants as of the end of the plan year
| Active participants | 7 |
| Retired or separated participants receiving benefits | 0 |
| Other retired or separated participants entitled to future benefits | 0 |
| Deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 0 |
| Number of participants with account balances as of the end of the plan year | 6 |
| Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 0 |
Signature of
| Role | Plan administrator |
| Date | 2011-07-28 |
| Name of individual signing | KAREN GIEGER |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1987-01-01 |
| Business code | 621391 |
| Sponsor’s telephone number | 2513435971 |
| Plan sponsor’s mailing address | P.O. BOX 8407, MOBILE, AL, 366890407 |
| Plan sponsor’s address | 705 N. BISHOP LANE, MOBILE, AL, 36608 |
Plan administrator’s name and address
| Administrator’s EIN | 631003976 |
| Plan administrator’s name | INVESTMENT ADVISORY & MANAGEMENT CORPORATION |
| Plan administrator’s address | 26 S. JULIA STREET, MOBILE, AL, 36604 |
| Administrator’s telephone number | 2514324090 |
Number of participants as of the end of the plan year
| Active participants | 6 |
| Retired or separated participants receiving benefits | 3 |
| Other retired or separated participants entitled to future benefits | 0 |
| Deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 0 |
| Number of participants with account balances as of the end of the plan year | 9 |
| Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 0 |
Signature of
| Role | Plan administrator |
| Date | 2010-07-27 |
| Name of individual signing | KAREN GIEGER |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role |
|---|---|
| JAMES H MORGAN, JR | Agent |
| Name | Role |
|---|---|
| JOHNSON, G MICHAEL JR | Incorporator |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2000-12-20 | Name Change | G. Michael Johnson, Jr., D.P.M., P.C. | Medical Center Podiatry, P.C. |
Date of last update: 31 Jul 2024
Sources: Alabama Secretary of State
