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Mobile Gastroenterology, P.C.

Details

Name: Mobile Gastroenterology, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 03 May 2002 (23 years ago)
Entity Number: 000-222-711
Register Number: 000222711
County: Mobile
Place of Formation: Mobile County
Principal Address: MOBILE, AL
Registered Office Street Address: 6701 AIRPORT BLVD STE A-208MOBILE, AL 36608
Registered Office Street Address ZIP Code: 36608
Authorized Capital: $1,000
Paid Share Capital: $1,000

Activities PRACTICE MEDICINE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1124031141 2006-08-14 2007-10-18 PO BOX 850489, MOBILE, AL, 366850489, US 6701 AIRPORT BLVD, SUITE A-208, MOBILE, AL, 366086705, US

Contacts
Phone +1 251-639-2101
Fax 2516399122

Authorized person
Name CHARLES EDWARD JOHNSON
Role PHYSICIAN AND CEO
Phone 2516392101

Taxonomy
Taxonomy Code 207RG0100X - Gastroenterology Physician
Is Primary Yes

Other Provider Identifiers
Issuer MEDICARE GROUP PROVIDER
Number I960

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MOBILE GASTROENTEROLOGY, P.C. 401(K) PROFIT SHARING PLAN 2023 470862945 2024-10-10 MOBILE GASTROENTEROLOGY, P.C. 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-07-01
Business code 621111
Sponsor’s telephone number 2516392101
Plan sponsor’s address 6701 AIRPORT BLVD STE A-208, MOBILE, AL, 366083763
MOBILE GASTROENTEROLOGY, P.C. 401(K) PROFIT SHARING PLAN 2022 470862945 2023-10-10 MOBILE GASTROENTEROLOGY, P.C. 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-07-01
Business code 621111
Sponsor’s telephone number 2516392101
Plan sponsor’s address 6701 AIRPORT BLVD STE A-208, MOBILE, AL, 366083763
MOBILE GASTROENTEROLOGY, P.C. 401(K) PROFIT SHARING PLAN 2021 470862945 2022-10-11 MOBILE GASTROENTEROLOGY, P.C. 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-07-01
Business code 621111
Sponsor’s telephone number 2516392101
Plan sponsor’s address 6701 AIRPORT BLVD STE A-208, MOBILE, AL, 366083763
MOBILE GASTROENTEROLOGY, P.C. 401(K) PROFIT SHARING PLAN 2020 470862945 2021-02-22 MOBILE GASTROENTEROLOGY, P.C. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-07-01
Business code 621111
Sponsor’s telephone number 2516392101
Plan sponsor’s address 6701 AIRPORT BLVD STE A-208, MOBILE, AL, 366083763
MOBILE GASTROENTEROLOGY, P.C. 401(K) PROFIT SHARING PLAN 2019 470862945 2020-07-07 MOBILE GASTROENTEROLOGY, P.C. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-07-01
Business code 621111
Sponsor’s telephone number 2516392101
Plan sponsor’s address 6701 AIRPORT BLVD STE A-208, MOBILE, AL, 366083763

Plan administrator’s name and address
Administrator’s EIN 470862945
Plan administrator’s name MOBILE GASTROENTEROLOGY, P.C.
Plan administrator’s address 6701 AIRPORT BLVD STE A-208, MOBILE, AL, 366083763
Administrator’s telephone number 2516392101
MOBILE GASTROENTEROLOGY, P.C. 401(K) PROFIT SHARING PLAN 2018 470862945 2019-08-05 MOBILE GASTROENTEROLOGY, P.C. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-07-01
Business code 621111
Sponsor’s telephone number 2516392101
Plan sponsor’s address 6701 AIRPORT BLVD STE A-208, MOBILE, AL, 366083763

Plan administrator’s name and address
Administrator’s EIN 470862945
Plan administrator’s name MOBILE GASTROENTEROLOGY, P.C.
Plan administrator’s address 6701 AIRPORT BLVD STE A-208, MOBILE, AL, 366083763
Administrator’s telephone number 2516392101
MOBILE GASTROENTEROLOGY, P.C. 401(K) PROFIT SHARING PLAN 2017 470862945 2018-06-13 MOBILE GASTROENTEROLOGY, P.C. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-07-01
Business code 621111
Sponsor’s telephone number 2516392101
Plan sponsor’s address 6701 AIRPORT BLVD STE A-208, MOBILE, AL, 366083763

Plan administrator’s name and address
Administrator’s EIN 470862945
Plan administrator’s name MOBILE GASTROENTEROLOGY, P.C.
Plan administrator’s address 6701 AIRPORT BLVD STE A-208, MOBILE, AL, 366083763
Administrator’s telephone number 2516392101
MOBILE GASTROENTEROLOGY, P.C. 401(K) PROFIT SHARING PLAN 2016 470862945 2017-07-11 MOBILE GASTROENTEROLOGY, P.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-07-01
Business code 621111
Sponsor’s telephone number 2516392101
Plan sponsor’s address 6701 AIRPORT BLVD STE A-208, MOBILE, AL, 366083763

Plan administrator’s name and address
Administrator’s EIN 470862945
Plan administrator’s name MOBILE GASTROENTEROLOGY, P.C.
Plan administrator’s address 6701 AIRPORT BLVD STE A-208, MOBILE, AL, 366083763
Administrator’s telephone number 2516392101
MOBILE GASTROENTEROLOGY, P.C. 401(K) PROFIT SHARING PLAN 2015 470862945 2016-07-11 MOBILE GASTROENTEROLOGY, P.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-07-01
Business code 621111
Sponsor’s telephone number 2516392101
Plan sponsor’s address 6701 AIRPORT BLVD STE A-208, MOBILE, AL, 366083763

Plan administrator’s name and address
Administrator’s EIN 470862945
Plan administrator’s name MOBILE GASTROENTEROLOGY, P.C.
Plan administrator’s address 6701 AIRPORT BLVD STE A-208, MOBILE, AL, 366083763
Administrator’s telephone number 2516392101
MOBILE GASTROENTEROLOGY, P.C. 401(K) PROFIT SHARING PLAN 2014 470862945 2015-07-22 MOBILE GASTROENTEROLOGY, P.C. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-07-01
Business code 621111
Sponsor’s telephone number 2516392101
Plan sponsor’s address 6701 AIRPORT BLVD STE A-208, MOBILE, AL, 366083763

Plan administrator’s name and address
Administrator’s EIN 470862945
Plan administrator’s name MOBILE GASTROENTEROLOGY, P.C.
Plan administrator’s address 6701 AIRPORT BLVD STE A-208, MOBILE, AL, 366083763
Administrator’s telephone number 2516392101

Signature of
Role Plan administrator
Date 2015-07-22
Name of individual signing CHARLES E. JOHNSON, M.D.

Agent

Name Role
JOHNSON, CHARLES E Agent

Incorporator

Name Role
JOHNSON, CHARLES E Incorporator
CASE, WILLIAM L Incorporator

Related by officers

JOHNSON, CHARLES E

Taylor Freezers of Alabama, Inc. Lake City, Inc. Terrapin Hills Country Club, Inc. Johnco Hosiery, Inc. Johnson Hosiery Mills, Inc. Fort Payne Socks, Inc. PRECO International, Inc. Plainsman Hosiery, Inc. Northeast Alabama Sporting Clays Association, Inc. Johnson Timber Company, L.L.C.

Related by address

MOBILE, AL

A-1 Fence-Craft of America, Inc. AAA Air & Hydraulics of Mobile, Inc. AAA Furniture Warehouse Co., Inc. Bradco, Inc. AAP Distributors, Inc. ABC Comfort, Inc. A B C Fence Industries, Inc. A-C Contracting Company, Inc. AEU Claims, Inc. A G R Co., Incorporated

6701 AIRPORT BLVD STE A-208MOBILE, AL 36608

The Oncology Center, P.C.

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State

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