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Huntsville Reproductive Medicine, P.C.

Details

Name: Huntsville Reproductive Medicine, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 05 Feb 2003 (22 years ago)
Entity Number: 000-227-323
Register Number: 000227323
County: Madison
Place of Formation: Madison County
Principal Address: HUNTSVILLE, AL
Registered Office Street Address: 185 CHATEAU DR SW STE 301HUNTSVILLE, AL 35801
Registered Office Street Address ZIP Code: 35801
Authorized Capital: $5,000

Activities MEDICINE PRACTICE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1184773749 2007-01-10 2020-08-22 185 CHATEAU DR SW, SUITE 301, HUNTSVILLE, AL, 358017416, US 185 CHATEAU DR SW, SUITE 301, HUNTSVILLE, AL, 358017416, US

Contacts
Phone +1 256-213-2229
Fax 2562139978

Authorized person
Name MR. DOUGLAS HEIDEL
Role BUSINESS MANAGER
Phone 2562132229

Taxonomy
Taxonomy Code 207VE0102X - Reproductive Endocrinology Physician
License Number 25020
State AL
Is Primary Yes

Other Provider Identifiers
Issuer BLUE CROSS BLUE SHIELD OF
Number 51514511
State AL
Issuer AETNA
Number 7949282
State AL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HUNTSVILLE REPRODUCTIVE MEDICINE, P.C. 401(K) PROFIT SHARING PLAN 2019 431998066 2020-10-13 HUNTSVILLE REPRODUCTIVE MEDICINE, P.C. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 2562132229
Plan sponsor’s address 20 HUGHES ROAD SUITE 203, MADISON, AL, 357582439
HUNTSVILLE REPRODUCTIVE MEDICINE, P.C. 401(K) PROFIT SHARING PLAN 2018 431998066 2019-10-14 HUNTSVILLE REPRODUCTIVE MEDICINE, P.C. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 2562132229
Plan sponsor’s address 20 HUGHES ROAD SUITE 203, MADISON, AL, 357582439
HUNTSVILLE REPRODUCTIVE MEDICINE, P.C. 401(K) PROFIT SHARING PLAN 2017 431998066 2018-07-19 HUNTSVILLE REPRODUCTIVE MEDICINE, P.C. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 2562132229
Plan sponsor’s address 20 HUGHES ROAD SUITE 203, MADISON, AL, 357582439
HUNTSVILLE REPRODUCTIVE MEDICINE, P.C. 401(K) PROFIT SHARING PLAN 2016 431998066 2017-10-13 HUNTSVILLE REPRODUCTIVE MEDICINE, P.C. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 2562132229
Plan sponsor’s address 20 HUGHES ROAD SUITE 203, MADISON, AL, 357582439

Signature of
Role Plan administrator
Date 2017-10-13
Name of individual signing ANDREW J. HARPER, M.D.
Role Employer/plan sponsor
Date 2017-10-13
Name of individual signing ANDREW J. HARPER, M.D.
HUNTSVILLE REPRODUCTIVE MEDICINE, P.C. 401(K) PROFIT SHARING PLAN 2015 431998066 2016-10-06 HUNTSVILLE REPRODUCTIVE MEDICINE, P.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 2562132229
Plan sponsor’s address 20 HUGHES ROAD SUITE 203, MADISON, AL, 357582439

Signature of
Role Plan administrator
Date 2016-10-06
Name of individual signing ANDREW J. HARPER, M.D.
Role Employer/plan sponsor
Date 2016-10-06
Name of individual signing ANDREW J. HARPER, M.D.
HUNTSVILLE REPRODUCTIVE MEDICINE, P.C. 401(K) PROFIT SHARING PLAN 2014 431998066 2015-10-15 HUNTSVILLE REPRODUCTIVE MEDICINE, P.C. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 2562132229
Plan sponsor’s address 20 HUGHES ROAD SUITE 203, MADISON, AL, 357582439

Signature of
Role Plan administrator
Date 2015-10-15
Name of individual signing ANDREW J. HARPER, M.D.
Role Employer/plan sponsor
Date 2015-10-15
Name of individual signing ANDREW J. HARPER, M.D.
HUNTSVILLE REPRODUCTIVE MEDICINE, P.C. 401(K) PROFIT SHARING PLAN 2013 431998066 2014-09-25 HUNTSVILLE REPRODUCTIVE MEDICINE, P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 2562132229
Plan sponsor’s address 20 HUGHES ROAD SUITE 203, MADISON, AL, 357582439

Signature of
Role Plan administrator
Date 2014-09-25
Name of individual signing ANDREW J. HARPER, M.D.
Role Employer/plan sponsor
Date 2014-09-25
Name of individual signing ANDREW J. HARPER, M.D.
HUNTSVILLE REPRODUCTIVE MEDICINE, P.C. 401(K) PROFIT SHARING PLAN 2012 431998066 2013-10-03 HUNTSVILLE REPRODUCTIVE MEDICINE, P.C. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 2562132229
Plan sponsor’s address 185 CHATEAU DRIVE SW, SUITE 301, HUNTSVILLE, AL, 358016493

Signature of
Role Plan administrator
Date 2013-10-03
Name of individual signing ANDREW J. HARPER, M.D.
Role Employer/plan sponsor
Date 2013-10-03
Name of individual signing ANDREW J. HARPER, M.D.
HUNTSVILLE REPRODUCTIVE MEDICINE, P.C. 401(K) PROFIT SHARING PLAN 2011 431998066 2012-04-11 HUNTSVILLE REPRODUCTIVE MEDICINE, P.C. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 2562132229
Plan sponsor’s address 185 CHATEAU DRIVE SW, SUITE 301, HUNTSVILLE, AL, 358016493

Plan administrator’s name and address
Administrator’s EIN 431998066
Plan administrator’s name HUNTSVILLE REPRODUCTIVE MEDICINE, P.C.
Plan administrator’s address 185 CHATEAU DRIVE SW, SUITE 301, HUNTSVILLE, AL, 358016493
Administrator’s telephone number 2562132229

Signature of
Role Plan administrator
Date 2012-04-11
Name of individual signing ANDREW J. HARPER, M.D.
Role Employer/plan sponsor
Date 2012-04-11
Name of individual signing ANDREW J. HARPER, M.D.
HUNTSVILLE REPRODUCTIVE MEDICINE, P.C. 401(K) PROFIT SHARING PLAN 2010 431998066 2011-03-31 HUNTSVILLE REPRODUCTIVE MEDICINE, P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 2562132229
Plan sponsor’s address 185 CHATEAU DRIVE SW, SUITE 301, HUNTSVILLE, AL, 358016493

Plan administrator’s name and address
Administrator’s EIN 431998066
Plan administrator’s name HUNTSVILLE REPRODUCTIVE MEDICINE, P.C.
Plan administrator’s address 185 CHATEAU DRIVE SW, SUITE 301, HUNTSVILLE, AL, 358016493
Administrator’s telephone number 2562132229

Signature of
Role Plan administrator
Date 2011-03-31
Name of individual signing ANDREW J. HARPER, M.D.
Role Employer/plan sponsor
Date 2011-03-31
Name of individual signing ANDREW J. HARPER, M.D.

Agent

Name Role Address
HARPER, ANDREW J Agent 185 CHATEAU DRIVE SUITE 301HUNTSVILLE, AL 35801

Incorporator

Name Role Address
HARPER, ANDREW J Incorporator 185 CHATEAU DRIVE SUITE 301HUNTSVILLE, AL 35801

Related by officers

HARPER, ANDREW J

A.J. HARPER PROPERTIES, LLC AQUILA PROPERTIES, LLC

Related by address

HUNTSVILLE, AL

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Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State

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