BIRMINGHAM PODIATRY, P.C. (NPI# 1013145861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013145861 |
Entity Type | Organization |
Organization Name | BIRMINGHAM PODIATRY, P.C. |
Other Organization Name | JAMIE L. CLECKLER, D.P.M. |
Practice Address |
108 Medical Center Dr Clanton AL 35045-2332 |
Mailing Address |
2012 8th Ct S Birmingham AL 35205-2704 |
Practice Telephone | 2057755700 |
Practice Fax Number | 2057754966 |
Mailing Telephone | 2053248511 |
Mailing Fax Number | 2053148551 |
Enumeration Date | 2009-06-30 |
Last Update Date | 2009-09-22 |
Authorized Official Name | JOHN L ROBERSON JR. (OWNER) |
Authorized Official Telephone | 2053248511 |
Authorized Official Credential | D.P.M. |
Is Organization Subpart | Y |
Parent Organization Name | BIRMINGHAM PODIATRY, P.C. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AL | 1174562755 | 05 | |
AL | BLUE CROSS | 051598947 | 01 |
Other Name | Type Code |
---|---|
JAMIE L. CLECKLER, D.P.M. | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780812628 | Birmingham Podiatry, P.C. | Podiatrist | 227 1st St N, Alabaster, AL 35007-8767 | 2009-06-30 |
Street Address |
108 MEDICAL CENTER DR |
City | CLANTON |
State | AL |
Zip Code | 35045-2332 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447249750 | Charles Keith Funderburk | Family Medicine | 108 Medical Center Dr, Clanton, AL 35045-2332 | 2005-10-19 |
1962968974 | Isabella Childress Hudson | Family Medicine | 108 Medical Center Dr, Clanton, AL 35045-2332 | 2019-02-14 |
1629121553 | Chilton Medical Group P C | Legal Medicine | 108 Medical Center Dr, Clanton, AL 35045-2332 | 2007-01-22 |
1932198058 | Jason H Deberry | Internal Medicine | 108 Medical Center Dr, Clanton, AL 35045-2332 | 2005-10-20 |
1700875028 | Kristopher R Wood | Internal Medicine | 108 Medical Center Dr, Clanton, AL 35045-2332 | 2005-10-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164912630 | Mesha Cain | Counselor | 808 Lay Dam Road, Clanton, AL 35045 | 2018-05-10 |
1720577562 | Erin Ellis Davis | Nurse Practitioner | 107 Medical Center Drive, Clanton, AL 35045 | 2018-05-07 |
1003055336 | Birmingham Radiological Group, PC | Clinic/Center | 1011 Lay Dam Road, Clanton, AL 35045 | 2009-02-10 |
1154533958 | Sandra Gayle Burrough | Physical Therapist | Amedisys Home Health, 1601-7th Street, North, Suite B, Clanton, AL 35045 | 2007-05-04 |
1508088139 | Christy Vanture Stephens | Occupational Therapist | 1601 7th Street North, Clanton, AL 35045 | 2007-05-03 |
1477620896 | Phillip Dewey Foshee | General Practice | 310 Pinedale Rd, Clanton, AL 35045 | 2006-11-29 |
1396817615 | Christopher W Baker | Dentist | 101 Baker Avenue, Clanton, AL 35045 | 2006-11-14 |
1902985146 | Catrina G. Benson | Pharmacist | 640 Ollie Ave., Clanton, AL 35045 | 2006-11-06 |
1952411464 | Gladys Eleanor R Alolod | Pediatrics | 303 1st St N, Clanton, AL 35045 | 2006-08-30 |
1902827280 | Winn Dixie Stores Inc | Durable Medical Equipment & Medical Supplies | 640 Ollie Ave, Clanton, AL 35045 | 2006-07-21 |
Find all providers in zip 35045 |
Taxonomy Code | 213E00000X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558876847 | Pampered Podiatry Nurturing Nails & Foot Care | Podiatrist | 1219 Jordan Ln Nw, Huntsville, AL 35816-3000 | 2017-12-07 |
1487063731 | Leeds Podiatry LLC | Podiatrist | 1628 9th St, Ste 112, Leeds, AL 35094-4140 | 2014-08-11 |
1720355670 | Family Footcare LLC | Podiatrist | 4358 Midmost Dr, Suite B, Mobile, AL 36609-5510 | 2011-11-21 |
1528346145 | Kristen Nicole Murray | Podiatrist | 2116 Chapel Hill Road, Birmingham, AL 35216 | 2011-07-31 |
1396032280 | Lincoln V Lowe | Podiatrist | 1008 Boll Weevil Cir Ste B, Enterprise, AL 36330-3400 | 2011-06-30 |
1972806867 | Hayneville Podiatry Clinic | Podiatrist | 221 Hayneville Plaza, Hayneville, AL 36040-0190 | 2010-12-15 |
1447483961 | Narrows Podiatry LLC | Podiatrist | 153 Narrows Parkway, Suite 102, Birmingham, AL 35242 | 2009-09-01 |
1780812628 | Birmingham Podiatry, P.C. | Podiatrist | 227 1st St N, Alabaster, AL 35007-8767 | 2009-06-30 |
1821238718 | Complete Foot Care LLC | Podiatrist | 411 Reston Dr, Tuscaloosa, AL 35406-2043 | 2009-03-05 |
1043456254 | Trussville Foot Care Center PC | Podiatrist | 1930 Edwards Lake Rd, Suite 138, Birmingham, AL 35235-3718 | 2008-12-18 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.