SHADES MOUNTAIN IMAGING PC (NPI# 1033157185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033157185 |
| Entity Type | Organization |
| Organization Name | SHADES MOUNTAIN IMAGING PC |
| Practice Address |
502 Montgomery Hwy Ste 101 Vestavia Hills AL 35216-1862 |
| Mailing Address |
2000a Southbridge Pkwy Ste 300 Birmingham AL 35209-7704 |
| Practice Telephone | 2058230882 |
| Practice Fax Number | 2058230872 |
| Mailing Telephone | 2058714274 |
| Mailing Fax Number | 2058714301 |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | CHARLES MICHAEL MEAD (PRESIDENT) |
| Authorized Official Telephone | 2058230882 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| Street Address |
502 MONTGOMERY HWY STE 101 |
| City | VESTAVIA HILLS |
| State | AL |
| Zip Code | 35216-1862 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205833761 | Charles Michael Mead | Radiology | 502 Montgomery Hwy, Ste 101, Vestavia Hills, AL 35216-1863 | 2005-06-30 |
| 1134334402 | Melanie Hardee Spooner | Dentist | 502 Montgomery Hwy, Suite 201, Vestavia Hills, AL 35216-1862 | 2007-05-11 |
| 1891909560 | Diana P Wood, Dmd | Dentist | 502 Montgomery Hwy, Suite 201, Vestavia Hills, AL 35216-1862 | 2007-05-10 |
| 1689888372 | Diana Pearis Wood | Dentist | 502 Montgomery Hwy, Suite 201, Vestavia Hills, AL 35216-1862 | 2007-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942809843 | Jessica N Dieken | Counselor | 2659 Rocky Ridge Lane, Birmingham, AL 35216 | 2020-10-21 |
| 1013540376 | My Psychiatry Clinic, LLC | Psychiatry & Neurology | 2021 Shady Crest Dr. Suite 100, Hoover, AL 35216 | 2020-02-14 |
| 1811534928 | Tina Marie Sumpter | Counselor | 1776 Independence Court, Suite #103, Vestavia, AL 35216 | 2019-12-09 |
| 1013564285 | Octavia Elisa Bruce | Specialist | 808 Green Springs Hwy, Suite 124 Studio 4, Homewood, AL 35216 | 2019-08-22 |
| 1831657741 | Karen A. Genas | Counselor | 3812 Rime Village Dr., Hoover, AL 35216 | 2019-03-10 |
| 1538624564 | Stewart Counseling, LLC | Community/Behavioral Health | 2231 Victory Lane, Suite 500, Hoover, AL 35216 | 2019-02-04 |
| 1699239509 | Heartsease Counseling Services LLC | Clinic/Center | 2231 Victory Ln., Suite 500, Hoover, AL 35216 | 2019-01-24 |
| 1205304276 | Jocelyn Stewart | Counselor | 2231 Victory Lane, Suite 500, Hoover, AL 35216 | 2018-11-08 |
| 1154835775 | Robert B. Connor Dmd, PC | Dentist | 1771 Independence Ct., Suite 1, Birmingham, AL 35216 | 2017-11-17 |
| 1093262594 | Jaime Pears | Speech-Language Pathologist | 3057 Lorna Road, Suite 220, Birmingham, AL 35216 | 2016-09-01 |
| Find all providers in zip 35216 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184264152 | Locus Center, LLC | Radiology | 3064 Lorna Rd Ste E, Vestavia Hills, AL 35216-4529 | 2020-01-08 |
| 1205833761 | Charles Michael Mead | Radiology | 502 Montgomery Hwy, Ste 101, Vestavia Hills, AL 35216-1863 | 2005-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871190256 | Charles M Thorn | Radiology | 204 Debbie Dr, Deatsville, AL 36022-2567 | 2020-10-08 |
| 1497241756 | Anurag Chahal | Radiology | Department of Radiology 619 19th Street South, Birmingham, AL 35249-0001 | 2018-07-10 |
| 1427595511 | Lemak Sports Medicine LLC | Radiology | 2215 Decatur Hwy Ste 117, Gardendale, AL 35071-2384 | 2017-01-26 |
| 1346782307 | Birmingham Physicians Radiology Pllc | Radiology | 3425 Colonnade Pkwy, Birmingham, AL 35243-2356 | 2016-11-08 |
| 1558720953 | Brookwood Baptist Imaging, LLC | Radiology | 7131 Cahaba Valley Rd. Suite 101, Hoover, AL 35242 | 2016-02-15 |
| 1255799847 | Central Alabama Diagnostics LLC | Radiology | 2715 Legends Pkwy, Prattville, AL 36066-7755 | 2016-02-10 |
| 1932579042 | Arthur Mazyck | Radiology | 2159 Woodley Road, Montgomery, AL 36111 | 2015-10-01 |
| 1528445145 | Dothan Diagnostic Imaging Radiology, Pllc | Radiology | 217 Graceland Dr Ste 4, Dothan, AL 36305-7376 | 2015-05-04 |
| 1194111245 | Darrel Alexander Ceballos | Radiology | 619 19th Street South Jt N382, Birmingham, AL 35294-2238 | 2015-04-15 |
| 1154716603 | Shane Joseph | Radiology | 2451 Fillingim St # 315, Mobile, AL 36617-2238 | 2015-04-01 |
| Find all providers with the same taxonomy | ||||
| City | VESTAVIA HILLS |
| Zip Code | 35216 |
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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.