JOEL ASHBY MIXON (NPI# 1043261969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043261969 |
| Entity Type | Individual |
| Full Name | JOEL ASHBY MIXON |
| Credential | MD |
| Practice Address |
800 Montclair Road Birmingham AL 35213-1908 |
| Mailing Address |
Po Box 55310 Ste 300 Birmingham AL 35255-5310 |
| Practice Telephone | 2055921000 |
| Mailing Telephone | 2057319701 |
| Mailing Fax Number | 2052979411 |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2017-03-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
24931 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BLUE CROSS | 051540571 | 01 |
| AL | BLUE CROSS | 051541323 | 01 |
| AL | BLUE CROSS | 511-60929 | 01 |
| AL | 009942569 | 05 | |
| AL | 009942828 | 05 | |
| AL | 009943062 | 05 | |
| AL | 171076 | 05 | |
| AL | AETNA | 4386037 | 01 |
| AL | BLUE CROSS | 515-42990 | 01 |
| AL | 113976 | 05 | |
| AL | BLUE CROSS | 515-90339 | 01 |
| Street Address |
800 MONTCLAIR ROAD |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35213-1908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649771957 | Charles Derrick Franklin | Optometrist | 3928 Montclair Rd Ste 100, Mountain Brk, AL 35213 | 2018-02-22 |
| 1508386541 | Walker Recovery Center | Clinic/Center | 2195 North Airport Road, Jasper, AL 35213 | 2017-06-21 |
| 1730579707 | Jerome Gaeton Ippolito | Internal Medicine | 4412 Fredricksburg Drive, Birmingham, AL 35213 | 2015-01-29 |
| 1255686523 | John Cocoris | Pediatrics | 4334 Kennesaw Drive, Birmingham, AL 35213 | 2012-07-23 |
| 1720350424 | William Nathan Viar Jr. | Surgery | 3824 Forest Glen Dr., Birmingham, AL 35213 | 2012-01-27 |
| 1225306129 | Thomas Wakefield Mears | Surgery | 2324 Brookshire Place, Birmingham, AL 35213 | 2011-12-06 |
| 1295980589 | Joseph Michael Wright | Nurse Anesthetist, Certified Registered | 117 Lorena Ln, Birmingham, AL 35213 | 2008-12-01 |
| 1174772529 | Ernest Cubbage Wood | Pediatrics | 4200 Wilderness Rd, Birmingham, AL 35213 | 2008-09-10 |
| 1851549976 | Kennedy Rhyne Walker | Optometrist | 4226 Mountaindale Road, Birmingham, AL 35213 | 2008-09-03 |
| 1982882270 | Caroline A Reich Md PC | Radiology | 3634 Montevallo Road, Birmingham, AL 35213 | 2008-02-08 |
| Find all providers in zip 35213 | ||||
| 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 |
|---|---|---|---|---|
| 1497241756 | Anurag Chahal | Radiology | Department of Radiology 619 19th Street South, Birmingham, AL 35249-0001 | 2018-07-10 |
| 1346782307 | Birmingham Physicians Radiology Pllc | Radiology | 3425 Colonnade Pkwy, Birmingham, AL 35243-2356 | 2016-11-08 |
| 1194111245 | Darrel Alexander Ceballos | Radiology | 619 19th Street South Jt N382, Birmingham, AL 35294-2238 | 2015-04-15 |
| 1356754956 | Brandon Phillips | Radiology | 619 19th St S Dept Of, Birmingham, AL 35233-1900 | 2014-06-11 |
| 1306258751 | Benjamin Ross Snead | Radiology | 3690 Grandview Pkwy Dept Of, Birmingham, AL 35243-3326 | 2014-05-20 |
| 1538586433 | David Breland | Radiology | 2204 Lakeshore Dr Ste 140, Birmingham, AL 35209-6741 | 2014-03-28 |
| 1649603267 | Dane David Hellwig | Radiology | 1211 Concord Ave, Birmingham, AL 35213-2120 | 2013-08-19 |
| 1982982047 | Bradley James Cherenzia | Radiology | 655 Chester St, Birmingham, MI 48009-1436 | 2011-07-23 |
| 1891088670 | George R Newman | Radiology | 341 Kingston Cir, Birmingham, AL 35211-6982 | 2011-05-26 |
| 1518250067 | Chandler Hargrove Smith | Radiology | 368 Vesclub Drive, Birmingham, AL 35216 | 2011-05-17 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35213 |
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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.