DR. CARLTON BLAKE PHILLIPS (NPI# 1083974539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083974539 |
| Entity Type | Individual |
| Full Name | DR. CARLTON BLAKE PHILLIPS |
| Credential | M.D. |
| Practice Address |
2000 6th Ave S Birmingham AL 35294 |
| Mailing Address |
1720 2nd Ave S # Efh500 Birmingham AL 35294-0004 |
| Practice Telephone | 2055838040 |
| Mailing Telephone | 2055838040 |
| Enumeration Date | 2012-05-17 |
| Last Update Date | 2018-08-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
MD.33033 | AL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568858025 | Carlton Phillips | Technician | 4692 Tut Cv, Memphis, TN 38128-1487 | 2015-04-11 |
| Street Address |
2000 6TH AVE S |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35294 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992705057 | Lisa Ann Weldon | Pharmacist | 2000 6th Ave S, Birmingham, AL 35233-2110 | 2005-07-29 |
| 1417558446 | Meghan Ashley Simmons | Registered Nurse | 2000 6th Ave S, Birmingham, AL 35233-2110 | 2020-11-05 |
| 1144843178 | Mary Danner Harmon | Physician Assistant | 2000 6th Ave S, Birmingham, AL 35233-2110 | 2020-05-26 |
| 1144840851 | Rebecca Maxson | Pharmacist | 2000 6th Ave S, Birmingham, AL 35233-2110 | 2020-04-22 |
| 1851911093 | Sandra Woodard | Registered Nurse | 2000 6th Ave S, Birmingham, AL 35233-2110 | 2020-04-17 |
| 1396372256 | Laura Strevel | Registered Nurse | 2000 6th Ave S, Birmingham, AL 35233-2110 | 2020-03-23 |
| 1801420203 | Jordan Barksdale | Nurse Practitioner | 2000 6th Ave S, Birmingham, AL 35233-2110 | 2020-02-25 |
| 1992341374 | Cristina Bonner Reaves | Registered Nurse | 2000 6th Ave S, Birmingham, AL 35233-2110 | 2019-11-21 |
| 1023653078 | Abigail Rieger Mccrory | Nurse Practitioner | 2000 6th Ave S, Birmingham, AL 35233-2110 | 2019-11-14 |
| 1194368464 | Heather Lee Burnett Lipscomb | Nurse Practitioner | 2000 6th Ave S, Birmingham, AL 35233-2110 | 2019-10-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578055943 | Ashley Becking Smith | Optometrist | 1716 University Blvd G090a, Birmingham, AL 35294 | 2018-06-01 |
| 1235635780 | Ruoting Wei | Nurse Practitioner | Uab Nephrology Tht 6th Floor 1720 2nd Ave South, Birmingham, AL 35294 | 2018-04-03 |
| 1295235372 | Ruben Angiolo Mazzucchelli | Student in an Organized Health Care Education/Training Program | 901 Fot; 510 20th Street South, Uab Department of Orthopaedic Surgery, Birmingham, AL 35294 | 2018-02-15 |
| 1528571981 | Alison Rachel Thomas | Social Worker | Uab Community Psychiatry 908 20th Street South Rm 487, Birmingham, AL 35294 | 2017-11-08 |
| 1346752490 | Sara Michelle Kimbrell | Nurse Practitioner | 701 S. 19th Street, Lhr 112, Birmingham, AL 35294 | 2017-10-30 |
| 1801338785 | Melissa Robinson | Specialist/Technologist | 608 13th St South, Wb104, Birmingham, AL 35294 | 2016-11-09 |
| 1487020897 | Heriberto Enrique Matos Santana | Student in an Organized Health Care Education/Training Program | 1900 University Blvd Tht Building 311, Birmingham, AL 35294 | 2015-08-19 |
| 1073908364 | Jamie Youngshin Kim | Dentist | 1919 7th Avenue South, Sdb 305, University of Alabama School of Dentistry, Birmingham, AL 35294 | 2015-04-02 |
| 1407257629 | Kathryn Johannah Langley | Nurse Practitioner | 1530 3rd Avenue So, Tht 422, Birmingham, AL 35294 | 2014-09-08 |
| 1427463702 | Lakeshia Thomas | Student in an Organized Health Care Education/Training Program | 1919-7th Avenue South, 304a, Birmingham, AL 35294 | 2014-06-25 |
| Find all providers in zip 35294 | ||||
| Taxonomy Code | 207ND0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | MOHS-Micrographic Surgery |
| The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. |
| Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588851125 | Tony Adar | Dermatology | 2100 16th Ave S Ste 202, Birmingham, AL 35205 | 2007-09-27 |
| 1952410177 | George G Tisdale | Dermatology | 425 Montgomery Hwy, Birmingham, AL 35216-1805 | 2006-08-30 |
| 1174565493 | Adam C. Esser | Dermatology | 2100 16th Ave S, Suite 202, Birmingham, AL 35205-5021 | 2006-06-12 |
| 1255320115 | Julian Murphree Thomas | Dermatology | 3940 Montclair Rd, Suite 410, Birmingham, AL 35213-2427 | 2005-10-13 |
| 1497235592 | Forefront Dermatology, S.c. | Dermatology | 250 Inverness Center Dr, Birmingham, AL 35242 | 2018-08-17 |
| 1518216910 | Julian M. Thomas M.d. | Dermatology | 3940 Montclair Road, Suite 410, Birmingham, AL 35213-2421 | 2012-08-31 |
| 1003901679 | Dermatology and Laser of Alabama, P.C. | Dermatology | 201 Office Park Drive, Suite 250, Birmingham, AL 35223 | 2006-10-03 |
| 1942230248 | Gary D. Monheit | Dermatology | 2100 16th Ave S, Suite 202, Birmingham, AL 35205-5021 | 2006-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538433602 | Southeastern Skin Cancer & Dermatology | Dermatology | 124 County Road 3401, Haleyville, AL 35565-6959 | 2012-03-06 |
| 1366583882 | Albert Earl Rivera | Dermatology | 8331 Madison Blvd, Suite 300, Madison, AL 35758-2070 | 2007-02-08 |
| 1679658256 | R. Gordon Mowry, M.d. | Dermatology | 100 Memorial Hospital Dr Ste 2b, Mobile, AL 36608-1129 | 2006-10-25 |
| 1346855327 | Forefront Dermatology, S.c. | Dermatology | 2471 Helton Dr, Florence, AL 35630-1067 | 2020-09-15 |
| 1538773775 | Advanced Dermatology of Alabama, Inc. | Dermatology | 286 Mitylene Park Dr, Montgomery, AL 36117-3548 | 2020-09-04 |
| 1194289181 | Forefront Dermatology, S.c. | Dermatology | 202 Rock Creek Pkwy, Fairhope, AL 36532-3349 | 2019-01-24 |
| 1366936759 | Forefront Dermatology, S.c. | Dermatology | 580 Providence Park Dr E Fl 2, Mobile, AL 36695 | 2018-06-19 |
| 1598184566 | Rachel Teat Pflederer | Dermatology | 1940 Stonegate Dr Ste 130, Vestavia Hls, AL 35242-2541 | 2014-04-07 |
| 1407274756 | Brian James King | Dermatology | 1940 Stonegate Dr Ste 130, Vestavia Hls, AL 35242-2541 | 2014-04-03 |
| 1720379712 | Raj Patel | Dermatology | 615 1st St N, Suite317, Alabaster, AL 35007-8892 | 2011-04-25 |
| Find all providers with the same taxonomy | ||||
| City | BIRMINGHAM |
| Zip Code | 35294 |
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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.