VESTAVIA SURGICAL CENTER, LLC (NPI# 1114367604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114367604 |
Entity Type | Organization |
Organization Name | VESTAVIA SURGICAL CENTER, LLC |
Practice Address |
700 Montgomery Hwy Suite 210 Vestavia AL 35216-1866 |
Practice Telephone | 2058230150 |
Practice Fax Number | 2058235218 |
Mailing Telephone | 2058230150 |
Mailing Fax Number | 2058235218 |
Enumeration Date | 2013-06-27 |
Last Update Date | 2013-06-27 |
Authorized Official Name | DR. JOHN R KINGSLEY (PRESIDENT & OWNER) |
Authorized Official Telephone | 2058230151 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
443871 | AL | Ambulatory Health Care Facilities |
Street Address |
700 MONTGOMERY HWY SUITE 210 |
City | VESTAVIA |
State | AL |
Zip Code | 35216-1866 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902332364 | Jamie Gober | Physician Assistant | 700 Montgomery Hwy, Suite 210, Vestavia, AL 35216-1866 | 2017-05-04 |
1750609350 | Christopher Robin Bailey | Internal Medicine | 700 Montgomery Hwy, Ste 194, Vestavia, AL 35216-1879 | 2010-05-07 |
1639193840 | Shannon Marie Ashe | Specialist/Technologist | 700 Montgomery Hwy, Suite Mb100a, Vestavia, AL 35216-1866 | 2006-07-27 |
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 | 261QA1903X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Ambulatory Surgical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982055638 | Invision Ophthalmology P.C. | Clinic/Center | 2100 Devereux Cir Ste 100, Vestavia, AL 35243-2558 | 2016-06-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487270492 | East Alabama Ambulatory Surgery Center, LLC | Clinic/Center | 900 Camp Road, Auburn, AL 36849-0001 | 2020-06-25 |
1962057497 | Clearway Surgery Center of Mobile | Clinic/Center | 855 Downtowner Blvd Ste A, Mobile, AL 36609-5403 | 2019-08-01 |
1225698681 | Affinity Gastroenterology Asc LLC | Clinic/Center | 3686 Grandview Pkwy Ste 610, Birmingham, AL 35243-3406 | 2019-06-18 |
1669031886 | Surgical Clinic Solutions, LLC | Clinic/Center | 1021 Montgomery Hwy, Vestavia Hills, AL 35216-2805 | 2019-06-11 |
1508360181 | Nephrology Vascular Lab of Central Alabama Asc LLC | Clinic/Center | 1280 Columbiana Rd Ste 120, Vestavia Hills, AL 35216-1642 | 2018-03-20 |
1699139915 | Cutaneous Oncology & Surgery Center, LLC | Clinic/Center | 1940 Stonegate Dr Ste 140, Vestavia Hls, AL 35242-2541 | 2016-04-12 |
1104202613 | Invision Ophthalmology P.C. | Clinic/Center | 1800 Mcfarland Blvd E Ste 337, Tuscaloosa, AL 35404-5882 | 2015-08-06 |
1407298920 | Vein & Cosmetic Center of Prattville, LLC | Clinic/Center | 509 Pinnacle Pl, Prattville, AL 36066-6544 | 2013-07-25 |
1972805299 | St. Vincent's Outpatient Surgery Services LLC | Clinic/Center | 810 Saint Vincent's Drive, Birmingham, AL 35205-1601 | 2010-11-18 |
1730318353 | Gardendale Surgical Associates, LLC | Clinic/Center | 2213 Decatur Highway, Gardendale, AL 35071-2301 | 2009-07-02 |
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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.