PRINCETON SURGICAL SPECIALISTS PC (NPI# 1134178387) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134178387 |
| Entity Type | Organization |
| Organization Name | PRINCETON SURGICAL SPECIALISTS PC |
| Practice Address |
833 Princeton Ave Sw Ste 200f Birmingham AL 35211 |
| Practice Telephone | 2057768600 |
| Practice Fax Number | 2057768603 |
| Mailing Telephone | 2057768600 |
| Mailing Fax Number | 2057768603 |
| Enumeration Date | 2006-05-07 |
| Last Update Date | 2009-11-25 |
| Authorized Official Name | STANLEY CASDEN HEWLETT (PROVIDER) |
| Authorized Official Telephone | 2057768600 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 00016867 | AL | Other Service Providers |
| Street Address |
833 PRINCETON AVE SW STE 200F |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639173271 | Clifton Thomas Pannell Lewis | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 833 Princeton Ave Sw, Suite 200a, Birmingham, AL 35211-1323 | 2005-06-10 |
| 1750901237 | Jacob Baldwin Switzer | Student in an Organized Health Care Education/Training Program | 833 Princeton Ave Sw, Birmingham, AL 35211-1323 | 2020-04-24 |
| 1396365862 | Heather Rose Russo | Student in an Organized Health Care Education/Training Program | 833 Princeton Ave Sw, Birmingham, AL 35211-1323 | 2020-04-24 |
| 1528688009 | William Chase Wiggins | Student in an Organized Health Care Education/Training Program | 833 Princeton Ave Sw, Birmingham, AL 35211-1323 | 2020-04-24 |
| 1699395178 | Whitney Jawan Smith | Student in an Organized Health Care Education/Training Program | 833 Princeton Ave Sw, Birmingham, AL 35211-1323 | 2020-04-24 |
| 1790305282 | Paul Yager | Student in an Organized Health Care Education/Training Program | 833 Princeton Ave Sw, Birmingham, AL 35211-1323 | 2020-04-24 |
| 1619597184 | Abigail Mcmurry Smith | Student in an Organized Health Care Education/Training Program | 833 Princeton Ave Sw, Birmingham, AL 35211-1323 | 2020-04-24 |
| 1023638871 | Long Ly | Student in an Organized Health Care Education/Training Program | 833 Princeton Ave Sw, Birmingham, AL 35211-1323 | 2020-04-22 |
| 1235759002 | James Clayton Parker IIi | Student in an Organized Health Care Education/Training Program | 833 Princeton Ave Sw, Birmingham, AL 35211-1323 | 2020-04-22 |
| 1285254052 | Bonnie Elizabeth Moore | Student in an Organized Health Care Education/Training Program | 833 Princeton Ave Sw, Birmingham, AL 35211-1323 | 2020-04-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982216123 | Tara Brown | Technician | 2007 Goldwire Trce, Birmington, AL 35211 | 2020-08-19 |
| 1477173318 | Jeffrey D. Cooney | Student in an Organized Health Care Education/Training Program | 833 Princeton Avenue Sw, Professional Office Bldg 3, Suite 200-e, Birmingham, AL 35211 | 2020-04-21 |
| 1982253852 | Josephine Cook | Technician | 1255 18th St Sw, Birmingham, AL 35211 | 2019-09-04 |
| 1154882322 | Stephen Jenkins | Registered Nurse | 701 Princeton Ave. Sw, Birmingham, AL 35211 | 2019-03-28 |
| 1780107052 | Negar Massah | Dentist | 2850 Venice Rd, Apt 1135, Birmingham, AL 35211 | 2017-07-19 |
| 1417075342 | Joseph Edward Mcjunkin | Pharmacist | 1308-tuscaloosa Ave.sw, Birmingham, AL 35211 | 2007-03-27 |
| 1669500880 | Prakash Chand Kansal | Internal Medicine | 801 Princeton Avenue, Pob 1, Suite 332., Birmingham, AL 35211 | 2007-03-01 |
| 1588717284 | Laquinta Johnson | Occupational Therapist | 420 10th St Sw, Birmingham, AL 35211 | 2007-01-18 |
| 1174613160 | Praveen Jetty | Psychiatry & Neurology | 401 Tuscaloosa Ave. S.w., Suite 110, Birmingham, AL 35211 | 2006-10-13 |
| 1326134180 | Yahya M Sabri | Obstetrics & Gynecology | 801 Princton Ave, Prof Office Bldg I Suite 332, Birmingham, AL 35211 | 2006-10-05 |
| Find all providers in zip 35211 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
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| 1750995361 | Advanced Spinal Reconstruction Pllc | Specialist | 972 Chesterfield Ave, Birmingham, MI 48009-1223 | 2020-09-01 |
| 1609342088 | Vituro Health of Georgia, LLC | Specialist | 2901 2nd Ave S Ste 130, Birmingham, AL 35233-2928 | 2018-10-23 |
| 1356889547 | David Perry | Specialist | 3208 Colony Park Dr, Birmingham, AL 35243-2396 | 2017-02-07 |
| 1316481294 | Elite Imaging, LLC | Specialist | 200 Cahaba Park Circle, Suite 215, Birmingham, AL 35242 | 2016-12-12 |
| 1174076640 | Tracy Denise Gulley | Specialist | 1005 Garrett Dr, Birmingham, AL 35235-1422 | 2016-08-01 |
| 1497122931 | Ihab Nader Tawfik Atallah | Specialist | Bdb 563, 1720 2nd Avenue South, Birmingham, AL 35294-0012 | 2015-09-01 |
| 1568852572 | Brittney Bass-gray | Specialist | 1251 Beacon Pkwy E, Unit 202, Birmingham, AL 35209-1069 | 2015-01-28 |
| 1700280773 | Implantable Supplies | Specialist | 605 Queens Gate, Birmingham, AL 35242-7221 | 2014-10-20 |
| 1083031975 | Timothy Connolly | Specialist | 1720 2nd Avneue S, Bdb 563, Birmingham, AL 35294-0012 | 2014-03-28 |
| 1710226329 | Charles Peter Diliberti | Specialist | 235 Inverness Center Dr, Apt#001, Birmingham, AL 35242-4805 | 2013-02-04 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35211 |
Please comment or provide details below to improve the information on PRINCETON SURGICAL SPECIALISTS PC.
| 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.