DR. DARREL ALEXANDER CEBALLOS (NPI# 1194111245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194111245 |
Entity Type | Individual |
Full Name | DR. DARREL ALEXANDER CEBALLOS |
Credential | D.O. |
Practice Address |
619 19th Street South Jt N382 Birmingham AL 35294-2238 |
Mailing Address |
619 19th Street South Jt N382 Birmingham AL 35294-6830 |
Practice Telephone | 2059343175 |
Practice Fax Number | 2059754413 |
Mailing Telephone | 2059343175 |
Mailing Fax Number | 2059754413 |
Enumeration Date | 2015-04-15 |
Last Update Date | 2020-06-19 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
DO.1634 | AL | Allopathic & Osteopathic Physicians |
Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
DO.1634 | AL | Allopathic & Osteopathic Physicians |
Street Address |
619 19TH STREET SOUTH JT N382 |
City | BIRMINGHAM |
State | AL |
Zip Code | 35294-2238 |
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 | 2085R0204X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Vascular & Interventional Radiology |
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245495043 | Joseph Bill Eason | Radiology | H623 New Hillman Building 619 19th St S, Department of Radiology Division of Vascular & Interven, Birmingham, AL 35249-0001 | 2008-07-22 |
1023372141 | Aliaksei Salei | Radiology | 619 19th St S, Birmingham, AL 35249-1200 | 2012-07-03 |
1780972505 | Husameddin El Khudari | Radiology | 619 19th St S, Birmingham, AL 35249 | 2011-07-13 |
1538373493 | Sizeph Haddad | Radiology | 619 19th St S, Birmingham, AL 35249-1900 | 2007-05-10 |
1609080563 | Veeranjaneyulu Prattipati | Radiology | 619 19th St S, Birmingham, AL 35249-1900 | 2007-05-10 |
1679632814 | Baljendra Singh Kapoor | Radiology | 619 19th Street South, Birmingham, AL 35233 | 2006-12-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770927287 | Nathan Ross Hewlett | Radiology | 2055 Normandie Dr Ste 110, Montgomery, AL 36111-2732 | 2013-04-26 |
1215017827 | Alex Dibona | Radiology | 59 Alison Dr Ste 1, Alexander City, AL 35010-4411 | 2006-10-17 |
1689101297 | Zeiad Hussain | Radiology | 2451 Fillingim Street, Mastin 101, Mobile, AL 36617-2238 | 2017-05-12 |
1265810469 | Fresenius Vascular Care Montgomery Lllp | Radiology | 1501 Forest Ave, Montgomery, AL 36106-1539 | 2015-05-08 |
1558523910 | Derek Samuels | Radiology | 2451 Fillingim St, Mastin 102, Mobile, AL 36617-2238 | 2008-06-27 |
1265486708 | Brad A Steffler | Radiology | 2451 Fillingim St, Mobile, AL 36617-2238 | 2006-05-20 |
1568416378 | Thea C. Moran | Radiology | 2451 Fillingim St, Mastin Bldg 617, Mobile, AL 36617-2238 | 2006-05-19 |
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.