LUIS O VASCONEZ (NPI# 1235151424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235151424 |
| Entity Type | Individual |
| Full Name | LUIS O VASCONEZ |
| Credential | MD |
| Practice Address |
619 19th Street South Birmingham AL 35233 |
| Mailing Address |
Po Box 55310 Birmingham AL 35255-5310 |
| Practice Telephone | 2059344011 |
| Mailing Telephone | 2057319701 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2011-05-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
12399 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 009932092 | 05 | |
| AL | BLUE CROSS | 051529687 | 01 |
| AL | BLUE CROSS | 000014647 | 01 |
| AL | 000014647 | 05 | |
| AL | VIVA | A47233 | 01 |
| Street Address |
619 19TH STREET SOUTH |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528063716 | Edgar S Underwood | Radiology | 619 19th Street South, Birmingham, AL 35233 | 2005-06-15 |
| 1518472216 | Kara Burns | Anesthesiology | 619 19th Street South, Birmingham, AL 35249 | 2017-12-05 |
| 1134586019 | Cari Evans | Nurse Anesthetist, Certified Registered | 619 19th Street South, Birmingham, AL 35294 | 2016-01-22 |
| 1366808933 | Kalin Swenson | Nurse Anesthetist, Certified Registered | 619 19th Street South, Birmingham, AL 35294 | 2016-01-12 |
| 1912392283 | Brian Trieu | Radiology | 619 19th Street South, Jefferson Tower N468, Birmingham, AL 35249 | 2015-04-02 |
| 1366873135 | John Douglas Mcrae | Nurse Practitioner | 619 19th Street South, Wp P915, Birmingham, AL 35245-5600 | 2013-12-04 |
| 1851731533 | Stephen William Knight | Emergency Medicine | 619 19th Street South, Birmingham, AL 35255-5309 | 2013-06-26 |
| 1649517996 | Ann Seay Adams | Nurse Practitioner | 619 19th Street South, Birmingham, AL 35233 | 2013-01-07 |
| 1780943852 | John Taylor Jones | Radiology | 619 19th Street South, Jt N338, Birmingham, AL 35249-1900 | 2012-05-10 |
| 1033425764 | Alex Torres Iannone | Hospitalist | 619 19th Street South, P915, Birmingham, AL 35294 | 2010-08-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821605700 | Motivity Chiropractic | Chiropractor | 2413 2nd Avenue South, Ste 100, Birmingham, AL 35233 | 2020-09-25 |
| 1477164580 | Rebecca Diane Davis | Physician Assistant | 701 S. 19th St, Lhr 112, Birmingham, AL 35233 | 2020-08-12 |
| 1972136794 | Faleh Ali Alshanhrani | Student in an Organized Health Care Education/Training Program | Children's of Alabama, 1600 7th Ave South, Birmingham, AL 35233 | 2020-02-20 |
| 1972149128 | Jessica Lynne Miller | Registered Nurse | 1816 6th Ave South, Birmingham, AL 35233 | 2019-11-22 |
| 1881156404 | Chalandra Barley | Registered Nurse | 1802 6th Ave S., 7th Floor Sicu, Birmingham, AL 35233 | 2019-04-02 |
| 1255893004 | Mia Weitman Neustein | Registered Nurse | Uab Wic -- Gynx, 1700 6th Avenue South, Birmingham, AL 35233 | 2019-04-02 |
| 1457813214 | Tabrisha Love | Registered Nurse | Uab University Hospital 1802 6th Ave S, Birmingham, AL 35233 | 2019-04-02 |
| 1356809602 | Catherine Mary Verga | Occupational Therapist | 1600 7th Ave. S., Mcwane Building Pt/ot Department, Birmingham, AL 35233 | 2019-03-06 |
| 1649736752 | Proton International Alabama, LLC | Clinic/Center | 400 20th Street South, Birmingham, AL 35233 | 2019-02-13 |
| 1447728910 | Eric Jackson | Specialist/Technologist | 1219 6th Ave S, Birmingham, AL 35233 | 2018-11-02 |
| Find all providers in zip 35233 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780056945 | Melanie Petro Md LLC | Surgery | 905 Moontgomery Highway, Birmingham, AL 35216 | 2015-10-28 |
| 1376785170 | Rene Pierre Myers | Surgery | 1600 7th Ave S, Suite 322, Birmingham, AL 35233-1711 | 2009-03-25 |
| 1962663229 | Brad David Denney | Surgery | 619 19th St S, Birmingham, AL 35249-1900 | 2008-06-19 |
| 1154529261 | Stephen R Steinmetz PC | Surgery | 2700 10th Ave S Ste 510, Birmingham, AL 35205-1250 | 2007-07-10 |
| 1093939894 | Mountain Brook Plastic Surgery and Laser Center | Surgery | 2850 Cahaba Rd, Suite 100, Birmingham, AL 35223-2346 | 2007-04-12 |
| 1881619393 | Jorge I De La Torre | Surgery | 619 19th Street South, Birmingham, AL 35233 | 2006-07-13 |
| 1417992736 | John H Grant IIi | Surgery | 619 19th Street South, Birmingham, AL 35233 | 2006-06-19 |
| 1881638021 | Richard Jobe Fix | Surgery | 619 19th Street South, Birmingham, AL 35233 | 2006-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316100670 | Patrick C Wilson | Surgery | 805 Madison St., Suite 1d, Huntsville, AL 35801 | 2008-07-08 |
| 1366629917 | Jeffery L Walding | Surgery | 2800 Ross Clark Cir Ste 2, Dothan, AL 36301-9917 | 2008-01-25 |
| 1639372725 | Justin Parish Martin | Surgery | 2431 W Main St Ste 302, Dothan, AL 36301-1251 | 2007-06-07 |
| 1245456805 | Michael D. Yates, Md, PC | Surgery | 303 Williams Av Sw, Suite 1421, Huntsville, AL 35801-6008 | 2007-04-18 |
| 1114062106 | Luther Dwight Baker | Surgery | 105 Professional Ln, Dothan, AL 36303-3875 | 2007-02-20 |
| 1932267218 | Gordon Michael Telepun | Surgery | 1206 Somerville Rd Se, Decatur, AL 35601 | 2006-12-05 |
| 1316014681 | Plastic Surgery Inc | Surgery | 701 University Blvd Medical Tower, Suite 902, Tuscaloosa, AL 35401 | 2006-11-29 |
| 1326066010 | Randy D. Proffitt, M.d., LLC | Surgery | 6317 Piccadilly Square Dr, Mobile, AL 36609-5103 | 2006-07-18 |
| 1528085347 | Randy Douglas Proffitt | Surgery | 740 Hillcrest Rd, Suite C, Mobile, AL 36695-3924 | 2006-07-16 |
| 1871531681 | Curtis N Harris | Surgery | 1601, Ste 2n, Mobile, AL 36604-1512 | 2006-06-03 |
| Find all providers with the same taxonomy | ||||
| City | BIRMINGHAM |
| Zip Code | 35233 |
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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.