ANDREAS TIRSO MADDUX (NPI# 1316985062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316985062 |
| Entity Type | Individual |
| Full Name | ANDREAS TIRSO MADDUX |
| Credential | MD |
| Practice Address |
3240 Edwards Lake Pkwy 204 Birmingham AL 35235-3117 |
| Practice Telephone | 2059491414 |
| Practice Fax Number | 2059491415 |
| Mailing Telephone | 2057026604 |
| Mailing Fax Number | 2059491415 |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2020-06-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
00013482 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 051553190 | 05 | |
| AL | GROUP NPI | 1043321300 | 01 |
| AL | NPI | 1316985062 | 01 |
| Street Address |
3240 EDWARDS LAKE PKWY 204 |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35235-3117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932102480 | Mark Gregory Bearman | Ophthalmology | 3240 Edwards Lake Pkwy, Ste 100, Birmingham, AL 35235-3128 | 2005-05-28 |
| 1750601316 | Rebecca J Doss | Optometrist | 3240 Edwards Lake Pkwy, Suite 100, Birmingham, AL 35235-3117 | 2010-06-07 |
| 1992826499 | Janis Randall | Pharmacist | 3240 Edwards Lake Pkwy, Suite 202, Birmingham, AL 35235-3117 | 2007-04-02 |
| 1629118286 | Visionfirst Eye Center, Inc | Ophthalmology | 3240 Edwards Lake Pkwy, Suite 100, Birmingham, AL 35235-3117 | 2007-02-06 |
| 1447329958 | Visionfirst Eye Center | Optometrist | 3240 Edwards Lake Pkwy, Suite 100, Birmingham, AL 35235-3117 | 2006-11-07 |
| 1083713754 | Nancy E Pajaro | Family Medicine | 3240 Edwards Lake Pkwy, Suite 208, Birmingham, AL 35235-3117 | 2006-09-21 |
| 1043321300 | Edwards Lake Medical Center LLC | Specialist | 3240 Edwards Lake Pkwy, Suite 204, Birmingham, AL 35235-3117 | 2006-08-31 |
| 1750384202 | Mark D Mcclintock | Optometrist | 3240 Edwards Lake Pkwy, Ste 100, Birmingham, AL 35235-3128 | 2005-05-28 |
| 1295738748 | James Bernard Kelly | Ophthalmology | 3240 Edwards Lake Pkwy, Ste 100, Birmingham, AL 35235-3128 | 2005-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659972743 | Orthosports Associates, LLC | Durable Medical Equipment & Medical Supplies | 52 Medical Plaza Drive, Suite 220, Birmingham, AL 35235 | 2020-11-04 |
| 1336612456 | Amber Bozeman | Nurse Practitioner | Medical 50 Medical Park East Dr., Birmingham, AL 35235 | 2019-01-11 |
| 1629581517 | Lacey Pody | Psychiatry & Neurology | 48 Medical Park Dr E Ste 159, Birmingham, AL 35235 | 2017-11-14 |
| 1215467873 | Kathy Brooks Nelson | Pharmacist | 5919 Trussville Crossing Parkway, Birmingham, AL 35235 | 2017-06-15 |
| 1306291711 | Melissa Santos Perez | Dentist | 1820 Gadsden Hwy Ste 112, Birmingham, AL 35235 | 2016-05-04 |
| 1548647407 | Anastasia T Nelson | Pediatrics | 3729 Mary Taylor Road, Birmingham, AL 35235 | 2015-04-29 |
| 1922351378 | Bee Ready | Home Health | 615 Meadows Dr, Birmingham, AL 35235 | 2012-10-23 |
| 1245597087 | Erin Nicole Wait | Obstetrics & Gynecology | Eastern Obgyn, 48 Medical Park East Drive Suite 355, Birmingham, AL 35235 | 2012-04-18 |
| 1265701270 | Reliable Transportation LLC | Non-emergency Medical Transport (VAN) | 213 Gasden Hy, Suite 100, Birmingham, AL 35235 | 2011-12-20 |
| 1134412687 | Sarah S Killeen | Anesthesiology | 50 Medical Park Dr. E, Suite 321, Birmingham, AL 35235 | 2011-05-17 |
| Find all providers in zip 35235 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407192172 | Nephrology Medical Associates of Georgia, LLC | Internal Medicine | 3570 Grandview Pkwy Ste 2, Birmingham, AL 35243-2064 | 2012-12-27 |
| 1851649669 | Saad Mohammed Shariff | Internal Medicine | 1900 University Blvd, Tht 643, Birmingham, AL 35294 | 2012-08-28 |
| 1851690069 | Lifeline Vascular Birmingham, Inc | Internal Medicine | 201 London Pkwy, Suite 500, Birmingham, AL 35211-6304 | 2011-03-28 |
| 1154587897 | Mamatha Gandhi | Internal Medicine | 3570 Grandview Pkwy Ste 101, Birmingham, AL 35243-2065 | 2008-08-01 |
| 1902078405 | Azita Takeshian Md PC | Internal Medicine | 100 Pilot Medical Dr Ste 275, Birmingham, AL 35235-3475 | 2008-03-25 |
| 1457564601 | Roman A Shingarev | Internal Medicine | 61919th St S, Birmingham, AL 35249-0001 | 2007-05-07 |
| 1093896466 | Eastern Nephrology, PC | Internal Medicine | 1524 Huffman Road, Birmingham, AL 35215 | 2006-10-18 |
| 1356399950 | Roman R Brantley | Internal Medicine | 35 W Lakeshore Dr Ste 200, Birmingham, AL 35209-7250 | 2006-05-05 |
| 1992772677 | Bharat Sarathi Kapoor | Internal Medicine | 5313 Brookwood Blvd, Ste 310, Birmingham, AL 35209-6862 | 2006-03-02 |
| 1508245226 | John William Elliott | Internal Medicine | 840 Montclair Rd, Suite 317, Birmingham, AL 35213-1920 | 2015-05-27 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35235 |
Please comment or provide details below to improve the information on ANDREAS TIRSO MADDUX.
| 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.