DR. CLARK DOUGLAS WITHERSPOON (NPI# 1386673838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386673838 |
| Entity Type | Individual |
| Full Name | DR. CLARK DOUGLAS WITHERSPOON |
| Credential | M.D. |
| Practice Address |
1720 University Blvd Suite 601 Birmingham AL 35294-0009 |
| Practice Telephone | 2053258620 |
| Practice Fax Number | 2055582553 |
| Mailing Telephone | 2053258620 |
| Mailing Fax Number | 2055582553 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2020-08-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 8455 | AL | Allopathic & Osteopathic Physicians |
| Street Address |
1720 UNIVERSITY BLVD SUITE 601 |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35294-0009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356331268 | John David Parnell | Nurse Anesthetist, Certified Registered | 1720 University Blvd, Birmingham, AL 35233-1816 | 2005-10-24 |
| 1891395638 | Alp Atik | Ophthalmology | 1720 University Blvd, Birmingham, AL 35233-1816 | 2020-10-30 |
| 1013528579 | Elise Debruler | Optometrist | 1720 University Blvd, Birmingham, AL 35233-1816 | 2020-08-10 |
| 1639798176 | Kaitlin Patricia Abney Mullins | Registered Nurse | 1720 University Blvd, Birmingham, AL 35233-1816 | 2020-04-14 |
| 1811417793 | Olufolakemi Awe | Student in an Organized Health Care Education/Training Program | 1720 University Blvd, Efh 500, Birmingham, AL 35233-1816 | 2017-06-22 |
| 1073968020 | Jason Eugene Vice | Occupational Therapist | 1720 University Blvd, Suite 405, Birmingham, AL 35233-1816 | 2016-04-27 |
| 1891174611 | Richard Mithchell Martindale | Student in an Organized Health Care Education/Training Program | 1720 University Blvd, Birmingham, AL 35233-1816 | 2015-05-26 |
| 1346638475 | Birmingham Vamc | Clinic/Center | 1720 University Blvd, Suite 511, Birmingham, AL 35233-1816 | 2014-12-23 |
| 1891194601 | Debra Madson | Clinical Nurse Specialist | 1720 University Blvd, 3rd Floor, Birmingham, AL 35233-1816 | 2014-08-18 |
| 1346656048 | Elizabeth Phillips Hayes | Registered Nurse | 1720 University Blvd, Birmingham, AL 35233-1816 | 2014-07-02 |
| Find all providers in the same location | ||||
| 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 | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568024735 | Invision Ophthalmology P.C. | Ophthalmology | 2700 10th Ave S Ste 404, Birmingham, AL 35205-1250 | 2019-07-08 |
| 1144693110 | John Catalano | Ophthalmology | 3165 Bradford Pl, Birmingham, AL 35242-4603 | 2015-11-12 |
| 1932510369 | Kristen Marie Peterson | Ophthalmology | 1720 University Blvd Ste 601, Birmingham, AL 35233-1816 | 2014-05-20 |
| 1578764262 | Eye Medical Center | Ophthalmology | 2000 Cahaba Rd, Suite 100, Birmingham, AL 35223-1110 | 2007-05-30 |
| 1174642078 | Thomas H. Metz, Jr., M.d., LLC | Ophthalmology | 2550 Acton Rd, Suite 130, Birmingham, AL 35243-4247 | 2007-03-29 |
| 1225152192 | Kenneth Randall Smith | Ophthalmology | 833 Saint Vincents Dr Ste 207, Birmingham, AL 35205-1609 | 2007-03-18 |
| 1770650475 | Adelle Bernice Sperling | Ophthalmology | 111 Yorkshire Drive, Birmingham, AL 35209-4305 | 2006-11-29 |
| 1568531648 | Joseph Anthony Zarzaur | Ophthalmology | 2000 Cahaba Road, Suite 100, Birmingham, AL 35223 | 2006-11-06 |
| 1073605630 | Harold Augustus Helms | Ophthalmology | 1100 23rd St S, Ste 100, Birmingham, AL 35205-2410 | 2006-09-29 |
| 1649385931 | Paul Fecko | Ophthalmology | 195 W Brown, Birmingham, MI 48009 | 2006-08-20 |
| Find all providers in BIRMINGHAM | ||||
| 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.