DR. MICHAEL T ELLERBUSCH (NPI# 1437107984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437107984 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL T ELLERBUSCH |
| Credential | M.D. |
| Practice Address |
4517 Southlake Pkwy Suite 202 Birmingham AL 35244-3280 |
| Mailing Address |
Po Box 830791 Birmingham AL 35283-0791 |
| Practice Telephone | 2059854111 |
| Practice Fax Number | 2059854326 |
| Mailing Telephone | 2059854111 |
| Mailing Fax Number | 2059854326 |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 21044 | AL | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BCBS OF ALABAMA | 56685 | 01 |
| Street Address |
4517 SOUTHLAKE PKWY SUITE 202 |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35244-3280 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700154184 | Select Physical Therapy Holdings Inc | Clinic/Center | 4517 Southlake Pkwy, Birmingham, AL 35244-3280 | 2011-12-13 |
| 1760692834 | George Robert Booker | Orthopaedic Surgery | 4517 Southlake Pkwy, Birmingham, AL 35244-3280 | 2007-05-23 |
| 1457453052 | Andrea Moore Jost | Physician Assistant | 4517 Southlake Pkwy, Suite 202, Birmingham, AL 35244-3280 | 2006-09-02 |
| 1245340108 | Jason P Greer | Physical Therapist | 4517 Southlake Pkwy, Suite 202, Birmingham, AL 35244-3280 | 2006-08-30 |
| 1902840655 | Leslie M Youngblood | Occupational Therapist | 4517 Southlake Pkwy, Birmingham, AL 35244-3280 | 2006-06-15 |
| 1780639492 | William Krauss | Specialist | 4517 Southlake Pkwy, Suite 202, Birmingham, AL 35244-3280 | 2006-05-23 |
| 1821047259 | William S Craig Iv | Physical Medicine & Rehabilitation | 4517 Southlake Pkwy, Birmingham, AL 35244-3280 | 2006-05-10 |
| 1518915016 | Michael Frances Blum | Specialist | 4517 Southlake Pkwy, Suite 202, Birmingham, AL 35244-3280 | 2006-05-05 |
| 1629026158 | Charlie Joe Talbert I | Specialist | 4517 Southlake Pkwy, Suite 202, Birmingham, AL 35244-3280 | 2006-05-05 |
| 1043268402 | Southlake Orthopaedics Sports Medicine & Spine Center PC | Specialist | 4517 Southlake Pkwy, Birmingham, AL 35244-3280 | 2006-05-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720691991 | Husam Jebril | Pharmacist | 5445 Park Side Road, Hoover, AL 35244 | 2020-08-27 |
| 1588272546 | Tyana Thomas | Behavior Technician | 1820 Southpark Dr, Hoover, Al 35244, Hoover, AL 35244 | 2020-07-16 |
| 1912520115 | Magic City Physical Therapy | Home Health | 1217 Willow Leaf Circle, Birmingham, AL 35244 | 2020-05-21 |
| 1851941660 | Carehere LLC | Family Medicine | Carehere Clinic- Mercedes Hoover, 130 Riverchase Parkway East, Hoover, AL 35244 | 2019-09-13 |
| 1033690888 | Danielle Waldrep Rich | Speech-Language Pathologist | 605 Russet Lake Drive, Hoover, AL 35244 | 2018-08-28 |
| 1699253559 | Lauren M Martinez | Social Worker | 2524 Valleydale Rd. Suite 100, Birmingham, AL 35244 | 2018-08-02 |
| 1982110284 | Regenerative Medical Institute for Pain & Neuropathy, LLC | Plastic Surgery | 1849 Data Dr Ste 1, Hoover, AL 35244 | 2017-12-21 |
| 1891217014 | Kristen Michelle Woods | Counselor | 3825 Lorna Rd Ste 240, Birmingham, AL 35244 | 2017-07-10 |
| 1255868170 | Home Sweet Home Senior Care | Home Health | 1 Chase Corporate Drive, Suite 400, Birmingham, AL 35244 | 2017-05-23 |
| 1801347455 | Megan Sarah St John | Nurse Practitioner | 2321 Alabama Highway 150, Birmingham, AL 35244 | 2016-10-19 |
| Find all providers in zip 35244 | ||||
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 | 35244 |
Please comment or provide details below to improve the information on DR. MICHAEL T ELLERBUSCH.
| 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.