MS. ANDREA MOORE JOST (NPI# 1457453052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457453052 |
| Entity Type | Individual |
| Full Name | MS. ANDREA MOORE JOST |
| Other Name | ANDREA BLAIR MOORE |
| Credential | P.A. |
| 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 | 2006-09-02 |
| Last Update Date | 2014-01-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA-482 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 051536228 | 05 | |
| AL | STATE LICENSE | PA-482 | 01 |
| AL | STATE LICENSE NUMBER | TA-1605 | 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 |
| 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 |
| 1437107984 | Michael T Ellerbusch | 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 | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043603236 | Julie Boyd | Physician Assistant | 516 20th St S, Birmingham, AL 35233-2028 | 2015-03-11 |
| 1780950733 | Laura Nugent Bradley | Physician Assistant | 800 St. Vincent's Drive, Suite 700, Birmingham, AL 35205-1630 | 2012-03-23 |
| 1811290968 | Lacey Golden | Physician Assistant | 48 Medical Park Dr E Ste 255, Birmingham, AL 35235-3464 | 2010-12-13 |
| 1659693836 | Chelsea Bares | Physician Assistant | 2151 Highland Ave S Ste 200, Birmingham, AL 35205-4031 | 2010-02-16 |
| 1174797542 | Richard Gregory Winters | Physician Assistant | 701 19th Street South, Lhr 112, Birmingham, AL 35294-0001 | 2008-04-16 |
| 1972797686 | Vital Surg LLC | Physician Assistant | 1321 19th St S, Birmingham, AL 35205-4801 | 2007-09-05 |
| 1982710299 | Lisa Ledlow Kuntz | Physician Assistant | 52 Medical Park Drive East, Ste 307, Birmingham, AL 35235 | 2006-08-21 |
| 1114030947 | Iris Daniella Stuart | Physician Assistant | Uab Dept of Surgery Division of Plastic, Fot 1150 510 20th Street S., Birmingham, AL 35294-3411 | 2006-08-16 |
| 1184659393 | Linda Carolyn Langston | Physician Assistant | 1751 Charleston Way, Birmingham, AL 35216-4886 | 2006-07-12 |
| 1104889765 | Karen Elizabeth Connor | Physician Assistant | 3460 Manor Ln, #204, Birmingham, AL 35209-5666 | 2006-04-06 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35244 |
Please comment or provide details below to improve the information on MS. ANDREA MOORE JOST.
| 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.