EDWARD ANDREW FAZENDIN (NPI# 1487092391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487092391 |
| Entity Type | Individual |
| Full Name | EDWARD ANDREW FAZENDIN |
| Credential | MD |
| Practice Address |
3686 Grandview Pkwy Ste 400 Birmingham AL 35243-3404 |
| Practice Telephone | 2055958985 |
| Practice Fax Number | 2055958987 |
| Mailing Telephone | 2055958985 |
| Mailing Fax Number | 2055958987 |
| Enumeration Date | 2013-06-13 |
| Last Update Date | 2020-11-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 38369 | AL | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | MT204318 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 256202 | 05 |
| Street Address |
3686 GRANDVIEW PKWY STE 400 |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35243-3404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225014335 | William Scott Pennington Jr. | Surgery | 3686 Grandview Pkwy Ste 400, Birmingham, AL 35243-3404 | 2005-12-20 |
| 1578103339 | Katelyn Crews Edens | Dietitian, Registered | 3686 Grandview Pkwy Ste 400, Birmingham, AL 35243-3404 | 2020-01-09 |
| 1043539554 | Heather Rene Waldrup | Surgery | 3686 Grandview Pkwy Ste 400, Birmingham, AL 35243-3404 | 2010-05-24 |
| 1003880485 | Timothy Lee Christopher | Surgery | 3686 Grandview Pkwy Ste 400, Birmingham, AL 35243-3404 | 2006-02-14 |
| 1407832348 | George Blaine Bishop Jr. | Surgery | 3686 Grandview Pkwy Ste 400, Suite 600, Birmingham, AL 35243-3404 | 2005-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588205223 | See Inc | Optometrist | 200 Summit Blvd, Suite 168, Birmingham, AL 35243 | 2019-10-03 |
| 1619526829 | Kourtni Brooke Young | Nurse Anesthetist, Certified Registered | Grandview Medical Center, 3690 Grandview Parkway, Birmingham, AL 35243 | 2019-09-10 |
| 1548747942 | Kaitlyn Bennett | Occupational Therapist | 3140 Cahaba Heights Road, Suite 102, Vestavia, AL 35243 | 2018-07-27 |
| 1013407675 | Alabama Radiation Therapy Services | Radiology | 3670 Grandview Pkwy #100, Birmingham, AL 35243 | 2018-05-18 |
| 1184169559 | Olivia Diann Gaston | Behavioral Analyst | 3296 Cahaba Heights Rd., Milestones Behavior Group., Vestavia, AL 35243 | 2016-12-21 |
| 1679027841 | Aspire Physical Recovery Center At Cahaba River, LLC | Skilled Nursing Facility | 3070 Healthy Way, Vestavia, AL 35243 | 2016-08-05 |
| 1306203682 | Abbey Elizabeth Duke | Physician Assistant | 3690 Grandview Parkway, Birmingham, AL 35243 | 2016-01-18 |
| 1689078628 | Mary Camp | Occupational Therapist | 3140 Cahaba Heights Road Suite 102, Vestavia Hills, AL 35243 | 2014-10-20 |
| 1255757209 | Laura Romundstad | Nurse Practitioner | 3670 Grandview Parkway, Suite 100, Birmingham, AL 35243 | 2014-03-14 |
| 1841631199 | Seth Alexander Martin | Developmental Therapist | 3981 Kyle Lane, Milestones Behavior Consulting, Vestavia, AL 35243 | 2013-07-16 |
| Find all providers in zip 35243 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528413051 | Vinh Nguyen Md PC | Surgery | 100 Pilot Medical Dr Ste 285, Birmingham, AL 35235-3475 | 2016-05-03 |
| 1891174488 | Vivian B Yeilding | Surgery | 2022 Brookwood Medical Ctr Dr Ste 207, Birmingham, AL 35209-6807 | 2015-05-28 |
| 1699187039 | Scott Andrew Sabo | Surgery | 513 Brookwood Blvd Ste 310, Birmingham, AL 35209-7804 | 2014-05-20 |
| 1619315918 | William Foster Gaillard Jr. | Surgery | 1808 7th Avenue South, Bdb 503, Birmingham, AL 35294 | 2013-06-07 |
| 1720350424 | William Nathan Viar Jr. | Surgery | 3824 Forest Glen Dr., Birmingham, AL 35213 | 2012-01-27 |
| 1225306129 | Thomas Wakefield Mears | Surgery | 2324 Brookshire Place, Birmingham, AL 35213 | 2011-12-06 |
| 1902124217 | Lauren Caldwell Tanner | Surgery | 1922 7th Avenue South, Kb110, Birmingham, AL 35294 | 2010-05-11 |
| 1700012309 | Cameron S. Askew | Surgery | 513 Brookwood Medical Plaza, Suite 310, Birmingham, AL 35209-6804 | 2009-06-09 |
| 1588815823 | Sushanth Reddy | Surgery | 1922 7th Ave S, Kb 321, Birmingham, AL 35233-2006 | 2008-10-06 |
| 1356502371 | Abhisek Dinesh Parmar | Surgery | 1922 7th Ave S # 423, Birmingham, AL 35233-2006 | 2008-06-23 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35243 |
Please comment or provide details below to improve the information on EDWARD ANDREW FAZENDIN.
| 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.