DR. MALLORY DIANE LEWIS (NPI# 1588192520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588192520 |
| Entity Type | Individual |
| Full Name | DR. MALLORY DIANE LEWIS |
| Other Name | MALLORY DIANE STREIFFERT |
| Credential | DO |
| Practice Address |
1201 11th Ave S Ste 410 Birmingham AL 35205-3423 |
| Practice Telephone | 2059349700 |
| Mailing Telephone | 2059349700 |
| Enumeration Date | 2017-06-02 |
| Last Update Date | 2020-08-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | DO.2312 | AL | Allopathic & Osteopathic Physicians |
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
DO.2312 | AL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730644493 | Mallory Lewis | Student in an Organized Health Care Education/Training Program | 150 Eagle Pointe Way, Pell City, AL 35128-7265 | 2019-02-07 |
| 1336776988 | Mallory Marie Lewis | Behavior Technician | 945 Barlow St, Traverse City, MI 49686-4250 | 2020-03-24 |
| 1417583279 | Mallory Lewis | Marriage & Family Therapist | 6276 N 1st St Ste 103, Fresno, CA 93710-5400 | 2020-03-12 |
| Street Address |
1201 11TH AVE S STE 410 |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35205-3423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740646181 | Ksenia Nikolayevna Blinnikova | Family Medicine | 1201 11th Ave S Ste 410, Birmingham, AL 35205-3423 | 2016-01-14 |
| 1992328546 | Caroline Cohen | Dietitian, Registered | 1201 11th Ave S Ste 410, Birmingham, AL 35205-3423 | 2020-05-18 |
| 1003318619 | Andrea Dial | Nurse Practitioner | 1201 11th Ave S Ste 410, Birmingham, AL 35205-3423 | 2018-02-28 |
| 1740720853 | Kaylee B Crockett | Psychologist | 1201 11th Ave S Ste 410, Birmingham, AL 35205-3423 | 2017-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124547674 | Serve Home Health Care Agency, LLC | In Home Supportive Care | 2230 Green Springs Hwy S, Birmingham, AL 35205 | 2017-09-15 |
| 1457870487 | Marilyn Bennett Pinson | Pharmacist | Walgreens Store #15144, 3020 Clairmont Ave S, Birmingham, AL 35205 | 2017-09-11 |
| 1639522238 | Dana Rives | Speech-Language Pathologist | St. Vincent's, Building 3, Suite 402, Birmingham, AL 35205 | 2016-07-19 |
| 1760854236 | Raymond Herring | Chiropractor | 1226 29th St S, Apt 18, Birmingham, AL 35205 | 2015-10-23 |
| 1083005813 | Absolutely Amazing Salon | Prosthetic/Orthotic Supplier | 2227 Arlington Avenue, Birmingham, AL 35205 | 2015-02-16 |
| 1396141651 | Alexandria Hutchison | Occupational Therapist | 833 Saint Vincent's Drive, Building 3, Suite 200, Birmingham, AL 35205 | 2014-11-14 |
| 1790028199 | Patrick Ross Owens | Otolaryngology | 833 Saint Vincents Dr Ste 402, Birmingham, AL 35205 | 2013-04-03 |
| 1053657452 | David Mitchell Comfort | Urology | 2716 Hanover Circle, Unit 801, Birmingham, AL 35205 | 2012-12-13 |
| 1598023632 | Kathryn Ashley Bentley | Orthopaedic Surgery | 833 St. Vincent's Drive, Bldg 3, Ste 403, Birmingham, AL 35205 | 2012-04-26 |
| 1114298510 | Natalie Elizabeth George | Physician Assistant | 2100 16th Avenue South, 202, Birmingham, AL 35205 | 2012-01-18 |
| Find all providers in zip 35205 | ||||
| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| 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 Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285081463 | William Hunter Garrett | Family Medicine | 805 Saint Vincents Dr Ste 100, Birmingham, AL 35205-1638 | 2016-05-18 |
| 1912386848 | Leonardo Taarea | Family Medicine | 805 Saint Vincents Dr Ste 100, Birmingham, AL 35205 | 2015-05-26 |
| 1497133458 | Monte Ketchum | Family Medicine | 805 Saint Vincents Dr Ste 100, Birmingham, AL 35205 | 2015-05-11 |
| 1669768537 | Donald Blake Perry | Family Medicine | 4600 Highway 280, Birmingham, AL 35242-5028 | 2011-06-20 |
| 1043548217 | Patrick Justin Lancaster | Family Medicine | 805 Saint Vincents Dr Ste 100, Birmingham, AL 35205-1638 | 2009-11-30 |
| 1740252444 | Cherie B Miner | Family Medicine | 805 Saint Vincents Dr, Suite 100, Birmingham, AL 35205-1636 | 2006-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053794354 | Brookwood Primary Care- Grand River, L.L.C. | Family Medicine | 1115 Payton Way., Suite 111, Leeds, AL 35094 | 2015-07-06 |
| 1245551878 | Scott C Boyken | Family Medicine | 7201 Happy Hollow Road, Suite 101, Trussville, AL 35173 | 2010-06-17 |
| 1558536474 | Jeffery Garrard, M.d., P.C. | Family Medicine | 4205 Balmoral Dr Sw Ste 200, Huntsville, AL 35801-7421 | 2008-04-23 |
| 1699988048 | Brian A Cost | Family Medicine | 4205 Balmoral Dr Suite 200, Huntsville, AL 35801 | 2007-05-08 |
| 1295830891 | Total Sports Care, P.C. | Family Medicine | 4205 Balmoral Drive, Suite 200, Huntsville, AL 35801 | 2006-09-14 |
| 1548717119 | Jacksonville State University | Family Medicine | 700 Pelham Rd N, Jacksonville, AL 36265-1602 | 2016-09-01 |
| 1114290525 | Joseph Lee Edison | Family Medicine | 349 S Donahue Dr, Auburn, AL 36849-0001 | 2012-02-15 |
| 1861782625 | Calvin Alphonso Spellmon Jr. | Family Medicine | 831 1st St N, Alabaster, AL 35007-8944 | 2011-04-13 |
| 1649353756 | William H Burkhalter IIi | Family Medicine | 440 Taylor Rd, Suite 3380, Montgomery, AL 36117-3588 | 2006-10-23 |
| 1104917764 | John Andrew Harcourt | Family Medicine | 1505 Daphne Ave, Daphne, AL 36526-4298 | 2006-09-27 |
| Find all providers with the same taxonomy | ||||
| City | BIRMINGHAM |
| Zip Code | 35205 |
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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.