PULMONARY AND SLEEP ASSOC OF ALABAMA (NPI# 1619988326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619988326 |
| Entity Type | Organization |
| Organization Name | PULMONARY AND SLEEP ASSOC OF ALABAMA |
| Practice Address |
2022 Brookwood Medical Ct Dr Acc 310 Birmingham AL 35209-6808 |
| Mailing Address |
2022 Brookwood Medical Ctr Dr Acc # 310 Birmingham AL 35209-6808 |
| Practice Telephone | 2058719112 |
| Practice Fax Number | 2058719114 |
| Mailing Telephone | 2058719112 |
| Mailing Fax Number | 2058719114 |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2013-09-13 |
| Authorized Official Name | HAROLD ANDREW WILSON JR. (PRESIDENT) |
| Authorized Official Telephone | 2058719112 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
24068 | AL | Allopathic & Osteopathic Physicians |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
14068 | AL | Allopathic & Osteopathic Physicians |
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
10748 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | TAX IDENTIFICATION NUMBER | 8416121712 | 01 |
| AL | 529914500 | 05 |
| Street Address |
2022 BROOKWOOD MEDICAL CT DR ACC 310 |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35209-6808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437793510 | Marissa M Mcintyre | Registered Nurse | 3401 Independence Drive, Suite 221, Birmingham, AL 35209 | 2019-11-01 |
| 1093284457 | Patriot Healthcare of Alabama, LLC | Family Medicine | 2045 Brookwood Medical Center Drive, Suite 1, Birmingham, AL 35209 | 2018-11-15 |
| 1164902268 | Lucy Johnston | Physician Assistant | 1602 Woodfern Dr, Homewood, AL 35209 | 2018-08-17 |
| 1881184646 | Wade Louis Grady | Specialist/Technologist | 800 Larkshore Drive, Birmingham, AL 35209 | 2018-05-16 |
| 1154823029 | Taylor Payne | Physical Medicine & Rehabilitation | 109 Devon Dr, Birmingham, AL 35209 | 2018-03-06 |
| 1396251542 | 1st America Infusion Services LLC | Durable Medical Equipment & Medical Supplies | 120 Oxmoor Blvd Ste 100, Birmingham, AL 35209 | 2017-12-26 |
| 1376060954 | Hannah Holloway | Specialist/Technologist | 725 Crest Lane, Birmingham, AL 35209 | 2017-08-24 |
| 1558887463 | Paul A Rhodes | Nurse Practitioner | 631 Beacon Center Office Park, Suite 108, Birmingham, AL 35209 | 2017-08-22 |
| 1538542196 | Proteus Molecular and Clinical Lab LLC | Clinical Medical Laboratory | 218 Summit Pkwy, Suite 250, Homewood, AL 35209 | 2015-07-01 |
| 1124407739 | Randall Alban | Nurse Practitioner | 2100 Southbridge Parkway, Suite 650, Birmingham, AL 35209 | 2015-05-28 |
| Find all providers in zip 35209 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245780972 | Victoria Rusanov | Internal Medicine | 1720 2nd Ave S # Tht-422, Birmingham, AL 35294-0004 | 2016-10-05 |
| 1073783015 | Maria Guevara | Internal Medicine | 2016 Grove Park Way, Birmingham, AL 35242-2481 | 2008-03-05 |
| 1154524247 | Brian Dent Flanagan | Internal Medicine | 100 Pilot Medical Dr Ste 100, Birmingham, AL 35235 | 2007-06-07 |
| 1083779839 | Jean Anna Newsome | Internal Medicine | 2018 Medical Center Dr, Professional Office Bldg Suite 115, Birmingham, AL 35209 | 2006-12-22 |
| 1326055500 | David P Franco | Internal Medicine | 3686 Grandview Pkwy Ste 500, Birmingham, AL 35243 | 2006-08-01 |
| 1427013580 | Gustavo A Dubois | Internal Medicine | 2018 Brookwood Medical Center Dr, Ste 115, Birmingham, AL 35209 | 2006-04-19 |
| 1982051967 | Elizabeth Coggins | Internal Medicine | 817 Princeton Ave Sw, Suite 199, Birmingham, AL 35211-1333 | 2016-05-19 |
| 1528487022 | Sheylan Patel | Internal Medicine | 625 19th St S, Birmingham, AL 35249-3003 | 2014-04-11 |
| 1235557265 | Chao He | Internal Medicine | 619 19th St S, Birmingham, AL 35249-1900 | 2014-04-07 |
| 1245585496 | Sheetal Gandotra | Internal Medicine | 619 19th St S, Birmingham, AL 35249 | 2012-07-13 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35209 |
Please comment or provide details below to improve the information on PULMONARY AND SLEEP ASSOC OF ALABAMA.
| 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.