THE CHILDREN'S HOSPITAL OF ALABAMA (NPI# 1629161112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629161112 |
| Entity Type | Organization |
| Organization Name | THE CHILDREN'S HOSPITAL OF ALABAMA |
| Other Organization Name | PEDIATRIC ENT ASSOCIATES |
| Practice Address |
1940 Elmer J. Bissell Birmingham AL 35243 |
| Mailing Address |
1940 Elmer J Bissell Rd Birmingham AL 35243-2941 |
| Practice Telephone | 2058244949 |
| Practice Fax Number | 2058244983 |
| Mailing Telephone | 2058244949 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2020-09-08 |
| Authorized Official Name | DAWN WALTON (CFO) |
| Authorized Official Telephone | 2056389901 |
| Is Organization Subpart | Y |
| Parent Organization Name | THE CHILDREN'S HOSPITAL OF ALABAMA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YP0228X |
Otolaryngology Specialization: Pediatric Otolaryngology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BLUECROSS BLUE SHEILD | 510F950 | 01 |
| AL | BLUE CROSS BLUE SHEILD AL | 515F950 | 01 |
| AL | 529903810 | 05 | |
| AL | 529903800 | 05 |
| Other Name | Type Code |
|---|---|
| Pediatric ENT Associates | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720257645 | The Children's Hospital of Alabama | Clinic/Center | 1600 7th Ave S # Clinic9, Birmingham, AL 35233-1711 | 2008-02-25 |
| 1447369525 | The Children's Hospital of Alabama | Ambulance | 1512 5th Ave S, Birmingham, AL 35233-1615 | 2006-08-30 |
| 1841674181 | The Children's Hospital of Alabama | Clinic/Center | 1600 7th Ave S, 6th Floor Mcwane, Birmingham, AL 35233-1711 | 2015-07-16 |
| 1568893626 | The Children's Hospital of Alabama | Nurse Anesthetist, Certified Registered | 1600 7th Ave S, Birmingham, AL 35233-1711 | 2013-11-27 |
| 1659628683 | The Children's Hospital of Alabama | General Acute Care Hospital | 1600 7th Ave S, Birmingham, AL 35233-1711 | 2012-08-09 |
| 1598904047 | The Children's Hospital of Alabama | Pediatrics | 403 Medical Park Ofc Park, Talladega, AL 35160-2259 | 2009-02-06 |
| 1497920243 | The Children's Hospital of Alabama | Pediatrics | 101 Eagle Ridge Dr, Birmingham, AL 35242-5319 | 2008-04-23 |
| 1225151087 | The Children's Hospital of Alabama | Pharmacy | 1600 7th Ave S, Ground Floor Pharmacy, Birmingham, AL 35233-1711 | 2007-04-09 |
| 1720166085 | The Children's Hospital of Alabama | Clinic/Center | 1600 7th Ave S, Birmingham, AL 35233-1711 | 2006-11-02 |
| 1669550927 | The Children's Hospital of Alabama | Pharmacy | 1600 7th Ave S, Pharmacy Department, Birmingham, AL 35233-1711 | 2006-11-02 |
| Street Address |
1940 ELMER J. BISSELL |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35243 |
| 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 | 207YP0228X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Pediatric Otolaryngology |
| A pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the head and neck. The pediatric otolaryngologist has special skills in the diagnosis, treatment, and management of childhood disorders of voice, speech, language and hearing. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750700175 | Lumina LLC | Otolaryngology | 2807 Greystone Commercial Blvd, Unit 42, Birmingham, AL 35242-9600 | 2014-04-14 |
| 1568556280 | William Peyton Shirley | Otolaryngology | 2807 Greystone Commercial Blvd, Unit42, Birmingham, AL 35242-9600 | 2006-10-03 |
| 1427143015 | Brian Jeffery Wiatrak | Otolaryngology | 1940 Elmer J. Bissell Road, Pediatric Ent Associates, Birmingham, AL 35243 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508952631 | Jimmy Scott Hill | Otolaryngology | Pediatric Ent Associates, 1940 Elmer J. Bissell Road, Birmingham, AL 35243 | 2006-10-05 |
| 1427143825 | Audie Lee Woolley | Otolaryngology | 1940 Elmer J. Bissell Road, Brimingham, AL 35243 | 2006-10-03 |
| City | BIRMINGHAM |
| Zip Code | 35243 |
Please comment or provide details below to improve the information on THE CHILDREN'S HOSPITAL 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.