DR. KYLE D BLITON (NPI# 1629507066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629507066 |
| Entity Type | Individual |
| Full Name | DR. KYLE D BLITON |
| Credential | MD |
| Practice Address |
625 19th Street South Birmingham AL 35249 |
| Mailing Address |
625 19th St S Birmingham AL 35233-1900 |
| Practice Telephone | 2059344793 |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2020-05-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | MD.37834 | AL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
625 19TH STREET SOUTH |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35249 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700831260 | Adam C Bevis | Physician Assistant | 625 19th Street South, Birmingham, AL 35249-0001 | 2006-05-23 |
| 1821617309 | Jeremy Towns | Student in an Organized Health Care Education/Training Program | 625 19th Street South, Birmingham, AL 35249-1932 | 2020-04-14 |
| 1124647821 | Felicia Rabey Hataway | Student in an Organized Health Care Education/Training Program | 625 19th Street South, Birmingham, AL 35249-1900 | 2020-04-13 |
| 1366061426 | John M Murphy | Student in an Organized Health Care Education/Training Program | 625 19th Street South, Birmingham, AL 35249-2404 | 2020-04-09 |
| 1356970685 | Morgan Locy | Student in an Organized Health Care Education/Training Program | 625 19th Street South, Birmingham, AL 35249-1932 | 2020-04-07 |
| 1700419389 | Chelsea Marie Mckenzie | Student in an Organized Health Care Education/Training Program | 625 19th Street South, Birmingham, AL 35249-2536 | 2020-02-21 |
| 1083266647 | Nikhila Abbineni | Student in an Organized Health Care Education/Training Program | 625 19th Street South, Birmingham, AL 35249-8850 | 2019-07-14 |
| 1235793449 | Hannah Elaine Edwards | Student in an Organized Health Care Education/Training Program | 625 19th Street South, Birmingham, AL 35249-1515 | 2019-04-24 |
| 1508329863 | Claire Elizabeth Crider Cordes | Student in an Organized Health Care Education/Training Program | 625 19th Street South, Birmingham, AL 35249-1711 | 2019-04-12 |
| 1578026100 | William Bradford Fancher | Student in an Organized Health Care Education/Training Program | 625 19th Street South, Birmingham, AL 35249-1711 | 2019-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770070682 | Jordan Bauer | Student in an Organized Health Care Education/Training Program | 625 19 Street South, Birmingham, AL 35249 | 2018-04-16 |
| 1356847917 | Kathryn Leonards Sinquefield | Student in an Organized Health Care Education/Training Program | 625 19 Th Street South, Birmingham, AL 35249 | 2018-04-03 |
| 1285167288 | Lauren Marie Theiss | Student in an Organized Health Care Education/Training Program | 625 19th Street S, Birmingham, AL 35249 | 2017-04-06 |
| 1992159040 | Christopher Lee Anderson | Student in an Organized Health Care Education/Training Program | 625 19th St South, Birmingham, AL 35249 | 2016-04-14 |
| 1154715365 | Danielle Demontigny Avila | Internal Medicine | 625 19th St. South, Birmingham, AL 35249 | 2015-03-25 |
| 1417398033 | Rehan Ajmal Sarmad | Internal Medicine | 625 19th Street South Birmingham, Birmingham, AL 35249 | 2013-07-11 |
| 1760828560 | Diana Murro Lin | Pathology | 619 19th St S # Hsb130, Birmingham, AL 35249 | 2013-05-20 |
| 1982048476 | University of Alabama At Birmingham | General Acute Care Hospital | 1700 6th Ave South, Uab, Birmingham, AL 35249 | 2013-04-26 |
| 1255693149 | William M Perez | Obstetrics & Gynecology | 176f 10360d 619 19th Street South, Birmingham, AL 35249 | 2012-06-15 |
| 1942504642 | Melanie R. Sparks | Nurse Practitioner | 1700 6th Ave. South, Wic Suite 2342, Birmingham, AL 35249 | 2011-01-10 |
| Find all providers in zip 35249 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518488253 | Ananya Manchikalapati | Pediatrics | 1600 5th Ave S Ste 102, Birmingham, AL 35233-1700 | 2017-07-03 |
| 1194254490 | Maggie Lawrence | Pediatrics | 1601 7th Ave S, Birmingham, AL 35233-1710 | 2017-06-08 |
| 1154855807 | Margaret Elaine Wester | Pediatrics | 1600 7th Ave S Fl 4, Birmingham, AL 35233-1711 | 2017-04-19 |
| 1477085629 | Abbey Rocco | Pediatrics | 1600 7th Ave S Bldg Suite512, Birmingham, AL 35233-1711 | 2017-03-28 |
| 1548647407 | Anastasia T Nelson | Pediatrics | 3729 Mary Taylor Road, Birmingham, AL 35235 | 2015-04-29 |
| 1649666785 | Stephen T Clark | Pediatrics | 1700 6th Ave S # Wic9100, Birmingham, AL 35233 | 2015-04-14 |
| 1407242712 | James Raphael Statler | Pediatrics | 1600 7th Ave S # 110, Birmingham, AL 35233-1711 | 2015-04-13 |
| 1376954271 | Rona Lynzee Head | Pediatrics | 1600 7th Ave S Ste 210, Birmingham, AL 35233 | 2014-05-13 |
| 1992140784 | Erica Christen Bjornstad | Pediatrics | 1600 7th Ave S # 516, Birmingham, AL 35233 | 2013-05-07 |
| 1255686523 | John Cocoris | Pediatrics | 4334 Kennesaw Drive, Birmingham, AL 35213 | 2012-07-23 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35249 |
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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.