LIBERTY PARK ANESTHESIA SERVICES, LLC (NPI# 1669980504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669980504 |
Entity Type | Organization |
Organization Name | LIBERTY PARK ANESTHESIA SERVICES, LLC |
Practice Address |
1940 Stonegate Dr Ste 30 Vestavia Hls AL 35242 |
Mailing Address |
1940 Stonegate Dr Ste 30 Vestavia Hls AL 35242-2540 |
Practice Telephone | 2059779876 |
Practice Fax Number | 2059779976 |
Mailing Telephone | 2059779876 |
Mailing Fax Number | 2059779976 |
Enumeration Date | 2018-01-12 |
Last Update Date | 2018-08-08 |
Authorized Official Name | CHRISTOPHER B HARMON (OWNER) |
Authorized Official Telephone | 2059779876 |
Authorized Official Credential | MD |
Is Organization Subpart | Y |
Parent Organization Name | CHRISTOPHER B HARMON MD PC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 367500000X | Nurse Anesthetist, Certified Registered | AL | Physician Assistants & Advanced Practice Nursing Providers | |
Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
AL | Ambulatory Health Care Facilities |
Address | Telephone Number | Fax Number |
---|---|---|
7300 Halcyon Summit Dr, Montgomery, AL 361173699 | 2059779876 |
Street Address |
1940 STONEGATE DR STE 30 |
City | VESTAVIA HLS |
State | AL |
Zip Code | 35242 |
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1447894175 | Publix Alabama, LLC | Durable Medical Equipment & Medical Supplies | 3201 Endeavor Lane, Vestavia Hills, AL 35242 | 2019-11-06 |
1952956468 | Publix Alabama, LLC | Durable Medical Equipment & Medical Supplies | 6219 Tattersall Blvd., Hoover, AL 35242 | 2019-08-02 |
1033670120 | Rachel Monahan -patterson | Registered Nurse | 7191 Cahaba Valley Road, Suite 300, Birmingham, AL 35242 | 2019-03-29 |
1891283818 | Elizabeth Mcrae | Counselor | 150 Glenwood Lane, Birmingham, AL 35242 | 2018-04-25 |
1326549429 | Mary Virginia Colvert | Nurse Practitioner | 200 Riverhill Business Park, #250, Birmingham, AL 35242 | 2018-02-23 |
1942710983 | Southern Dental Sleep Specialists LLC | Clinic/Center | 4960 Valleydale Rd Ste 100, Birmingham, AL 35242 | 2017-10-04 |
1922526557 | Sarah Katherine Fleming | Specialist/Technologist | 1524 Southern Drive, Birmingham, AL 35242 | 2017-09-04 |
1235670761 | Schaeffer Eye Center, Inc. | Optometrist | 5510 U.S. Hwy 280, Suite 213, Birmingham, AL 35242 | 2017-03-16 |
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Taxonomy Code | 261QM2500X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Medical Specialty |
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
Notes: [7/1/2003: new] |
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1154833689 | Monica Handy Crawford, Md, LLC | Clinic/Center | 801 Noble St Ste 1022, Anniston, AL 36201-5698 | 2017-10-24 |
1538619465 | Intrinsic Balance Chiropractic and Health Services | Clinic/Center | 3760 Highway 53, Ste L, Huntsville, AL 35806-4726 | 2016-10-04 |
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City | VESTAVIA HLS |
Zip Code | 35242 |
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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.