CLINTON PLASTIC SURGERY, LLC (NPI# 1689001067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689001067 |
| Entity Type | Organization |
| Organization Name | CLINTON PLASTIC SURGERY, LLC |
| Other Organization Name | CLINTON SURGERY SUITE |
| Practice Address |
7191 Cahaba Valley Rd 200 Birmingham AL 35242-6402 |
| Practice Telephone | 2054089787 |
| Enumeration Date | 2013-10-01 |
| Last Update Date | 2014-01-16 |
| Authorized Official Name | DR. MICHAEL S CLINTON (OWNER) |
| Authorized Official Telephone | 2054089787 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
10939 | AL | Ambulatory Health Care Facilities |
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
10939 | AL | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Clinton Surgery Suite | Doing Business As Name - Organization |
| Street Address |
7191 CAHABA VALLEY RD 200 |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35242-6402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669467288 | Cornelius Robinson Meadows | Emergency Medicine | 7191 Cahaba Valley Rd, Suite 300, Birmingham, AL 35242-6402 | 2005-09-20 |
| 1275166944 | Patrick Wallace Culotta | Physical Therapist | 7191 Cahaba Valley Rd, Birmingham, AL 35242-6443 | 2020-02-20 |
| 1164959250 | Mariah Cloud Stewart | Dietitian, Registered | 7191 Cahaba Valley Rd, Birmingham, AL 35242-6443 | 2017-05-19 |
| 1124555313 | Catherine Ghossein | Dietitian, Registered | 7191 Cahaba Valley Rd, Birmingham, AL 35242 | 2017-05-18 |
| 1235665266 | Jessica Ivey | Nutritionist | 7191 Cahaba Valley Rd, Birmingham, AL 35242-6443 | 2017-05-11 |
| 1740716596 | Michelle Terrell | Physical Therapist | 7191 Cahaba Valley Rd, Birmingham, AL 35242-6443 | 2017-05-11 |
| 1265803290 | Orthosports Associates, LLC | Orthopaedic Surgery | 7191 Cahaba Valley Rd, Suite 100b, Birmingham, AL 35242-6402 | 2015-10-16 |
| 1962806828 | Miyoushi Simpson | Specialist | 7191 Cahaba Valley Rd, Birmingham, AL 35242-6402 | 2014-10-21 |
| 1609293299 | Erica Touchstone | Nurse Practitioner | 7191 Cahaba Valley Rd, Suite 300, Birmingham, AL 35242-6402 | 2014-03-21 |
| 1407288137 | Crestline Anesthesia Associates, P.C. | Anesthesiology | 7191 Cahaba Valley Rd, Suite 204, Birmingham, AL 35242-6402 | 2013-08-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558960138 | A Friend of Mind | Behavioral Analyst | 5271 Harvest Ridge Ln, Birmingham, AL 35242 | 2020-10-23 |
| 1295347789 | Restore Therapy Services, Ltd | Physical Therapist | 6328 Farley Lane, Birmingham, AL 35242 | 2020-08-18 |
| 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 |
| 1669980504 | Liberty Park Anesthesia Services, LLC | Nurse Anesthetist, Certified Registered | 1940 Stonegate Dr Ste 30, Vestavia Hls, AL 35242 | 2018-01-12 |
| 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 |
| Find all providers in zip 35242 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780056945 | Melanie Petro Md LLC | Surgery | 905 Moontgomery Highway, Birmingham, AL 35216 | 2015-10-28 |
| 1376785170 | Rene Pierre Myers | Surgery | 1600 7th Ave S, Suite 322, Birmingham, AL 35233-1711 | 2009-03-25 |
| 1962663229 | Brad David Denney | Surgery | 619 19th St S, Birmingham, AL 35249-1900 | 2008-06-19 |
| 1154529261 | Stephen R Steinmetz PC | Surgery | 2700 10th Ave S Ste 510, Birmingham, AL 35205-1250 | 2007-07-10 |
| 1093939894 | Mountain Brook Plastic Surgery and Laser Center | Surgery | 2850 Cahaba Rd, Suite 100, Birmingham, AL 35223-2346 | 2007-04-12 |
| 1235151424 | Luis O Vasconez | Surgery | 619 19th Street South, Birmingham, AL 35233 | 2006-07-24 |
| 1881619393 | Jorge I De La Torre | Surgery | 619 19th Street South, Birmingham, AL 35233 | 2006-07-13 |
| 1417992736 | John H Grant IIi | Surgery | 619 19th Street South, Birmingham, AL 35233 | 2006-06-19 |
| 1881638021 | Richard Jobe Fix | Surgery | 619 19th Street South, Birmingham, AL 35233 | 2006-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316100670 | Patrick C Wilson | Surgery | 805 Madison St., Suite 1d, Huntsville, AL 35801 | 2008-07-08 |
| 1366629917 | Jeffery L Walding | Surgery | 2800 Ross Clark Cir Ste 2, Dothan, AL 36301-9917 | 2008-01-25 |
| 1639372725 | Justin Parish Martin | Surgery | 2431 W Main St Ste 302, Dothan, AL 36301-1251 | 2007-06-07 |
| 1245456805 | Michael D. Yates, Md, PC | Surgery | 303 Williams Av Sw, Suite 1421, Huntsville, AL 35801-6008 | 2007-04-18 |
| 1114062106 | Luther Dwight Baker | Surgery | 105 Professional Ln, Dothan, AL 36303-3875 | 2007-02-20 |
| 1932267218 | Gordon Michael Telepun | Surgery | 1206 Somerville Rd Se, Decatur, AL 35601 | 2006-12-05 |
| 1316014681 | Plastic Surgery Inc | Surgery | 701 University Blvd Medical Tower, Suite 902, Tuscaloosa, AL 35401 | 2006-11-29 |
| 1326066010 | Randy D. Proffitt, M.d., LLC | Surgery | 6317 Piccadilly Square Dr, Mobile, AL 36609-5103 | 2006-07-18 |
| 1528085347 | Randy Douglas Proffitt | Surgery | 740 Hillcrest Rd, Suite C, Mobile, AL 36695-3924 | 2006-07-16 |
| 1871531681 | Curtis N Harris | Surgery | 1601, Ste 2n, Mobile, AL 36604-1512 | 2006-06-03 |
| Find all providers with the same taxonomy | ||||
| City | BIRMINGHAM |
| 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.