DR. MARC ALAN MICHELSON (NPI# 1720081961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720081961 |
| Entity Type | Individual |
| Full Name | DR. MARC ALAN MICHELSON |
| Credential | M.D. |
| Practice Address |
1201 11th Ave S Ste 501 Birmingham AL 35205-3423 |
| Practice Telephone | 2059300930 |
| Practice Fax Number | 2059309050 |
| Mailing Telephone | (205) 930-0930 |
| Mailing Fax Number | 2059309050 |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2017-10-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 7455 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BLUE CROSS BLUE SHIELD | 510-51072MIC | 01 |
| AL | UNITED HEALTHCARE | 0810046 | 01 |
| AL | PALMETTO GBA-MEDICARE | 180037822 | 01 |
| AL | 000051072 | 05 | |
| AL | MEDICARE TRAVELERS | 180037822 | 01 |
| AL | UMWA | 0488291 | 01 |
| AL | VIVA | C75218 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063404861 | Marc H Michelson | Internal Medicine | 151 Fries Mill Rd, Suite 400, Turnersville, NJ 08012-2016 | 2005-08-17 |
| Street Address |
1201 11TH AVE S STE 501 |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35205-3423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235736109 | Julianne Mcdaniel | Registered Nurse | 1201 11th Ave S, Birmingham, AL 35205-3423 | 2020-10-05 |
| 1518564640 | Kelly Brasfield Jones | Registered Nurse | 1201 11th Ave S, Birmingham, AL 35205-3423 | 2020-10-01 |
| 1518587674 | Jordan Linder | Registered Nurse | 1201 11th Ave S, Birmingham, AL 35205-3423 | 2020-04-19 |
| 1376162099 | Zachary Tyler Sanford | Registered Nurse | 1201 11th Ave S, Birmingham, AL 35205-3423 | 2020-04-13 |
| 1588290498 | Jessica Tucker Pino | Registered Nurse | 1201 11th Ave S, Birmingham, AL 35205-3423 | 2020-03-23 |
| 1407489438 | Emily Strickland | Occupational Therapist | 1201 11th Ave S, Birmingham, AL 35205-3423 | 2020-02-18 |
| 1881226306 | Courtney Michelle Speake | Nurse Practitioner | 1201 11th Ave S, Birmingham, AL 35205-3423 | 2020-02-12 |
| 1487285839 | Katy Louise Surrett | Registered Nurse | 1201 11th Ave S, Birmingham, AL 35205-3423 | 2020-02-03 |
| 1063042463 | Margaret Whittle | Nurse Practitioner | 1201 11th Ave S, Birmingham, AL 35205-3423 | 2020-01-24 |
| 1255979225 | Tyler James Lacoste | Physician Assistant | 1201 11th Ave S, Birmingham, AL 35205-3423 | 2019-12-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124547674 | Serve Home Health Care Agency, LLC | In Home Supportive Care | 2230 Green Springs Hwy S, Birmingham, AL 35205 | 2017-09-15 |
| 1457870487 | Marilyn Bennett Pinson | Pharmacist | Walgreens Store #15144, 3020 Clairmont Ave S, Birmingham, AL 35205 | 2017-09-11 |
| 1639522238 | Dana Rives | Speech-Language Pathologist | St. Vincent's, Building 3, Suite 402, Birmingham, AL 35205 | 2016-07-19 |
| 1760854236 | Raymond Herring | Chiropractor | 1226 29th St S, Apt 18, Birmingham, AL 35205 | 2015-10-23 |
| 1083005813 | Absolutely Amazing Salon | Prosthetic/Orthotic Supplier | 2227 Arlington Avenue, Birmingham, AL 35205 | 2015-02-16 |
| 1396141651 | Alexandria Hutchison | Occupational Therapist | 833 Saint Vincent's Drive, Building 3, Suite 200, Birmingham, AL 35205 | 2014-11-14 |
| 1790028199 | Patrick Ross Owens | Otolaryngology | 833 Saint Vincents Dr Ste 402, Birmingham, AL 35205 | 2013-04-03 |
| 1053657452 | David Mitchell Comfort | Urology | 2716 Hanover Circle, Unit 801, Birmingham, AL 35205 | 2012-12-13 |
| 1598023632 | Kathryn Ashley Bentley | Orthopaedic Surgery | 833 St. Vincent's Drive, Bldg 3, Ste 403, Birmingham, AL 35205 | 2012-04-26 |
| 1114298510 | Natalie Elizabeth George | Physician Assistant | 2100 16th Avenue South, 202, Birmingham, AL 35205 | 2012-01-18 |
| Find all providers in zip 35205 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568024735 | Invision Ophthalmology P.C. | Ophthalmology | 2700 10th Ave S Ste 404, Birmingham, AL 35205-1250 | 2019-07-08 |
| 1144693110 | John Catalano | Ophthalmology | 3165 Bradford Pl, Birmingham, AL 35242-4603 | 2015-11-12 |
| 1932510369 | Kristen Marie Peterson | Ophthalmology | 1720 University Blvd Ste 601, Birmingham, AL 35233-1816 | 2014-05-20 |
| 1578764262 | Eye Medical Center | Ophthalmology | 2000 Cahaba Rd, Suite 100, Birmingham, AL 35223-1110 | 2007-05-30 |
| 1174642078 | Thomas H. Metz, Jr., M.d., LLC | Ophthalmology | 2550 Acton Rd, Suite 130, Birmingham, AL 35243-4247 | 2007-03-29 |
| 1225152192 | Kenneth Randall Smith | Ophthalmology | 833 Saint Vincents Dr Ste 207, Birmingham, AL 35205-1609 | 2007-03-18 |
| 1770650475 | Adelle Bernice Sperling | Ophthalmology | 111 Yorkshire Drive, Birmingham, AL 35209-4305 | 2006-11-29 |
| 1568531648 | Joseph Anthony Zarzaur | Ophthalmology | 2000 Cahaba Road, Suite 100, Birmingham, AL 35223 | 2006-11-06 |
| 1073605630 | Harold Augustus Helms | Ophthalmology | 1100 23rd St S, Ste 100, Birmingham, AL 35205-2410 | 2006-09-29 |
| 1649385931 | Paul Fecko | Ophthalmology | 195 W Brown, Birmingham, MI 48009 | 2006-08-20 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35205 |
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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.