MIBELLA GYNECOLOGY, LLC (NPI# 1720393606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720393606 |
| Entity Type | Organization |
| Organization Name | MIBELLA GYNECOLOGY, LLC |
| Other Organization Name | MIBELLA WELLNESS CENTER |
| Practice Address |
3000 Meadow Lake Drive Suite 101 Birmingham AL 35242-0302 |
| Practice Telephone | 2059951009 |
| Practice Fax Number | 2059951049 |
| Mailing Telephone | 2059951009 |
| Mailing Fax Number | 2059951049 |
| Enumeration Date | 2010-08-16 |
| Last Update Date | 2014-07-02 |
| Authorized Official Name | MIA T COWAN (PRESIDENT) |
| Authorized Official Telephone | 2059951009 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
27416 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 1831127083 | 05 | |
| AL | LICENSE | 27416 | 01 |
| Other Name | Type Code |
|---|---|
| MIBELLA WELLNESS CENTER | Doing Business As Name - Organization |
| Street Address |
3000 MEADOW LAKE DRIVE SUITE 101 |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35242-0302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831127083 | Mia Terese Cowan | Obstetrics & Gynecology | 3000 Meadow Lake Drive, Suite 101, Birmingham, AL 35242-0302 | 2006-06-28 |
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|---|---|---|---|---|
| 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 | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427137959 | James C Upchurch | Obstetrics & Gynecology | 1310 Alford Avenue, Birmingham, AL 35226 | 2006-11-03 |
| 1326134180 | Yahya M Sabri | Obstetrics & Gynecology | 801 Princton Ave, Prof Office Bldg I Suite 332, Birmingham, AL 35211 | 2006-10-05 |
| 1174554422 | Richard C. Griffin | Obstetrics & Gynecology | 832 Princeton Avenue, Birmingham, AL 35211-1323 | 2006-07-05 |
| 1811925241 | William D Summers | Obstetrics & Gynecology | 52 Medical Park Dr E Ste 215, Birmingham, AL 35235-3424 | 2006-06-28 |
| 1306837588 | Cynthia K Mccaleb | Obstetrics & Gynecology | 4117 Kennesaw Dr, Birmingham, AL 35213-3225 | 2005-11-04 |
| 1659628543 | Page,hudson&taylor Gynecology At St Vincents LLC | Obstetrics & Gynecology | 806 Saint Vincents Dr, Suite 430, Birmingham, AL 35205-1684 | 2012-08-09 |
| 1235307604 | St. Vincent's East | Obstetrics & Gynecology | 50 Medical Park Dr E, Birmingham, AL 35235-3401 | 2008-02-19 |
| 1548444383 | Earl W. Stradtman Jr., M/d. PC | Obstetrics & Gynecology | 2660 10th Ave S, Suite 201, Birmingham, AL 35205-1200 | 2007-12-27 |
| 1831307388 | Alicia C Ballard | Obstetrics & Gynecology | 619 19th St S, Ste 10382, Birmingham, AL 35249-1900 | 2007-05-18 |
| 1205957404 | Brent A Parnell | Obstetrics & Gynecology | 2006 Brookwood Medical Ctr Dr, Wmp Suite402, Birmingham, AL 35209-6899 | 2007-04-03 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35242 |
Please comment or provide details below to improve the information on MIBELLA GYNECOLOGY, LLC.
| 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.