DR. JEROME GAETON IPPOLITO (NPI# 1730579707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730579707 |
| Entity Type | Individual |
| Full Name | DR. JEROME GAETON IPPOLITO |
| Credential | M.D. |
| Practice Address |
4412 Fredricksburg Drive Birmingham AL 35213 |
| Practice Telephone | 2059013725 |
| Mailing Telephone | 2059013725 |
| Enumeration Date | 2015-01-29 |
| Last Update Date | 2015-01-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
2182 | AL | Allopathic & Osteopathic Physicians |
| Street Address |
4412 FREDRICKSBURG DRIVE |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649771957 | Charles Derrick Franklin | Optometrist | 3928 Montclair Rd Ste 100, Mountain Brk, AL 35213 | 2018-02-22 |
| 1508386541 | Walker Recovery Center | Clinic/Center | 2195 North Airport Road, Jasper, AL 35213 | 2017-06-21 |
| 1255686523 | John Cocoris | Pediatrics | 4334 Kennesaw Drive, Birmingham, AL 35213 | 2012-07-23 |
| 1720350424 | William Nathan Viar Jr. | Surgery | 3824 Forest Glen Dr., Birmingham, AL 35213 | 2012-01-27 |
| 1225306129 | Thomas Wakefield Mears | Surgery | 2324 Brookshire Place, Birmingham, AL 35213 | 2011-12-06 |
| 1295980589 | Joseph Michael Wright | Nurse Anesthetist, Certified Registered | 117 Lorena Ln, Birmingham, AL 35213 | 2008-12-01 |
| 1174772529 | Ernest Cubbage Wood | Pediatrics | 4200 Wilderness Rd, Birmingham, AL 35213 | 2008-09-10 |
| 1851549976 | Kennedy Rhyne Walker | Optometrist | 4226 Mountaindale Road, Birmingham, AL 35213 | 2008-09-03 |
| 1982882270 | Caroline A Reich Md PC | Radiology | 3634 Montevallo Road, Birmingham, AL 35213 | 2008-02-08 |
| 1093905820 | Kenneth M Arnett | Social Worker | 956 Montelair Road, Suite 101, Birmingham, AL 35213 | 2007-07-27 |
| Find all providers in zip 35213 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588913867 | Muhammad Ali Khan | Internal Medicine | 1720 2nd Ave S # Bdb380, Birmingham, AL 35294 | 2012-09-03 |
| 1851646889 | Lewis Wayne Pressgrove Sr. | Internal Medicine | 2547 Ashford Pl, Birmingham, AL 35243-2244 | 2012-07-16 |
| 1871765552 | Shajan Peter | Internal Medicine | Bdb 363 1720 2nd Ave S, Birmingham, AL 35294 | 2008-04-02 |
| 1629154117 | Allison Duke Bridges | Internal Medicine | 703 19th St S, Zrb 633, Birmingham, AL 35294-0001 | 2006-10-27 |
| 1457433088 | Owen Russell Mclean | Internal Medicine | 1 Independence Plaza Suite 900, Birmingham, AL 35209-2643 | 2006-10-20 |
| 1598772865 | George Ralph Mcwhorter | Internal Medicine | 401 Tuscaloosa Ave Sw, Suite 220, Birmingham, AL 35211-1416 | 2006-08-01 |
| 1578516076 | Ralph Thomas Lyerly Jr. | Internal Medicine | 1532 Carraway Blvd, Suite 220, Birmingham, AL 35234-1955 | 2006-05-18 |
| 1366406514 | Birmingham Gastroenterology Associates PC | Internal Medicine | 1 Independence Plaza, Suite 900, Birmingham, AL 35209 | 2006-04-14 |
| 1780660142 | Kenneth M Sigman | Internal Medicine | 3570 Grandview Pkwy Ste 100, Birmingham, AL 35243-2065 | 2005-12-19 |
| 1679557763 | Mark Richard Janich | Internal Medicine | 1 Independence Plz, Ste 900, Birmingham, AL 35209-2629 | 2005-12-01 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35213 |
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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.