RAYMOND A MOCK (NPI# 1740308121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740308121 |
| Entity Type | Individual |
| Full Name | RAYMOND A MOCK |
| Credential | ACNP |
| Practice Address |
833 Princeton Ave Sw Ste 200a Birmingham AL 35211 |
| Mailing Address |
1130 22nd St S Ste 1000 Birmingham AL 35205-2881 |
| Practice Telephone | 2057862776 |
| Practice Fax Number | 2057866227 |
| Mailing Telephone | 4698932065 |
| Mailing Fax Number | 4698933065 |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2019-04-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
1-083338 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
R865463 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 07506279 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 833 Princeton Ave Sw Ste 200a, Birmingham, AL 35211 | 2057862776 | 2057866227 |
| Street Address |
833 PRINCETON AVE SW STE 200A |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588651277 | Hugh Timothy Mcconnell | Physician Assistant | 833 Princeton Ave Sw Ste 200a, Birmingham, AL 35211-1321 | 2005-09-29 |
| 1235752841 | Julia Perkins | Nurse Practitioner | 833 Princeton Ave Sw Ste 200a, Birmingham, AL 35211-1321 | 2020-05-19 |
| 1760022875 | Alyssa Morgan Bray | Nurse Practitioner | 833 Princeton Ave Sw Ste 200a, Birmingham, AL 35211-1321 | 2020-01-07 |
| 1124580584 | Jessica Nicole Horsley | Nurse Practitioner | 833 Princeton Ave Sw Ste 200a, Birmingham, AL 35211-1321 | 2019-04-04 |
| 1467927848 | Jacob Ray | Nurse Practitioner | 833 Princeton Ave Sw Ste 200a, Birmingham, AL 35211-1321 | 2018-10-11 |
| 1346359866 | Mark Jacobs | Physician Assistant | 833 Princeton Ave Sw Ste 200a, Birmingham, AL 35211-1321 | 2006-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982216123 | Tara Brown | Technician | 2007 Goldwire Trce, Birmington, AL 35211 | 2020-08-19 |
| 1477173318 | Jeffrey D. Cooney | Student in an Organized Health Care Education/Training Program | 833 Princeton Avenue Sw, Professional Office Bldg 3, Suite 200-e, Birmingham, AL 35211 | 2020-04-21 |
| 1982253852 | Josephine Cook | Technician | 1255 18th St Sw, Birmingham, AL 35211 | 2019-09-04 |
| 1154882322 | Stephen Jenkins | Registered Nurse | 701 Princeton Ave. Sw, Birmingham, AL 35211 | 2019-03-28 |
| 1780107052 | Negar Massah | Dentist | 2850 Venice Rd, Apt 1135, Birmingham, AL 35211 | 2017-07-19 |
| 1417075342 | Joseph Edward Mcjunkin | Pharmacist | 1308-tuscaloosa Ave.sw, Birmingham, AL 35211 | 2007-03-27 |
| 1669500880 | Prakash Chand Kansal | Internal Medicine | 801 Princeton Avenue, Pob 1, Suite 332., Birmingham, AL 35211 | 2007-03-01 |
| 1588717284 | Laquinta Johnson | Occupational Therapist | 420 10th St Sw, Birmingham, AL 35211 | 2007-01-18 |
| 1174613160 | Praveen Jetty | Psychiatry & Neurology | 401 Tuscaloosa Ave. S.w., Suite 110, Birmingham, AL 35211 | 2006-10-13 |
| 1326134180 | Yahya M Sabri | Obstetrics & Gynecology | 801 Princton Ave, Prof Office Bldg I Suite 332, Birmingham, AL 35211 | 2006-10-05 |
| Find all providers in zip 35211 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205441821 | Jordan Forsythe | Nurse Practitioner | 903 Faculty Office Tower 510 20th Street South, Birmingham, AL 35293-0001 | 2020-09-10 |
| 1972116242 | Adonis Carol Goodwin | Nurse Practitioner | 1201 11th Ave S Fl 4, Birmingham, AL 35205-3423 | 2020-08-26 |
| 1801412952 | William Ryan Lemon | Nurse Practitioner | 701 19th St S # Lhr748, Birmingham, AL 35233-1926 | 2020-06-24 |
| 1831718808 | Cheng Wei Hseu | Nurse Practitioner | 701 19th St S # Lhrb112, Birmingham, AL 35233-1926 | 2020-04-10 |
| 1902442270 | Candace Haake Hill | Nurse Practitioner | 619 19th St S # Wp302, Birmingham, AL 35249-1900 | 2019-11-21 |
| 1619436490 | Amy Gamble Cole | Nurse Practitioner | 601 S 19th St, Birmingham, AL 35294-0001 | 2019-03-19 |
| 1609347574 | Jordan Tyler Chambers | Nurse Practitioner | 619 19th St S # Ohb251, Birmingham, AL 35249-1932 | 2018-12-17 |
| 1962972968 | Jonathan Mccrary | Nurse Practitioner | 100 Pilot Medical Dr Ste 250, Birmingham, AL 35235-3448 | 2018-12-03 |
| 1164935110 | Christion Danielle Green | Nurse Practitioner | 619 19th St S Ste P915, Birmingham, AL 35233-1900 | 2017-11-13 |
| 1255843900 | Robert Richardson | Nurse Practitioner | 1802 6th Ave South, Np 5240 5th Floor North Pavillion, Birmingham, AL 35233 | 2017-11-02 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35211 |
Please comment or provide details below to improve the information on RAYMOND A MOCK.
| 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.