KSENIA NIKOLAYEVNA BLINNIKOVA (NPI# 1740646181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740646181 |
| Entity Type | Individual |
| Full Name | KSENIA NIKOLAYEVNA BLINNIKOVA |
| Credential | MD |
| Practice Address |
1201 11th Ave S Ste 410 Birmingham AL 35205-3423 |
| Practice Telephone | 2059349700 |
| Practice Fax Number | 2059756962 |
| Mailing Telephone | 2059349700 |
| Mailing Fax Number | 2059756962 |
| Enumeration Date | 2016-01-14 |
| Last Update Date | 2018-11-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 37486 | AL | Allopathic & Osteopathic Physicians |
| Street Address |
1201 11TH AVE S STE 410 |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35205-3423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992328546 | Caroline Cohen | Dietitian, Registered | 1201 11th Ave S Ste 410, Birmingham, AL 35205-3423 | 2020-05-18 |
| 1003318619 | Andrea Dial | Nurse Practitioner | 1201 11th Ave S Ste 410, Birmingham, AL 35205-3423 | 2018-02-28 |
| 1588192520 | Mallory Diane Lewis | Family Medicine | 1201 11th Ave S Ste 410, Birmingham, AL 35205-3423 | 2017-06-02 |
| 1740720853 | Kaylee B Crockett | Psychologist | 1201 11th Ave S Ste 410, Birmingham, AL 35205-3423 | 2017-03-08 |
| 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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639718968 | Doctorwellington LLC | Family Medicine | 1500 1st Ave N Unit 37, Birmingham, AL 35203-1872 | 2020-01-03 |
| 1427696400 | Lori Kaye Hess | Family Medicine | 1387 Pierce St, Birmingham, MI 48009-3648 | 2019-12-20 |
| 1033765888 | Alabama Regional Medical Services | Family Medicine | 2800 Wilson Rd Sw, Birmingham, AL 35221-1303 | 2019-08-16 |
| 1104326925 | Alabama Regional Medical Services | Family Medicine | 3200 27th St N Ste C, Birmingham, AL 35207-4554 | 2018-02-19 |
| 1053832089 | Medhelp Shelby, LLC | Family Medicine | 3143 Pelham Parkway, Birmingham, AL 35214 | 2017-06-29 |
| 1740718006 | Alabama Regional Medical Services | Family Medicine | 921 2nd Ave N, Birmingham, AL 35203-3019 | 2017-05-31 |
| 1902333974 | Liberty Wellness Services | Family Medicine | 420 20th St N Ste 2200, Birmingham, AL 35203-3261 | 2017-05-22 |
| 1205361912 | St Vincents Primary Care Patchwork Farms LLC | Family Medicine | 3056 Healthy Way, Suite 100, Birmingham, AL 35243-2434 | 2017-05-01 |
| 1669926861 | My E-physicians, PC | Family Medicine | 1381 Birmingham Blvd, Birmingham, MI 48009-1997 | 2016-08-05 |
| 1083080907 | Greystone Family Medicine PC | Family Medicine | 6930 Cahaba Valley Rd Ste 102, Birmingham, AL 35242-2673 | 2015-08-14 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35205 |
Please comment or provide details below to improve the information on KSENIA NIKOLAYEVNA BLINNIKOVA.
| 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.