GIA S RANDALL WOOLEN (NPI# 1760665459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760665459 |
Entity Type | Individual |
Full Name | GIA S RANDALL WOOLEN |
Other Name | GIA FREEMAN |
Credential | P.A. |
Practice Address |
810 Saint Vincents Dr # 720 Birmingham AL 35205-1601 |
Mailing Address |
810 St Vincents Dr Pob 1 Suite #720 Birmingham AL 35205 |
Practice Telephone | 2059302456 |
Mailing Telephone | 2059302456 |
Enumeration Date | 2007-12-17 |
Last Update Date | 2018-01-29 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363A00000X | Physician Assistant | 006451 | GA | Physician Assistants & Advanced Practice Nursing Providers |
N | 363A00000X | Physician Assistant | MA052202 | PA | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
.821 | AL | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
810 SAINT VINCENTS DR # 720 |
City | BIRMINGHAM |
State | AL |
Zip Code | 35205-1601 |
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 | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821639154 | Grace Blane Mcmahan | Physician Assistant | 972 Montclair Rd Ste 100, Birmingham, AL 35213-1203 | 2019-10-08 |
1780247692 | Rachel Anne Stallman | Physician Assistant | 601 S 19th Street, Birmingham, AL 35294-0001 | 2019-04-16 |
1457975286 | Kenna Kuehn | Physician Assistant | 619 19th St S Ste P915, Birmingham, AL 35233-1900 | 2020-06-08 |
1578198818 | Isabelle Kallenberg | Physician Assistant | 620 19th St S, Birmingham, AL 35233 | 2020-03-06 |
1578194270 | Erin Margaret Dorman | Physician Assistant | 619 19th St S Ste P915, Birmingham, AL 35233-1900 | 2020-01-31 |
1255979225 | Tyler James Lacoste | Physician Assistant | 1201 11th Ave S, Birmingham, AL 35205-3423 | 2019-12-20 |
1659913713 | Anna Pierce Ireland | Physician Assistant | 619 19th St S, Birmingham, AL 35249-1900 | 2019-10-10 |
1174164255 | Andrew Parker Bartran | Physician Assistant | 1802 6th Ave S, Birmingham, AL 35233-1932 | 2019-09-30 |
1982160719 | Itia Dowdell | Physician Assistant | 2000 6th Ave S, Birmingham, AL 35233-2110 | 2019-02-18 |
1447716766 | Jessica Maria Mena | Physician Assistant | 2010 Brookwood Medical Ctr Dr, Birmingham, AL 35209-6804 | 2019-02-11 |
Find all providers in BIRMINGHAM |
City | BIRMINGHAM |
Zip Code | 35205 |
Please comment or provide details below to improve the information on GIA S RANDALL WOOLEN.
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.