NAMASIVAYAM AMBALAVANAN (NPI# 1770527012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770527012 |
| Entity Type | Individual |
| Full Name | NAMASIVAYAM AMBALAVANAN |
| Credential | M.D. |
| Practice Address |
525 Nhb 619 South 19th Street Birmingham AL 35249-0001 |
| Mailing Address |
Po Box 55823 Birmingham AL 35255-5823 |
| Practice Telephone | 2059962244 |
| Practice Fax Number | 2059962254 |
| Mailing Telephone | 2059962244 |
| Mailing Fax Number | 2059962254 |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
20362 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | MISSISSIPPI MEDICAID | 00124464 | 01 |
| AL | HEALTHSPRING | 47489 | 01 |
| AL | BC BS | 51098585 | 01 |
| VIVA | G21455 | 01 | |
| AL | UHC | 4710057 | 01 |
| AL | 9940270 | 05 |
| Street Address |
525 NHB 619 SOUTH 19TH STREET |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35249-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902857899 | Carl Herndon Coghill IIi | Pediatrics | 525 Nhb, 619 South 19th Street, Birmingham, AL 35249-0001 | 2006-05-15 |
| 1770777112 | Katarzyna Dabrowska | Pediatrics | 525 Nhb, 619 S 19th St, Birmingham, AL 35249-0001 | 2007-08-29 |
| 1639399439 | Christopher C Foster | Pediatrics | 525 Nhb, 619 South 19th Street, Birmingham, AL 35249-0001 | 2007-04-26 |
| 1508984451 | Jon Davin Miller | Pediatrics | 525 Nhb, 619 South 19th Street, Birmingham, AL 35249-0001 | 2007-03-27 |
| 1619987302 | Uahsf Neonatology | Pediatrics | 525 Nhb, 619 So 19th St, Birmingham, AL 35249-0001 | 2006-08-08 |
| 1982612073 | Uahsf Newborn Nursery | Pediatrics | 525 Nhb, 619 So 19th Street, Birmingham, AL 35249-0001 | 2006-08-04 |
| 1487690764 | Elaine B St John | Pediatrics | 525 Nhb, 619 South 19th Street, Birmingham, AL 35249-0001 | 2006-06-22 |
| 1235175662 | Joseph B Philips IIi | Pediatrics | 525 Nhb, 619 South 19th Street, Birmingham, AL 35249-0001 | 2006-06-22 |
| 1225072770 | Waldemar A Carlo | Pediatrics | 525 Nhb, 619 South 19th Street, Birmingham, AL 35249-0001 | 2006-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770070682 | Jordan Bauer | Student in an Organized Health Care Education/Training Program | 625 19 Street South, Birmingham, AL 35249 | 2018-04-16 |
| 1356847917 | Kathryn Leonards Sinquefield | Student in an Organized Health Care Education/Training Program | 625 19 Th Street South, Birmingham, AL 35249 | 2018-04-03 |
| 1285167288 | Lauren Marie Theiss | Student in an Organized Health Care Education/Training Program | 625 19th Street S, Birmingham, AL 35249 | 2017-04-06 |
| 1992159040 | Christopher Lee Anderson | Student in an Organized Health Care Education/Training Program | 625 19th St South, Birmingham, AL 35249 | 2016-04-14 |
| 1154715365 | Danielle Demontigny Avila | Internal Medicine | 625 19th St. South, Birmingham, AL 35249 | 2015-03-25 |
| 1417398033 | Rehan Ajmal Sarmad | Internal Medicine | 625 19th Street South Birmingham, Birmingham, AL 35249 | 2013-07-11 |
| 1760828560 | Diana Murro Lin | Pathology | 619 19th St S # Hsb130, Birmingham, AL 35249 | 2013-05-20 |
| 1982048476 | University of Alabama At Birmingham | General Acute Care Hospital | 1700 6th Ave South, Uab, Birmingham, AL 35249 | 2013-04-26 |
| 1255693149 | William M Perez | Obstetrics & Gynecology | 176f 10360d 619 19th Street South, Birmingham, AL 35249 | 2012-06-15 |
| 1942504642 | Melanie R. Sparks | Nurse Practitioner | 1700 6th Ave. South, Wic Suite 2342, Birmingham, AL 35249 | 2011-01-10 |
| Find all providers in zip 35249 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629013412 | Virginia Anne Karle | Pediatrics | 1700 6th Ave S # 176f, Birmingham, AL 35233 | 2006-06-17 |
| 1225085608 | Brian Sims | Pediatrics | 619 20th Ave S, Nhb 525, Birmingham, AL 35205-6417 | 2006-05-30 |
| 1639126006 | Rune Toms | Pediatrics | 619 South 20th Street, 525 Nhb, Birmingham, AL 35294-0001 | 2006-05-30 |
| 1902857899 | Carl Herndon Coghill IIi | Pediatrics | 525 Nhb, 619 South 19th Street, Birmingham, AL 35249-0001 | 2006-05-15 |
| 1821075110 | Martha J Strange | Pediatrics | 2010 Brookwood Medical Center Dr, Birmingham, AL 35209-6804 | 2005-12-28 |
| 1699232363 | Tone Solvik-olsen | Pediatrics | 1700 6th Ave S Ste 9380, Birmingham, AL 35233-1802 | 2019-02-28 |
| 1699251561 | Kristi Stripling | Pediatrics | 3690 Grandview Pkwy, Birmingham, AL 35243 | 2018-07-13 |
| 1972001949 | Amy Edwards Luster | Pediatrics | 810 Saint Vincents Dr, Birmingham, AL 35205-1601 | 2018-01-24 |
| 1558878843 | Cathrine Overaa | Pediatrics | 1700 6th Ave S, Birmingham, AL 35233-1802 | 2018-01-08 |
| 1093127995 | Anisha Bhatia | Pediatrics | 1700 6th Ave S, Birmingham, AL 35233-1802 | 2014-05-27 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35249 |
Please comment or provide details below to improve the information on NAMASIVAYAM AMBALAVANAN.
| 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.