MR. LEE DOUGLASS ROBERSON (NPI# 1790750065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790750065 |
| Entity Type | Individual |
| Full Name | MR. LEE DOUGLASS ROBERSON |
| Credential | M.D. |
| Practice Address |
833 Princeton Ave Sw #200a Birmingham AL 35211 |
| Mailing Address |
833 Princeton Ave. Sw 200a Birmingham AL 35211 |
| Practice Telephone | 2057862776 |
| Practice Fax Number | 2057866227 |
| Mailing Telephone | 2057862776 |
| Mailing Fax Number | 2057866227 |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2019-02-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 51905 | KY | Allopathic & Osteopathic Physicians |
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 00019855 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 009960240 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851858211 | Lee Roberson | Licensed Practical Nurse | 1216 Dartmouth Rd, Flossmoor, IL 60422-1642 | 2019-02-21 |
| Street Address |
833 PRINCETON AVE SW #200A |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639173271 | Clifton Thomas Pannell Lewis | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 833 Princeton Ave Sw, Suite 200a, Birmingham, AL 35211-1323 | 2005-06-10 |
| 1750901237 | Jacob Baldwin Switzer | Student in an Organized Health Care Education/Training Program | 833 Princeton Ave Sw, Birmingham, AL 35211-1323 | 2020-04-24 |
| 1396365862 | Heather Rose Russo | Student in an Organized Health Care Education/Training Program | 833 Princeton Ave Sw, Birmingham, AL 35211-1323 | 2020-04-24 |
| 1528688009 | William Chase Wiggins | Student in an Organized Health Care Education/Training Program | 833 Princeton Ave Sw, Birmingham, AL 35211-1323 | 2020-04-24 |
| 1699395178 | Whitney Jawan Smith | Student in an Organized Health Care Education/Training Program | 833 Princeton Ave Sw, Birmingham, AL 35211-1323 | 2020-04-24 |
| 1790305282 | Paul Yager | Student in an Organized Health Care Education/Training Program | 833 Princeton Ave Sw, Birmingham, AL 35211-1323 | 2020-04-24 |
| 1619597184 | Abigail Mcmurry Smith | Student in an Organized Health Care Education/Training Program | 833 Princeton Ave Sw, Birmingham, AL 35211-1323 | 2020-04-24 |
| 1023638871 | Long Ly | Student in an Organized Health Care Education/Training Program | 833 Princeton Ave Sw, Birmingham, AL 35211-1323 | 2020-04-22 |
| 1235759002 | James Clayton Parker IIi | Student in an Organized Health Care Education/Training Program | 833 Princeton Ave Sw, Birmingham, AL 35211-1323 | 2020-04-22 |
| 1285254052 | Bonnie Elizabeth Moore | Student in an Organized Health Care Education/Training Program | 833 Princeton Ave Sw, Birmingham, AL 35211-1323 | 2020-04-22 |
| Find all providers in the same location | ||||
| 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 | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487693982 | Carlton Duane Randleman Jr. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2704 20th St S, Ste 100, Birmingham, AL 35209-1924 | 2006-06-06 |
| 1396791604 | Stanley K Lochridge | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2871 Acton Road, Suite 100, Birmingham, AL 35243-2560 | 2006-05-26 |
| 1639173271 | Clifton Thomas Pannell Lewis | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 833 Princeton Ave Sw, Suite 200a, Birmingham, AL 35211-1323 | 2005-06-10 |
| 1326388158 | Baptist Health Center Princeton Cardiothoracic Surgery | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 833 Princeton Ave Sw, Pob IIi; Suite 200a, Birmingham, AL 35211-1323 | 2013-02-14 |
| 1063709624 | Kyle William Eudailey | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 619 19th St S, Birmingham, AL 35249-1303 | 2011-07-05 |
| 1801181649 | Panayotis Vardas | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 619 19th St S, Birmingham, AL 35249-5969 | 2011-06-09 |
| 1013154962 | Benjamin Wei | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2000 6th Ave S, Birmingham, AL 35233-2110 | 2009-01-14 |
| 1073766309 | Hurley W Knott | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 860 Montclair Rd, Birmingham, AL 35213-1923 | 2008-10-30 |
| 1649368739 | Thoracic and Cardio.surgeons,pc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 880 Montclair Rd, Suite 380, Birmingham, AL 35213-1972 | 2006-10-11 |
| 1083624357 | Gregory Allen Thomas | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 817 Princeton Ave Sw, Suite 300 - Pob II, Birmingham, AL 35211-1333 | 2006-08-09 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35211 |
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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.