UNIVERSITY OF ALABAMA AT BIRMINGHAM (NPI# 1821351669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821351669 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF ALABAMA AT BIRMINGHAM |
| Other Organization Name | RUSSELL WOUND CARE CENTER |
| Practice Address |
Uab Russell Clinic 1813 6th Ave N, Suite M120 Birmingham AL 35249-0001 |
| Mailing Address |
Po Box 11407 Drawer 624 Birmingham AL 35246-0001 |
| Practice Telephone | 2059969260 |
| Mailing Telephone | 2054376098 |
| Enumeration Date | 2012-06-18 |
| Last Update Date | 2013-03-11 |
| Authorized Official Name | MRS. MARY BETH BRISCOE (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 2059755413 |
| Is Organization Subpart | Y |
| Parent Organization Name | UNIVERSITY OF ALABAMA AT BIRMINGHAM |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0011X |
Preventive Medicine Specialization: Undersea and Hyperbaric Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Russell Wound Care Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558762377 | University of Alabama At Birmingham | General Acute Care Hospital | 686 Longwood Way, Gardendale, AL 35071-4106 | 2014-09-11 |
| 1982048476 | University of Alabama At Birmingham | General Acute Care Hospital | 1700 6th Ave South, Uab, Birmingham, AL 35249 | 2013-04-26 |
| 1265784292 | University of Alabama At Birmingham | Special Hospital | Fot 1164 1720 2 Nd Ave S, Birmingham, AL 35294-3411 | 2012-10-15 |
| 1023311644 | University of Alabama At Birmingham | General Acute Care Hospital | Fot 930, 1530 3rd Ave S, Birmingham, AL 35294-0019 | 2010-12-21 |
| 1356674360 | University of Alabama At Birmingham | Nurse Anesthetist, Certified Registered | 619 19th St S # Jt845, Birmingham, AL 35249-6922 | 2009-09-09 |
| 1508051525 | University of Alabama At Birmingham | Clinical Medical Laboratory | 618 20th Street South, Birmingham, AL 35294 | 2007-09-12 |
| 1235237900 | University of Alabama At Birmingham | Rehabilitation Unit | 500 22nd St S, Birmingham, AL 35233-3110 | 2006-09-20 |
| 1013014851 | University of Alabama At Birmingham | Pharmacy | 908 20th St S Rm 252, Birmingham, AL 35205-2610 | 2006-09-20 |
| 1598862500 | University of Alabama At Birmingham | Dentist | 1919 7th Avenue South, Sdb 53, Birmingham, AL 35294 | 2006-09-20 |
| 1437253168 | University of Alabama At Birmingham | Pharmacy | 601 19th St S, 4th Floor Qt, Birmingham, AL 35249-0001 | 2006-09-12 |
| Street Address |
UAB RUSSELL CLINIC 1813 6TH AVE N, SUITE M120 |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35249-0001 |
| 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 | 2083P0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Undersea and Hyperbaric Medicine |
| A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns and bone infections. This specialist also serves as consultant to other physicians in all aspects of hyperbaric chamber operations and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669928867 | American Hyperbaric Center | Preventive Medicine | 8871 Rand Ave, Unit B, Daphne, AL 36526-9138 | 2016-08-28 |
| 1578861688 | Wiregrass Wound Care LLC | Preventive Medicine | 1908 Fairview Ave, Dothan, AL 36301-3008 | 2011-03-14 |
| 1699750398 | Charles B Smith | Preventive Medicine | 411n Section St 101, Fairhope, AL 36532-2649 | 2005-12-14 |
| 1548262108 | Jeffrey Leigh Wallace | Preventive Medicine | 411 N Section St, Fairhope, AL 36532-2649 | 2005-08-12 |
| 1568088862 | Hyperbaric & Woundcare Inc | Preventive Medicine | 511 Brantley St, Opp, AL 36467-1702 | 2020-06-23 |
| 1083913776 | Jonathon Pendergrass, M.d. | Preventive Medicine | 6801 Airport Blvd, Wcc/hbo, Mobile, AL 36608-3709 | 2011-03-21 |
| 1114198892 | Lovely Wound Care, LLC | Preventive Medicine | 701 University Blvd E, 2nd Floor, Tuscaloosa, AL 35401-2086 | 2008-03-20 |
| 1750434452 | Eamc The Wound Treatment Center | Preventive Medicine | 2000 Pepperell Pkwy, Opelika, AL 36801-5452 | 2007-01-18 |
| City | BIRMINGHAM |
| Zip Code | 35249 |
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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.