PETER D WAITE (NPI# 1871561688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871561688 |
| Entity Type | Individual |
| Full Name | PETER D WAITE |
| Credential | DDS, MD |
| Practice Address |
619 19th St S Birmingham AL 35249-1900 |
| Mailing Address |
Po Box 55310 Birmingham AL 35255-5310 |
| Practice Telephone | 2059344011 |
| Practice Fax Number | 2052979411 |
| Mailing Telephone | 2057319701 |
| Mailing Fax Number | 2052979411 |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2011-06-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
03805 | AL | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 009944575 | 05 | |
| AL | BLUE CROSS | 051519858 | 01 |
| Street Address |
619 19TH ST S |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35249-1900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205838505 | Peggy Calhoun Wilson | Pharmacist | 619 19th St S, Birmingham, AL 35249-1900 | 2005-06-01 |
| 1922607548 | Breck Fowler Hamilton | Registered Nurse | 619 19th St S, Birmingham, AL 35249-1900 | 2020-10-24 |
| 1477152650 | Brandi Bailey | Nurse Practitioner | 619 19th St S, Birmingham, AL 35233-1900 | 2020-10-20 |
| 1003415456 | Shannon Marie Harrison | Registered Nurse | 619 19th St S, Birmingham, AL 35233-1900 | 2020-10-17 |
| 1720685886 | Aeriel Flippo Swinsick | Nurse Practitioner | 619 19th St S, Birmingham, AL 35249-1900 | 2020-10-02 |
| 1477160604 | Lundy Starke Williams | Nurse Practitioner | 619 19th St S, Birmingham, AL 35249-1900 | 2020-10-01 |
| 1003422320 | Leah York | Registered Nurse | 619 19th St S, Birmingham, AL 35249-1900 | 2020-09-22 |
| 1972123420 | William Chase Cooper | Registered Nurse | 619 19th St S, Birmingham, AL 35233-1900 | 2020-04-24 |
| 1699394494 | Eme Unanaowo | Registered Nurse | 619 19th St S, Spain Wallace Bldg, Birmingham, AL 35233-1900 | 2020-04-11 |
| 1285253369 | Robert Chase Ruffo | Student in an Organized Health Care Education/Training Program | 619 19th St S, Birmingham, AL 35249-1900 | 2020-04-09 |
| Find all providers in the same location | ||||
| 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 | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710196506 | Lisa Miller | Dentist | 1 Inverness Center Pkwy Ste 200, Birmingham, AL 35242-4865 | 2007-05-21 |
| 1063506533 | Harold Newton Burton | Dentist | 1771 Independence Court, Suite 2, Birmingham, AL 35216 | 2006-10-02 |
| 1982719639 | William Pettus Buck Jr. | Dentist | 1112 19th St S, Birmingham, AL 35205-4814 | 2006-08-21 |
| 1578677233 | Christopher Michael Rothman | Dentist | 2290 Valleydale Road, Suite 100, Birmingham, AL 35244-2011 | 2006-08-19 |
| 1669441333 | Dennis Dale Carr | Dentist | 101 Heatherbrooke Park Dr, Birmingham, AL 35242-8008 | 2006-03-16 |
| 1497739494 | Jon D Holmes | Dentist | 1500 19th St S, Suite 200, Birmingham, AL 35205-5628 | 2005-12-02 |
| 1811979719 | Jonathon Henning Anderson | Dentist | 555 S Old Woodward Ave Ste 777, Birmingham, MI 48009-6618 | 2005-11-16 |
| 1881236883 | Blake Phillips D.m.d., P.C. | Dentist | 1112 19th St S, Birmingham, AL 35205-4814 | 2019-10-10 |
| 1003378274 | Ryan Chase Seeley | Dentist | 1919 7th Ave S, Birmingham, AL 35233-2005 | 2019-04-04 |
| 1598255044 | Birmingham Oral & Maxillofacial Surgery, Plc | Dentist | 555 S Old Woodward Ave Ste 777, Birmingham, MI 48009 | 2018-05-10 |
| Find all providers in BIRMINGHAM | ||||
| 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.