SKIN PATHOLOGY ASSOCIATES, INC (NPI# 1891791539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891791539 |
| Entity Type | Organization |
| Organization Name | SKIN PATHOLOGY ASSOCIATES, INC |
| Other Organization Name | SKIN PATHOLOGY ASSOCIATES, PC |
| Practice Address |
3550 Independence Dr Birmingham AL 35209-5710 |
| Mailing Address |
3560 Independence Dr Birmingham AL 35209-5703 |
| Practice Telephone | 2059492806 |
| Practice Fax Number | 2059492875 |
| Mailing Telephone | 2059492806 |
| Mailing Fax Number | 2059492875 |
| Enumeration Date | 2005-06-27 |
| Last Update Date | 2013-08-30 |
| Authorized Official Name | MS. SHARON E. MCGEE (OFFICE MANAGER) |
| Authorized Official Telephone | 2059492806 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 01D0986730 | AL | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 529918670 | 05 |
| Other Name | Type Code |
|---|---|
| Skin Pathology Associates, PC | Former Legal Business Name - Organization |
| Street Address |
3550 INDEPENDENCE DR |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35209-5710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265438972 | Emily Fowler Omura | Pathology | 3550 Independence Dr, Birmingham, AL 35209-5710 | 2005-06-27 |
| 1447639125 | Edward Hendrik Fulton | Pathology | 3550 Independence Dr, Birmingham, AL 35209 | 2015-05-27 |
| 1376970236 | Skin Pathology Associates, LLC | Pathology | 3550 Independence Dr, Birmingham, AL 35209-5710 | 2013-10-08 |
| 1962760728 | Gina Elizabeth Johnson | Pathology | 3550 Independence Dr, Birmingham, AL 35209-5710 | 2012-04-30 |
| 1013151554 | Alexander Wong | Pathology | 3550 Independence Dr, Birmingham, AL 35209-5710 | 2009-04-28 |
| 1003072000 | Kyle Charles Mills | Pathology | 3550 Independence Dr, Birmingham, AL 35209-5710 | 2008-07-30 |
| 1750387460 | Anne Hearn Bussian | Pathology | 3550 Independence Dr, Birmingham, AL 35209-5710 | 2005-06-27 |
| 1568468270 | James Earnest Elder | Pathology | 3550 Independence Dr, Birmingham, AL 35209-5710 | 2005-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437793510 | Marissa M Mcintyre | Registered Nurse | 3401 Independence Drive, Suite 221, Birmingham, AL 35209 | 2019-11-01 |
| 1093284457 | Patriot Healthcare of Alabama, LLC | Family Medicine | 2045 Brookwood Medical Center Drive, Suite 1, Birmingham, AL 35209 | 2018-11-15 |
| 1164902268 | Lucy Johnston | Physician Assistant | 1602 Woodfern Dr, Homewood, AL 35209 | 2018-08-17 |
| 1881184646 | Wade Louis Grady | Specialist/Technologist | 800 Larkshore Drive, Birmingham, AL 35209 | 2018-05-16 |
| 1154823029 | Taylor Payne | Physical Medicine & Rehabilitation | 109 Devon Dr, Birmingham, AL 35209 | 2018-03-06 |
| 1396251542 | 1st America Infusion Services LLC | Durable Medical Equipment & Medical Supplies | 120 Oxmoor Blvd Ste 100, Birmingham, AL 35209 | 2017-12-26 |
| 1376060954 | Hannah Holloway | Specialist/Technologist | 725 Crest Lane, Birmingham, AL 35209 | 2017-08-24 |
| 1558887463 | Paul A Rhodes | Nurse Practitioner | 631 Beacon Center Office Park, Suite 108, Birmingham, AL 35209 | 2017-08-22 |
| 1538542196 | Proteus Molecular and Clinical Lab LLC | Clinical Medical Laboratory | 218 Summit Pkwy, Suite 250, Homewood, AL 35209 | 2015-07-01 |
| 1124407739 | Randall Alban | Nurse Practitioner | 2100 Southbridge Parkway, Suite 650, Birmingham, AL 35209 | 2015-05-28 |
| Find all providers in zip 35209 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
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| 1750995361 | Advanced Spinal Reconstruction Pllc | Specialist | 972 Chesterfield Ave, Birmingham, MI 48009-1223 | 2020-09-01 |
| 1609342088 | Vituro Health of Georgia, LLC | Specialist | 2901 2nd Ave S Ste 130, Birmingham, AL 35233-2928 | 2018-10-23 |
| 1356889547 | David Perry | Specialist | 3208 Colony Park Dr, Birmingham, AL 35243-2396 | 2017-02-07 |
| 1316481294 | Elite Imaging, LLC | Specialist | 200 Cahaba Park Circle, Suite 215, Birmingham, AL 35242 | 2016-12-12 |
| 1174076640 | Tracy Denise Gulley | Specialist | 1005 Garrett Dr, Birmingham, AL 35235-1422 | 2016-08-01 |
| 1497122931 | Ihab Nader Tawfik Atallah | Specialist | Bdb 563, 1720 2nd Avenue South, Birmingham, AL 35294-0012 | 2015-09-01 |
| 1568852572 | Brittney Bass-gray | Specialist | 1251 Beacon Pkwy E, Unit 202, Birmingham, AL 35209-1069 | 2015-01-28 |
| 1700280773 | Implantable Supplies | Specialist | 605 Queens Gate, Birmingham, AL 35242-7221 | 2014-10-20 |
| 1083031975 | Timothy Connolly | Specialist | 1720 2nd Avneue S, Bdb 563, Birmingham, AL 35294-0012 | 2014-03-28 |
| 1710226329 | Charles Peter Diliberti | Specialist | 235 Inverness Center Dr, Apt#001, Birmingham, AL 35242-4805 | 2013-02-04 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35209 |
Please comment or provide details below to improve the information on SKIN PATHOLOGY ASSOCIATES, INC.
| 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.