MEDICAL SPA MOKSHA, L.L.C. (NPI# 1912231895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912231895 |
| Entity Type | Organization |
| Organization Name | MEDICAL SPA MOKSHA, L.L.C. |
| Practice Address |
500 Cahaba Park Cir Birmingham AL 35242-5087 |
| Practice Telephone | 2059809393 |
| Practice Fax Number | 2059804494 |
| Mailing Telephone | 2059809393 |
| Mailing Fax Number | 2059804494 |
| Enumeration Date | 2009-09-25 |
| Last Update Date | 2009-09-25 |
| Authorized Official Name | DR. WILLIAM B NICKELL (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 2059809393 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
3370 | AL | Ambulatory Health Care Facilities |
| Y | 208200000X | Plastic Surgery | 3370 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NPI | 1306901517 | 01 |
| Street Address |
500 CAHABA PARK CIR |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35242-5087 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932189446 | Kirit F Patel | Anesthesiology | 500 Cahaba Park Cir, Birmingham, AL 35242-5010 | 2006-01-19 |
| 1124583232 | Misty Ann Barrett | Nurse Practitioner | 500 Cahaba Park Cir, Birmingham, AL 35242-5087 | 2019-02-02 |
| 1235642729 | Justyn Lamb Millar | Nurse Practitioner | 500 Cahaba Park Cir, Birmingham, AL 35242-5087 | 2017-11-07 |
| 1124541438 | Children's Urgent Care, LLC | Family Medicine | 500 Cahaba Park Cir, Ste 100, Birmingham, AL 35242 | 2017-07-18 |
| 1063863157 | American Health Research Institute, Inc. | Ophthalmology | 500 Cahaba Park Cir, Birmingham, AL 35242-5087 | 2016-06-29 |
| 1306901517 | William B Nickell | Plastic Surgery | 500 Cahaba Park Cir, Birmingham, AL 35242-5087 | 2006-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558960138 | A Friend of Mind | Behavioral Analyst | 5271 Harvest Ridge Ln, Birmingham, AL 35242 | 2020-10-23 |
| 1295347789 | Restore Therapy Services, Ltd | Physical Therapist | 6328 Farley Lane, Birmingham, AL 35242 | 2020-08-18 |
| 1447894175 | Publix Alabama, LLC | Durable Medical Equipment & Medical Supplies | 3201 Endeavor Lane, Vestavia Hills, AL 35242 | 2019-11-06 |
| 1952956468 | Publix Alabama, LLC | Durable Medical Equipment & Medical Supplies | 6219 Tattersall Blvd., Hoover, AL 35242 | 2019-08-02 |
| 1033670120 | Rachel Monahan -patterson | Registered Nurse | 7191 Cahaba Valley Road, Suite 300, Birmingham, AL 35242 | 2019-03-29 |
| 1891283818 | Elizabeth Mcrae | Counselor | 150 Glenwood Lane, Birmingham, AL 35242 | 2018-04-25 |
| 1326549429 | Mary Virginia Colvert | Nurse Practitioner | 200 Riverhill Business Park, #250, Birmingham, AL 35242 | 2018-02-23 |
| 1669980504 | Liberty Park Anesthesia Services, LLC | Nurse Anesthetist, Certified Registered | 1940 Stonegate Dr Ste 30, Vestavia Hls, AL 35242 | 2018-01-12 |
| 1942710983 | Southern Dental Sleep Specialists LLC | Clinic/Center | 4960 Valleydale Rd Ste 100, Birmingham, AL 35242 | 2017-10-04 |
| 1922526557 | Sarah Katherine Fleming | Specialist/Technologist | 1524 Southern Drive, Birmingham, AL 35242 | 2017-09-04 |
| Find all providers in zip 35242 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205312105 | Maryam Saheb-al-zamani | Plastic Surgery | 510 20th St South, Birmingham, AL 35294-3411 | 2018-07-13 |
| 1013262476 | Ahmet R Karaca Md PC | Plastic Surgery | 101 Townsend St, Birmingham, MI 48009-6001 | 2012-07-20 |
| 1013033976 | M. Azhar Ali Md PC | Plastic Surgery | 353 S Old Woodward Ave, Birmingham, MI 48009 | 2007-03-22 |
| 1952445843 | M Eugene Moor IIi | Plastic Surgery | 2850 Cahaba Rd, Ste 120, Birmingham, AL 35213 | 2007-02-16 |
| 1710088117 | Grady Bruce Core | Plastic Surgery | 3595 Grandview Pkwy Ste 150, Birmingham, AL 35243-1935 | 2006-09-26 |
| 1982716536 | Stephen R Steinmetz | Plastic Surgery | 2700 10th Ave S Ste 510, Birmingham, AL 35205-1250 | 2006-08-31 |
| 1568471548 | Alvin B Cohn | Plastic Surgery | 1 Inverness Center Pkwy, Suite 100, Birmingham, AL 35242-4817 | 2006-08-07 |
| 1518910892 | Jason M Jack | Plastic Surgery | 2000 Stonegate Trl, Suite 100, Birmingham, AL 35242-2246 | 2006-05-18 |
| 1215989306 | Hedden Plastic Surgery | Plastic Surgery | 111 Village St, Suite 202, Birmingham, AL 35242-6477 | 2006-05-17 |
| 1588616551 | William James Hedden | Plastic Surgery | 140 Village St, Suite 100, Birmingham, AL 35242-6410 | 2006-05-17 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35242 |
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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.