Alabama Radiation Therapy Services
Organization Active NPI Radiation Oncology Physician · Birmingham, AL
NPI 1013407675 · NPPES record last updated Aug 29, 2022
Key facts
- NPI
- 1013407675
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Radiation Oncology Physician 2085R0001X
- Legal business name
- ALABAMA RADIATION THERAPY SERVICES
- Practice address
- 3670 Grandview Pkwy #100
Birmingham, AL 35243 - Phone
- (205) 971-1800
- NPI assigned
- May 18, 2018
- Organization subpart
- No
Authorized official
- Name
- Robin Messina
- Title
- Credentialing
- Phone
- (407) 788-1906
Practitioners 4
-
William Henry Ennis, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180914000006 | AL | Part B Supplier - Clinic/Group Practice | 6507116464 |
Receives reassigned benefits from 4 practitioners Practice locations: Birmingham, AL |
National Provider Directory
Locations
3670 Grandview Pkwy
Ste 100
Birmingham, AL 35243
Phone (205) 971-1800
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician |
2085R0001X | Yes |
Addresses
Primary practice location
3670 Grandview Pkwy #100
Birmingham, AL 35243
Mailing address
PO Box 531006
Atlanta, GA 30353-1006
Phone (800) 329-1906
Other providers in Birmingham, AL
- Alabama Pediatrics
- Alabama Physical Therapy Services of Birmingham, LLC
- Alabama Psychiatric Services PC
- Alabama Psychiatry & Therapy LLC
- Alabama Psychotherapy and Wellness Center
- Alabama Regional Medical Services
- Alabama Regional Medical Services
- Alabama Regional Medical Services
- Alabama Regional Medical Services
- Alabama Regional Medical Services
All providers in Birmingham, AL · Radiation Oncology Physician in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 29, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.