NPIMap

Organization Active NPI

Robert J Sciacca MD PC

  • Otolaryngology Physician
  • Birmingham, AL
National Provider Identifier
1023319563
Registry record updated Nov 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
8954 Issued in AL
Legal business name
ROBERT J SCIACCA MD PC
Practice address
4515 Southlake Pkwy
Ste 300
Birmingham, AL 35244-3317
Phone
(205) 985-7393
Fax
(205) 987-1332
NPI assigned
Nov 16, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Latara D Pollard
Title
Office Manager
Phone
(205) 985-7393

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X 8954 AL Primary

Addresses

Primary practice location

4515 Southlake Pkwy
Ste 300
Birmingham, AL 35244-3317

Mailing address

4515 Southlake Pkwy
Ste 300
Birmingham, AL 35244-3317
Phone (205) 985-7393

Other identifiers 4

IdentifierTypeStateIssuer
51104671OtherALBCBS
040004918OtherALMCRRR
118134MedicaidAL
167432400OtherALOWCP

Other names 1

  • Alabama ENT Associates Doing business as

National Provider Directory

National Provider Directory

Locations

4501 Southlake Pkwy
Ste 200
Hoover, AL 35244
Phone (205) 985-7393

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1289865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289865600000",
    "number": "1023319563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4515 SOUTHLAKE PKWY",
            "address_2": "STE 300",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352443317",
            "telephone_number": "205-985-7393",
            "fax_number": "205-987-1332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4515 SOUTHLAKE PKWY",
            "address_2": "STE 300",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352443317",
            "telephone_number": "205-985-7393",
            "fax_number": "205-987-1332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT J SCIACCA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-16",
        "last_updated": "2010-11-16",
        "status": "A",
        "authorized_official_last_name": "POLLARD",
        "authorized_official_first_name": "LATARA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "205-985-7393",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "AL",
            "license": "8954",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51104671",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCRRR",
            "identifier": "040004918",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118134",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OWCP",
            "identifier": "167432400",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alabama ENT Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.