Active NPI
Eastern Medical Specialists, P.C.
- Internal Medicine Physician
- Birmingham, AL
National Provider Identifier
1053302497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- EASTERN MEDICAL SPECIALISTS, P.C.
- Practice address
- 48 Medical Park Dr E
Suite 457
Birmingham, AL 35235-3400 - Phone
- (205) 838-3800
- Fax
- (205) 838-3206
- NPI assigned
- Nov 3, 2005
- Last updated
- May 1, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Michelle P Ronk
- Title
- Practice Manager
- Phone
- (205) 838-3800
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | NU | Primary | |
| Gastroenterology Physician | 207RG0100X | NU |
Addresses
Primary practice location
48 Medical Park Dr E
Suite 457
Birmingham, AL 35235-3400
Mailing address
48 Medical Park Dr E
Suite 457
Birmingham, AL 35235-3400
Phone (205) 838-3800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 529302120 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Eastern Medical Specialists
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Gastroenterology Physician
- Oneonta, AL
- NPI 1376710681
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/f6960be4-ec5f-4de6-8b4b-e2f3c6a9bd30/
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Nurse Practitioner
- Birmingham, AL
- NPI 1689121170
-
- Internal Medicine Physician
- Birmingham, AL
- NPI 1366423584
-
- Internal Medicine Physician
- Birmingham, AL
- NPI 1568443786
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130976000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1209600000000",
"number": "1053302497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "48 MEDICAL PARK DR E",
"address_2": "SUITE 457",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352353400",
"telephone_number": "205-838-3800",
"fax_number": "205-838-3206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "48 MEDICAL PARK DR E",
"address_2": "SUITE 457",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352353400",
"telephone_number": "205-838-3800",
"fax_number": "205-838-3206"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EASTERN MEDICAL SPECIALISTS, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-03",
"last_updated": "2008-05-01",
"status": "A",
"authorized_official_last_name": "RONK",
"authorized_official_first_name": "MICHELLE",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "205-838-3800",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "529302120",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
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 May 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.