Organization Active NPI

John R. Kingsley, MD, PC

  • Vascular Surgery Physician
  • Vestavia Hills, AL
National Provider Identifier
1104910280
Registry record updated Sep 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
5471 Issued in AL
Legal business name
JOHN R. KINGSLEY, MD, PC
Practice address
700 Montgomery Hwy
Suite 210
Vestavia Hills, AL 35216-1866
Phone
(205) 823-0151
Fax
(205) 823-5218
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2014

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

Authorized official

Name
Mr. Zeke Eldridge
Title
Practice Manager
Phone
(205) 823-0151

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2086S0129X 5471 AL Primary

Addresses

Primary practice location

700 Montgomery Hwy
Suite 210
Vestavia Hills, AL 35216-1866

Mailing address

700 Montgomery Hwy
Suite 210
Vestavia Hills, AL 35216-1866
Phone (205) 823-0151

Other names 1

  • ALABAMA VASCULAR AND VEIN CENTER Other name

National Provider Directory

National Provider Directory

Locations

1600 Carraway Blvd
Ste 203
Birmingham, AL 35234
Phone (205) 502-4050

1419 Hamric Dr E
Ste 102
Oxford, AL 36203

509 Pinnacle Pl
Prattville, AL 36066

1800 McFarland Blvd E
Ste 336
Tuscaloosa, AL 35404

100 Rice Mine Road Loop
Tuscaloosa, AL 35406
Phone (205) 469-4104

5505 Ptree Dunwoody Rd NE
Ste 640
Sandy Springs, GA 30342
Phone (404) 256-1500

Practitioners & affiliated clinicians

Practitioners 1

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": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410912000000",
    "number": "1104910280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 MONTGOMERY HWY",
            "address_2": "SUITE 210",
            "city": "VESTAVIA HILLS",
            "state": "AL",
            "postal_code": "352161866",
            "telephone_number": "205-823-0151",
            "fax_number": "205-823-5218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 MONTGOMERY HWY",
            "address_2": "SUITE 210",
            "city": "VESTAVIA HILLS",
            "state": "AL",
            "postal_code": "352161866",
            "telephone_number": "205-823-0151",
            "fax_number": "205-823-5218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN R. KINGSLEY, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2014-09-17",
        "status": "A",
        "authorized_official_last_name": "ELDRIDGE",
        "authorized_official_first_name": "ZEKE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "205-823-0151",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "AL",
            "license": "5471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALABAMA VASCULAR AND VEIN CENTER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Vestavia Hills, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2014; 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.