NPIMap

Organization Active NPI

St Vincent'S East

  • Certified Registered Nurse Anesthetist
  • Birmingham, AL
National Provider Identifier
1114014040
Registry record updated Sep 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
ST VINCENT'S EAST
Practice address
50 Medical Park East Drive
Birmingham, AL 35235-3401
Phone
(205) 838-3000
Fax
(205) 838-3326
NPI assigned
Oct 10, 2006
Organization subpart
Yes
Parent organization
ST VINCENT'S HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 6, 2017

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

Authorized official

Name
Brandon Williams
Title
Cfo
Phone
(205) 838-3766

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X Primary

Addresses

Primary practice location

50 Medical Park East Drive
Birmingham, AL 35235-3401

Mailing address

50 Medical Park East Drive
Birmingham, AL 35235-3401
Phone (205) 838-3000

Other identifiers 1

IdentifierTypeStateIssuer
559900150MedicaidAL

Other names 1

  • St Vincent's East Doing business as

National Provider Directory

National Provider Directory
Tax ID family
St Vincents East9 organizations share this tax ID, including this one
Part of
St Vincents East

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504656000000",
    "number": "1114014040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 MEDICAL PARK EAST DRIVE",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352353401",
            "telephone_number": "205-838-3000",
            "fax_number": "205-838-3326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 MEDICAL PARK EAST DRIVE",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352353401",
            "telephone_number": "205-838-3000",
            "fax_number": "205-838-3326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST VINCENT'S EAST",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST VINCENT'S HOSPITAL",
        "enumeration_date": "2006-10-10",
        "last_updated": "2017-09-06",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "205-838-3766"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "559900150",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Vincent's East",
            "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 Sep 6, 2017; 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.