Medical Associates of Birmingham, PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD16619 Issued in AL

Legal business name

MEDICAL ASSOCIATES OF BIRMINGHAM, PC

Practice address

3800 Ridgeway Dr
Birmingham, AL 35209-5506

Phone

(205) 612-1659

NPI assigned

May 19, 2014

Organization subpart

No

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

Authorized official

Name

John Barry King, M.D.NPI 1609806132

Title

President and Secretary

Phone

(205) 612-1659

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 4

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

• John Barry King, MD

  • Internal Medicine Physician
  • Birmingham, AL
  • NPI 1609806132
  Medicare reassignment NPD Authorized official
• Hugh Pinkney O'Shields Jr., MD

  • Internal Medicine Physician
  • Birmingham, AL
  • NPI 1669412466
  NPD (past)
• Donna Peck, CRNP

  • Acute Care Nurse Practitioner
  • Birmingham, AL
  • NPI 1073987962
  NPD (past)
• Ladonna P Richardson, MD

  • Internal Medicine Physician
  • Birmingham, AL
  • NPI 1699884676
  NPD (past)

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

{
    "created_epoch": "1400457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400457600000",
    "number": "1114338597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 LUCERNE BLVD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352096614",
            "telephone_number": "205-612-1659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 RIDGEWAY DR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352095506",
            "telephone_number": "205-612-1659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL ASSOCIATES OF BIRMINGHAM, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-19",
        "last_updated": "2014-05-19",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "BARRY",
        "authorized_official_title_or_position": "PRESIDENT AND SECRETARY",
        "authorized_official_telephone_number": "205-612-1659",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "MD16619",
            "primary": true
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "AL",
            "license": "MD16619",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medaus Pharmacy and Compounding Center
• Medcare Home Health, LLC
• Medcare Life LLC
• Medhelp RX LLC
• Medical Associates of Birmingham PC
• Medical Center Otolaryngology Clinic,P.C.
• Medical Home Care, Inc.
• Medical Necessities
• Medical Resources, Inc
• Medical Spa Moksha, L.L.C.

• Internal Medicine Physician in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Internal Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2014; 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.

Verify at the official NPI Registry.