NPIMap

Ambulatory Anesthesia & Pain Medicine, P.C.

Organization Active NPI Anesthesiology Physician · Birmingham, AL

NPI 1154371839 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1154371839
Entity type
Organization (NPI type 2)
Primary specialty
Anesthesiology Physician 207L00000X
Legal business name
AMBULATORY ANESTHESIA & PAIN MEDICINE, P.C.
Practice address
2621 19TH St S
Birmingham, AL 35209-1913
Phone
(205) 271-8205
Fax
(205) 271-8332
NPI assigned
May 11, 2006
Organization subpart
No

Authorized official

Name
Bill Nunnelly
Title
Ceo
Phone
(205) 322-3332

Practitioners 45

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

View all 45

Medicare participation

Medicare fee-for-service enrollment
Enrolled in AL

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20060421000517 AL Part B Supplier - Clinic/Group Practice 3971513813 Receives reassigned benefits from 45 practitioners
Practice locations: Birmingham, AL

National Provider Directory

Locations

216 Marengo St
Ste F
Florence, AL 35630
Phone (256) 760-0076

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician
Group: 193400000X SINGLE SPECIALTY GROUP		 207L00000X Yes

Addresses

Primary practice location

2621 19TH St S
Birmingham, AL 35209-1913

Mailing address

1034 23Rd St S
Suite 202
Birmingham, AL 35205-2481
Phone (205) 322-3332

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154371839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 23RD ST S",
            "address_2": "SUITE 202",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352052481",
            "telephone_number": "205-322-3332",
            "fax_number": "205-322-1305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2621 19TH ST S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352091913",
            "telephone_number": "205-271-8205",
            "fax_number": "205-271-8332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBULATORY ANESTHESIA & PAIN MEDICINE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NUNNELLY",
        "authorized_official_first_name": "BILL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "205-322-3332"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

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Sources for this page

Verify at the official NPI Registry.