Active NPI
Ronald Dean Kittinger, M.D.
- Family Medicine Physician
- Birmingham, AL
National Provider Identifier
1205967833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 10578
- Practice address
- 7 Huddle Dr
Birmingham, AL 35242-5367 - Phone
- (205) 991-7304
- Fax
- (205) 980-7280
- NPI assigned
- Mar 7, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 10578 | AL | Primary |
Addresses
Primary practice location
7 Huddle Dr
Birmingham, AL 35242-5367
Mailing address
7 Huddle Dr
Birmingham, AL 35242-5367
Phone (205) 991-7304
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000097714 | Other | AL | PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10578 | AL | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326412800000",
"number": "1205967833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 HUDDLE DR",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352425367",
"telephone_number": "205-991-7304",
"fax_number": "205-980-7280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 HUDDLE DR",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352425367",
"telephone_number": "205-991-7304",
"fax_number": "205-980-7280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KITTINGER",
"first_name": "RONALD",
"middle_name": "DEAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-07",
"last_updated": "2012-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AL",
"license": "10578",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "000097714",
"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 Jan 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.