Organization Active NPI

Via-Womens LLC

  • Diagnostic Radiology Physician
  • Birmingham, AL
National Provider Identifier
1275284952
Registry record updated Jan 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
VIA-WOMENS LLC
Practice address
2204 Lakeshore Dr Ste 140
Birmingham, AL 35209-6741
Phone
(205) 934-0622
NPI assigned
Jan 13, 2022
Last updated
Jan 13, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2022

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

Authorized official

Name
Jonathan Walter
Title
MD
Phone
(205) 824-8000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X NU Primary

Addresses

Primary practice location

2204 Lakeshore Dr Ste 140
Birmingham, AL 35209-6741

Mailing address

2204 Lakeshore Dr Ste 140
Birmingham, AL 35209-6741
Phone (205) 934-0622

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20220223001665 AL Part B Supplier - Clinic/Group Practice 6800280538 Receives reassigned benefits from 4 practitioners
Practice locations: Birmingham, AL
O20250417000467 FL Part B Supplier - Clinic/Group Practice 6800280538 Receives reassigned benefits from 1 practitioner
Practice locations: Inlet Beach, FL

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1642032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642032000000",
    "number": "1275284952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2204 LAKESHORE DR STE 140",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352096741",
            "telephone_number": "205-934-0622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 LAKESHORE DR STE 140",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352096741",
            "telephone_number": "205-934-0622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIA-WOMENS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-13",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A",
        "authorized_official_last_name": "WALTER",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "205-824-8000"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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, 2022; 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.