Medical Center Otolaryngology Clinic,P.C.

Primary specialty

Otolaryngic Allergy PhysicianTaxonomy code 207YX0602X

License

08026 Issued in AL

Legal business name

MEDICAL CENTER OTOLARYNGOLOGY CLINIC,P.C.

Practice address

1527 5TH Ave N
Suite 260
Birmingham, AL 35203-1854

Phone

(205) 458-0008

Fax

(205) 458-0011

NPI assigned

May 20, 2009

Organization subpart

No

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

Authorized official

Name

Richard A. Walker, M.D.

Title

President

Phone

(205) 458-0008

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1242777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242777600000",
    "number": "1275768178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1527 5TH AVE N",
            "address_2": "SUITE 260",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352031854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1527 5TH AVE N",
            "address_2": "SUITE 260",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352031854",
            "telephone_number": "205-458-0008",
            "fax_number": "205-458-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL CENTER OTOLARYNGOLOGY CLINIC,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-20",
        "last_updated": "2009-05-20",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-458-0008",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207YX0602X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Otolaryngic Allergy",
            "state": "AL",
            "license": "08026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000010614",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Providers in Birmingham, AL by specialty
• Otolaryngic Allergy Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2009; 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.