NPIMap

Organization Active NPI

Medical Center Otolaryngology Clinic,P.C.

  • Otolaryngic Allergy Physician
  • Birmingham, AL
National Provider Identifier
1275768178
Registry record updated May 20, 2009
On this page

Key facts

NPPES NPI Registry
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
Last updated
May 20, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2009

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

Authorized official

Name
Richard A. Walker, M.D.NPI 1487708012
Title
President
Phone
(205) 458-0008

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngic Allergy PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207YX0602X 08026 AL Primary

Addresses

Primary practice location

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

Mailing address

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

National Provider Directory

National Provider Directory

Locations

1527 5th Ave N
Ste 260
Birmingham, AL 35203
Phone (205) 458-0008

Practitioners & affiliated clinicians

Practitioners 1

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": "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": [],
    "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 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.