Organization Active NPI

STV Cardiology Clinic LLC

  • Interventional Cardiology Physician
  • Birmingham, AL
National Provider Identifier
1366817199
Registry record updated Sep 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
Legal business name
STV CARDIOLOGY CLINIC LLC
Practice address
46 Medical Park East Drive
Building 46, Suite 460
Birmingham, AL 35235-3401
Phone
(205) 930-2903
Fax
(205) 930-2158
NPI assigned
Dec 4, 2015
Organization subpart
Yes
Parent organization
VINCENTIAN VENTURES OF NORTH ALABAMAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 7, 2017

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

Authorized official

Name
Brandon Williams
Title
Cfo
Phone
(205) 838-3766

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X
Interventional Cardiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0011X Primary

Addresses

Primary practice location

46 Medical Park East Drive
Building 46, Suite 460
Birmingham, AL 35235-3401

Mailing address

50 Medical Park East Drive
Birmingham, AL 35235-3401
Phone (205) 930-2903

National Provider Directory

National Provider Directory

Locations

46 Medical Park Dr E
Bldg 46
Birmingham, AL 35235
Phone (205) 930-2903

NPI Registry JSON

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

{
    "created_epoch": "1449187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504742400000",
    "number": "1366817199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 MEDICAL PARK EAST DRIVE",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352353401",
            "telephone_number": "205-930-2903",
            "fax_number": "205-930-2158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 MEDICAL PARK EAST DRIVE",
            "address_2": "BUILDING 46, SUITE 460",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352353401",
            "telephone_number": "205-930-2903",
            "fax_number": "205-930-2158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STV CARDIOLOGY CLINIC LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VINCENTIAN VENTURES OF NORTH ALABAMA",
        "enumeration_date": "2015-12-04",
        "last_updated": "2017-09-07",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "205-838-3766"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "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 Sep 7, 2017; 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.