Active NPI
Jonathan L Levine, M.D.
- Otolaryngology Physician
- Gardendale, AL
National Provider Identifier
1427085190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 00020375
- Practice address
- 931 Sharit Ave
Suite 101
Gardendale, AL 35071-5003 - Phone
- (205) 631-8116
- Fax
- (205) 631-8114
- NPI assigned
- Jun 27, 2006
- Last updated
- Feb 11, 2015
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 00020375 | AL | Primary |
Addresses
Primary practice location
931 Sharit Ave
Suite 101
Gardendale, AL 35071-5003
Mailing address
833 Saint Vincents Dr
Suite 402
Birmingham, AL 35205-1606
Phone (205) 933-9236
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 125195 | Medicaid | AL |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00020375 | AL | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jonathan L Levine MD, PC | Otolaryngology | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba ENT Associates of Alabama, P.C.
- Otolaryngology Physician
- Gardendale, AL
- NPI 1033153358
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423612800000",
"number": "1427085190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "833 SAINT VINCENTS DR",
"address_2": "SUITE 402",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352051606",
"telephone_number": "205-933-9236",
"fax_number": "205-933-9213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "931 SHARIT AVE",
"address_2": "SUITE 101",
"city": "GARDENDALE",
"state": "AL",
"postal_code": "350715003",
"telephone_number": "205-631-8116",
"fax_number": "205-631-8114"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVINE",
"first_name": "JONATHAN",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-27",
"last_updated": "2015-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "AL",
"license": "00020375",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "125195",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gardendale, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.