Active NPI
Elaine B St John, M.D.
- Neonatal-Perinatal Medicine Physician
- Birmingham, AL
National Provider Identifier
1487690764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- 11210
- Practice address
- 525 NHB
619 South 19TH Street
Birmingham, AL 35249-0001 - Phone
- (205) 996-2244
- Fax
- (205) 996-2254
- NPI assigned
- Jun 22, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 11210 | AL | Primary |
Addresses
Primary practice location
525 NHB
619 South 19TH Street
Birmingham, AL 35249-0001
Mailing address
PO Box 55823
Birmingham, AL 35255-5823
Phone (205) 996-2244
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00114023 | Other | AL | MISSISSIPPI MEDICAID |
| 4710039 | Other | AL | UHC |
| 510-17015 | Other | BC BS | |
| C76552 | Other | VIVA | |
| 00485207X | Other | AL | GEORGIA MEDICAID |
| 2218 | Other | AL | HEALTHSPRING |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11210 | AL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1487690764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 55823",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352555823",
"telephone_number": "205-996-2244",
"fax_number": "205-996-2254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 NHB",
"address_2": "619 SOUTH 19TH STREET",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352490001",
"telephone_number": "205-996-2244",
"fax_number": "205-996-2254"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ST JOHN",
"first_name": "ELAINE",
"middle_name": "B",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "AL",
"license": "11210",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MISSISSIPPI MEDICAID",
"identifier": "00114023",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "4710039",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC BS",
"identifier": "510-17015",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VIVA",
"identifier": "C76552",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEORGIA MEDICAID",
"identifier": "00485207X",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHSPRING",
"identifier": "2218",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Birmingham, AL
- Meenakshi Sridhar, MD
- Nishith Reddy Sripathi, MD
- SRX Pharmacy Services, Inc. (Solutions Rx Pharmacy)
- SSC Birmingham Operating Company LLC (Fairview Health and Rehabilitation Center)
- SSD, LLC (Southern Skies Dermatology and Surgery)
- Robert St John
- Taylor Boudreaux St Martin
- St Vincent's East
- St Vincent's Internal Medicine Mayfair LLC
- St Vincents Ambulatory Healthcare Network LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.