NPIMap

Organization Active NPI

The Children'S Hospital of Alabama

  • Pediatric Pathology Physician
  • Birmingham, AL
National Provider Identifier
1619980109
Registry record updated Sep 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Pathology PhysicianTaxonomy code 207ZP0213X
Legal business name
THE CHILDREN'S HOSPITAL OF ALABAMA
Practice address
1600 7TH Ave S
Birmingham, AL 35233-1711
Phone
(205) 638-9901
NPI assigned
Aug 14, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dawn Walton
Title
Cfo
Phone
(205) 638-9901

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 15

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040623000693 AL Part B Supplier - Clinic/Group Practice 7113902123 Receives reassigned benefits from 8 practitioners
4 other NPIs on this enrollment
Practice locations: Birmingham, AL; Hueytown, AL

National Provider Directory

National Provider Directory
Tax ID family
Childrens Hosp of Al20 organizations share this tax ID, including this one

Other organizations with this tax ID 19

Organizations that report the same tax identification number in the National Provider Directory.

View all 19

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Pathology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ZP0213X Primary

Addresses

NPPES NPI Registry

Primary practice location

1600 7TH Ave S
Birmingham, AL 35233-1711

Mailing address

PO Box 114070536
Birmingham, AL 35246-0536
Phone (205) 638-7640

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
529700770MedicaidAL

Other names 1

NPPES NPI Registry
  • CHILDREN'S HOSPITAL PATHOLOGY Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 14, 2021.

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631577600000",
    "number": "1619980109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 114070536",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352460536",
            "telephone_number": "205-638-7640",
            "fax_number": "205-638-2853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 7TH AVE S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352331711",
            "telephone_number": "205-638-9901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CHILDREN'S HOSPITAL OF ALABAMA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A",
        "authorized_official_last_name": "WALTON",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "205-638-9901"
    },
    "taxonomies": [
        {
            "code": "207ZP0213X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Pediatric Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529700770",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHILDREN'S HOSPITAL PATHOLOGY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CHILDREN'S HOSPITAL PATHOLOGY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.