Organization Active NPI

Llivina & Harrigill, M.D., P.C.

Doing business as Southern Skies Dermatology Surgery

  • Dermatology Physician
  • Birmingham, AL
National Provider Identifier
1649528134
Registry record updated Aug 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
LLIVINA & HARRIGILL, M.D., P.C.
Doing business as
Southern Skies Dermatology Surgery
Practice address
48 Medical Park Dr E
Suite 458
Birmingham, AL 35235-3400
Phone
(205) 838-1811
Fax
(205) 838-4252
NPI assigned
Aug 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2012

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

Authorized official

Name
Dr. Keith Martin Harrigill, MD
Title
Physician
Phone
(205) 838-1811

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

48 Medical Park Dr E
Suite 458
Birmingham, AL 35235-3400

Mailing address

48 Medical Park Dr E
Suite 458
Birmingham, AL 35235-3400
Phone (205) 838-1811

Other names 1

  • Southern Skies Dermatology Surgery Doing business as

National Provider Directory

National Provider Directory

Locations

300 Medical Center Dr
Ste 402
Gadsden, AL 35903
Phone (256) 492-4585

NPI Registry JSON

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

{
    "created_epoch": "1344988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344988800000",
    "number": "1649528134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 MEDICAL PARK DR E",
            "address_2": "SUITE 458",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352353400",
            "telephone_number": "205-838-1811",
            "fax_number": "205-838-4252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 MEDICAL PARK DR E",
            "address_2": "SUITE 458",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352353400",
            "telephone_number": "205-838-1811",
            "fax_number": "205-838-4252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LLIVINA & HARRIGILL, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-15",
        "last_updated": "2012-08-15",
        "status": "A",
        "authorized_official_last_name": "HARRIGILL",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "205-838-1811",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Skies Dermatology Surgery",
            "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 Aug 15, 2012; 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.