Active NPI
Wesley F Lister-Winebrenner, PA-C
- Physician Assistant
- Birmingham, AL
National Provider Identifier
1659326478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA920
- Practice address
- 3940 Montclair Road
Suite 410
Birmingham, AL 35213-2421 - Phone
- (205) 879-7066
- Fax
- (205) 871-5066
- NPI assigned
- May 23, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | PA920 | TN | |
| Physician Assistant | 363A00000X | PA920 | TN | Primary |
| Surgical Physician Assistant | 363AS0400X | 842 | AL |
Addresses
Primary practice location
3940 Montclair Road
Suite 410
Birmingham, AL 35213-2421
Mailing address
3940 Montclair Road
Suite 410
Birmingham, AL 35213-2421
Phone (205) 879-5066
Other names 1
- Wesley F Lister
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA920 | TN | MD | Physician Assistant |
| 842 | AL | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Julian M. Thomas M.D. | Past | Accepting new patients | |
| Health Star North Inc | Past | Accepting new patients | |
| Knoxville Dermatology Group PC | Dermatology | Past | Accepting new patients |
| Dermatology Associates of Knoxville, PC | Dermatology | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Birmingham, AL
- NPI 1982245551
-
- MOHS-Micrographic Surgery Physician
- Birmingham, AL
- NPI 1518216910
-
- Dermatology Physician
- Knoxville, TN
- NPI 1407873284
-
- Dermatology Physician
- Knoxville, TN
- NPI 1760419014
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363910400000",
"number": "1659326478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3940 MONTCLAIR ROAD",
"address_2": "SUITE 410",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352132421",
"telephone_number": "205-879-5066",
"fax_number": "205-871-5066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3940 MONTCLAIR ROAD",
"address_2": "SUITE 410",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352132421",
"telephone_number": "205-879-7066",
"fax_number": "205-871-5066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LISTER-WINEBRENNER",
"first_name": "WESLEY",
"middle_name": "F",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-23",
"last_updated": "2013-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "TN",
"license": "PA920",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TN",
"license": "PA920",
"primary": true
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "AL",
"license": "842",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "WESLEY",
"last_name": "LISTER",
"middle_name": "F",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}
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 Mar 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.