Active NPI
Clinton Plastic Surgery, LLC
- Plastic and Reconstructive Surgery Physician
- Birmingham, AL
National Provider Identifier
1689001067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- 10939
- Legal business name
- CLINTON PLASTIC SURGERY, LLC
- Doing business as
- Clinton Surgery Suite
- Practice address
- 7191 Cahaba Valley Rd
200
Birmingham, AL 35242-6402 - Phone
- (205) 408-9787
- NPI assigned
- Oct 1, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael S Clinton, MD
- Title
- Owner
- Phone
- (205) 408-9787
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 10939 | AL | Primary |
| Ambulatory Surgical Clinic/Center | 261QA1903X | 10939 | AL |
Addresses
Primary practice location
7191 Cahaba Valley Rd
200
Birmingham, AL 35242-6402
Mailing address
7191 Cahaba Valley Rd
200
Birmingham, AL 35242-6402
Other names 1
- Clinton Surgery Suite
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380585600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1389830400000",
"number": "1689001067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7191 CAHABA VALLEY RD",
"address_2": "200",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352426402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7191 CAHABA VALLEY RD",
"address_2": "200",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352426402",
"telephone_number": "205-408-9787"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLINTON PLASTIC SURGERY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-10-01",
"last_updated": "2014-01-16",
"status": "A",
"authorized_official_last_name": "CLINTON",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "205-408-9787",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "AL",
"license": "10939",
"primary": true
},
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "AL",
"license": "10939",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Clinton Surgery Suite",
"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 Jan 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.