Organization Active NPI

Clinton Plastic Surgery, LLC

  • Plastic and Reconstructive Surgery Physician
  • Birmingham, AL
National Provider Identifier
1689001067
Registry record updated Jan 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
10939 Issued in AL
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

Updated by the provider on Jan 16, 2014

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)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.