Active NPI
Lumina LLC
- Pediatric Otolaryngology Physician
- Birmingham, AL
National Provider Identifier
1750700175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Otolaryngology Physician
- License
- 22947
- Legal business name
- LUMINA LLC
- Practice address
- 5406 U.S. Highway 280
Suite A101
Birmingham, AL 35242 - Phone
- (205) 874-9436
- Fax
- (205) 874-9438
- NPI assigned
- Apr 14, 2014
- 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
- Jacob French
- Title
- Office Manager
- Phone
- (205) 874-9436
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Otolaryngology Physician | 207YP0228X | 22947 | AL | Primary |
Addresses
Primary practice location
5406 U.S. Highway 280
Suite A101
Birmingham, AL 35242
Mailing address
5406 U.S. Highway 280
Suite A101
Birmingham, AL 35242
Phone (205) 874-9436
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22947 | Medicaid | AL |
Other names 1
- ENT for Kids Alabama
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
5406 Highway 280
Ste A101
Hoover, AL 35242
Phone (205) 874-9436
2807 Greystone Commercial Blvd
Ste 42
Hoover, AL 35242
Phone (205) 383-6890
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatric Otolaryngology Physician
- Birmingham, AL
- NPI 1568556280
-
- Audiologist
- Birmingham, AL
- NPI 1225679467
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397433600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1697587200000",
"number": "1750700175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5406 U.S. HIGHWAY 280",
"address_2": "SUITE A101",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "35242",
"telephone_number": "205-874-9436",
"fax_number": "205-874-9438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5406 U.S. HIGHWAY 280",
"address_2": "SUITE A101",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "35242",
"telephone_number": "205-874-9436",
"fax_number": "205-874-9438"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LUMINA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-04-14",
"last_updated": "2023-10-18",
"status": "A",
"authorized_official_last_name": "FRENCH",
"authorized_official_first_name": "JACOB",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "205-874-9436"
},
"taxonomies": [
{
"code": "207YP0228X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Otolaryngology, Pediatric Otolaryngology",
"state": "AL",
"license": "22947",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "22947",
"state": "AL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "ENT for Kids Alabama",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "ENT for Kids Alabama",
"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 Oct 18, 2023; 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.