Cardiovascular Associates of the Southeast, L.L.C
Organization Active NPI Cardiovascular Disease Physician · Birmingham, AL
NPI 1821374554 · NPPES record last updated May 26, 2016
Key facts
- NPI
- 1821374554
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- Legal business name
- CARDIOVASCULAR ASSOCIATES OF THE SOUTHEAST, L.L.C
- Practice address
- 3980 Colonnade Pkwy
Birmingham, AL 35243-2382 - Phone
- (205) 510-5000
- NPI assigned
- Oct 26, 2011
- Organization subpart
- No
Authorized official
- Name
- Mr. Wesley O. James
- Title
- Regional Cfo, Tenet
- Phone
- (404) 265-5009
Practitioners 11
-
Carli Patrick Brasfield, CRNP
-
Eric Brown, CRNP
-
Emily Buckner Duke, CRNP
-
Ann Burton Elliott, PA-C
-
Himanshu Gupta, MD
-
Lauren Ridgeway, NP
-
Matthew Allen Sample, M.D.
-
Kelly Coleman Statham, AGPCNP-BC
-
David Alan Cox, MD
-
Jan Pawel Skowronski, M.D.
National Provider Directory
Locations
880 Montclair Rd
Ste 277
Birmingham, AL 35213
Phone (205) 599-3500
2022 Medical Center Dr
Ste 510
Birmingham, AL 35209
Phone (205) 877-1805
2805 John Haynes Dr
Ste 101
Pell City, AL 35125
Phone (205) 884-0434
7076 Veterans Pkwy 110
Pell City, AL 35125
Phone (205) 814-2338
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician |
207RC0000X | Yes |
Addresses
Primary practice location
3980 Colonnade Pkwy
Birmingham, AL 35243-2382
Mailing address
PO Box 741889
Atlanta, GA 30374-1889
Phone (205) 510-5000
Other names
- Cardiovascular Associates of the Southeast, LLC
NPI Registry JSON
{
"created_epoch": "1319587200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1464220800000",
"number": "1821374554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 741889",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303741889",
"telephone_number": "205-510-5000",
"fax_number": "205-599-6354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3980 COLONNADE PKWY",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352432382",
"telephone_number": "205-510-5000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARDIOVASCULAR ASSOCIATES OF THE SOUTHEAST, L.L.C",
"organizational_subpart": "NO",
"enumeration_date": "2011-10-26",
"last_updated": "2016-05-26",
"status": "A",
"authorized_official_last_name": "JAMES",
"authorized_official_first_name": "WESLEY",
"authorized_official_middle_name": "O.",
"authorized_official_title_or_position": "REGIONAL CFO, TENET",
"authorized_official_telephone_number": "404-265-5009",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Cardiovascular Associates of the Southeast, LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Birmingham, AL
- Cardiovascular Associates of N. Alabama, P.C.
- Cardiovascular Associates of North Alabama, P.C.
- Cardiovascular Associates of North Alabama, P.C.
- Cardiovascular Associates of North Alabama, P.C.
- Cardiovascular Associates of North Alabama, PC
- Cardiovascular Consultants of Alabama, P.C.
- Care Complete Medical Clinic(CCMC)LLC
- Careconnectmd Alabama PC
- Caremarkpcs Alabama Mail Pharmacy LLC
- Carestaff LLC
All providers in Birmingham, AL · Cardiovascular Disease Physician in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 26, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.