NPIMap

Organization Active NPI

Alabama ENT Associates, P.C.

  • Otolaryngology Physician
  • Birmingham, AL
National Provider Identifier
1851485445
Registry record updated Mar 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
ALABAMA ENT ASSOCIATES, P.C.
Practice address
4515 Southlake Parkway
Suite 300
Birmingham, AL 35244
Phone
(205) 985-7393
Fax
(205) 987-1332
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Latara D Pollard
Title
Office Manager
Phone
(205) 985-7393

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X Primary

Addresses

Primary practice location

4515 Southlake Parkway
Suite 300
Birmingham, AL 35244

Mailing address

4515 Southlake Parkway
Suite 300
Birmingham, AL 35244
Phone (205) 985-7393

Other identifiers 2

IdentifierTypeStateIssuer
CC4522OtherALMCRRR
529503310MedicaidAL

National Provider Directory

National Provider Directory

Locations

4515 Southlake Pkwy
Ste 300
Hoover, AL 35244
Phone (205) 985-7393

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269820800000",
    "number": "1851485445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4515 SOUTHLAKE PARKWAY",
            "address_2": "SUITE 300",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35244",
            "telephone_number": "205-985-7393",
            "fax_number": "205-987-1332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4515 SOUTHLAKE PARKWAY",
            "address_2": "SUITE 300",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35244",
            "telephone_number": "205-985-7393",
            "fax_number": "205-987-1332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALABAMA ENT ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2010-03-29",
        "status": "A",
        "authorized_official_last_name": "POLLARD",
        "authorized_official_first_name": "LATARA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "205-985-7393"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCRRR",
            "identifier": "CC4522",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529503310",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 29, 2010; 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.