Greystone Dermatology

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

00018417 Issued in AL

Legal business name

GREYSTONE DERMATOLOGY

Practice address

7191 Cahaba Valley Rd
Suite 203
Birmingham, AL 35242-6402

Phone

(205) 408-4488

Fax

(205) 408-1504

NPI assigned

Apr 22, 2009

Last updated

Apr 22, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Sandra Zahradka, MDNPI 1083644827

Title

Physician

Phone

(205) 408-4488

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sandra Lou Zahradka, MD

  • Specialist
  • Birmingham, AL
  • NPI 1083644827
  Authorized official Same address or phone

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

{
    "created_epoch": "1240358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240358400000",
    "number": "1861636714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7191 CAHABA VALLEY RD",
            "address_2": "SUITE 203",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352426402",
            "telephone_number": "205-408-4488",
            "fax_number": "205-408-1504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7191 CAHABA VALLEY RD",
            "address_2": "SUITE 203",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352426402",
            "telephone_number": "205-408-4488",
            "fax_number": "205-408-1504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREYSTONE DERMATOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-22",
        "last_updated": "2009-04-22",
        "status": "A",
        "authorized_official_last_name": "ZAHRADKA",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "205-408-4488",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "AL",
            "license": "00018417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiesha Gresham, REGISTERED NURSE
• Mark Allan Greve, MD
• Gurpreet Kaur Grewal
• Greystone Back Pain Center, LLC
• Greystone Counseling and Consulting, LLC
• Greystone Family Medicine PC
• Greystone Internal Medicine - Brookwood, L.L.C.
• Greystone Internal Medicine, PC
• Greystone Neurology and Pain Centers, Inc
• Greystone Orthodontics Inc

• Dermatology Physician in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Dermatology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2009; 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.