Active NPI
Lisa Alexandra Panthel, D.P.M
- Foot & Ankle Surgery Podiatrist
- Birmingham, AL
National Provider Identifier
1912925843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- POD001049
- Practice address
- 5511 Highway 280
Ste 124
Birmingham, AL 35242-6585 - Phone
- (205) 623-0169
- Fax
- (205) 623-0167
- NPI assigned
- Jul 18, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | POD001049 | GA | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | POD001049 | GA | Primary |
| Foot Surgery Podiatrist | 213ES0131X | POD001049 | GA | |
| Primary Podiatric Medicine Podiatrist | 213EP1101X | POD001049 | GA |
Addresses
Primary practice location
5511 Highway 280
Ste 124
Birmingham, AL 35242-6585
Mailing address
PO Box 382257
Birmingham, AL 35238-2257
Phone (205) 623-0169
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 798702845B | Medicaid | GA | |
| P00364374 | Other | GA | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 302 | AL | MD | Clinical Psychologist |
| POD001049 | GA | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397001600000",
"number": "1912925843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 382257",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352382257",
"telephone_number": "205-623-0169",
"fax_number": "205-623-0167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5511 HIGHWAY 280",
"address_2": "STE 124",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352426585",
"telephone_number": "205-623-0169",
"fax_number": "205-623-0167"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANTHEL",
"first_name": "LISA",
"middle_name": "ALEXANDRA",
"name_prefix": "Dr.",
"credential": "D.P.M",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-18",
"last_updated": "2014-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "GA",
"license": "POD001049",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "GA",
"license": "POD001049",
"primary": true
},
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "GA",
"license": "POD001049",
"primary": false
},
{
"code": "213EP1101X",
"taxonomy_group": "",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": "GA",
"license": "POD001049",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "798702845B",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00364374",
"state": "GA"
}
],
"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 Apr 9, 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.