Active NPI
Decatur Anesthesiology
Doing business as Jefferson Clinic,P C
- Anesthesiology Physician
- Birmingham, AL
National Provider Identifier
1932236692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 21022
- Legal business name
- DECATUR ANESTHESIOLOGY
- Doing business as
- Jefferson Clinic,P C
- Practice address
- 1515 6TH Ave S
Birmingham, AL 35233-1601 - Phone
- (205) 930-3612
- Fax
- (205) 930-3322
- NPI assigned
- Feb 28, 2007
- Last updated
- Aug 22, 2020
- 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
- Dr. Mark A. Murphy, M.D.
- Title
- President
- Phone
- (205) 930-3612
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 21022 | AL | Primary |
Addresses
Primary practice location
1515 6TH Ave S
Birmingham, AL 35233-1601
Mailing address
991 Lake Crest Pkwy
Hoover, AL 35226-5008
Phone (205) 283-6665
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00038287 | Medicaid | AL | |
| PIN 00104060 | Other | AL | GROUP CK 7878 |
Other names 1
- Jefferson Clinic,P C
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
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.
-
- Certified Registered Nurse Anesthetist
- Cullman, AL
- NPI 1083742522
-
- Anesthesiology Physician
- Birmingham, AL
- NPI 1831225838
-
- Anesthesiology Physician
- Birmingham, AL
- NPI 1457492340
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1932236692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "991 LAKE CREST PKWY",
"city": "HOOVER",
"state": "AL",
"postal_code": "352265008",
"telephone_number": "205-283-6665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 6TH AVE S",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352331601",
"telephone_number": "205-930-3612",
"fax_number": "205-930-3322"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DECATUR ANESTHESIOLOGY",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-28",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MURPHY",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "205-930-3612",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "AL",
"license": "21022",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00038287",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP CK 7878",
"identifier": "PIN 00104060",
"state": "AL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Jefferson Clinic,P C",
"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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.