St Vincent's Internal Medicine Mayfair LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

ST VINCENT'S INTERNAL MEDICINE MAYFAIR LLC

Practice address

3106 Independence Drive
Birmingham, AL 35209-4112

Phone

(205) 871-7007

Fax

(205) 871-9449

NPI assigned

Sep 17, 2015

Last updated

Sep 7, 2017By the provider in NPPES

Organization subpart

Yes

Parent organization

VINCENTIAN VENTURES OF NORTH ALABAMAAs reported in NPPES

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

Authorized official

Name

Brandon Williams

Title

Cfo

Phone

(205) 838-3766

Specialties & licenses 1

Addresses

Part of

St Vincents Internal Med

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

{
    "created_epoch": "1442448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504742400000",
    "number": "1962871178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 MEDICAL PARK EAST DRIVE",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352353401",
            "telephone_number": "205-871-7007",
            "fax_number": "205-871-9449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3106 INDEPENDENCE DRIVE",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352094112",
            "telephone_number": "205-871-7007",
            "fax_number": "205-871-9449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST VINCENT'S INTERNAL MEDICINE MAYFAIR LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VINCENTIAN VENTURES OF NORTH ALABAMA",
        "enumeration_date": "2015-09-17",
        "last_updated": "2017-09-07",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "205-838-3766"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• SSD, LLC (Southern Skies Dermatology and Surgery)
• Elaine B St John, M.D.
• Robert St John
• Taylor Boudreaux St Martin
• St Vincent's East
• St Vincents Ambulatory Healthcare Network LLC
• St Vincents Ambulatory Healthcare Network LLC
• St Vincents Ambulatory Healthcare Network LLC
• St Vincents Chalkville Clinic, LLC
• St Vincents East (St Vincent's East Family Medicine Clinic)

• Internal Medicine Physician in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Internal Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2017; 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.