NPIMap

Organization Active NPI

Vital Surg LLC

  • Surgical Physician Assistant
  • Birmingham, AL
National Provider Identifier
1972797686
Registry record updated Sep 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Legal business name
VITAL SURG LLC
Practice address
1321 19TH St S
Birmingham, AL 35205-4801
Phone
(205) 516-7123
NPI assigned
Sep 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2007

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

Authorized official

Name
Carla Estis
Title
Director of Operations
Phone
(205) 516-7123

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363AS0400X Primary

Addresses

Primary practice location

1321 19TH St S
Birmingham, AL 35205-4801

Mailing address

1321 19TH St S
Birmingham, AL 35205-4801
Phone (205) 516-7123

National Provider Directory

National Provider Directory

Locations

1321 19th St S
Birmingham, AL 35205
Phone (205) 516-7123

303 Williams Ave SW
Ste 1421
Huntsville, AL 35801
Phone (256) 536-4448

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": "1188950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188950400000",
    "number": "1972797686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 19TH ST S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352054801",
            "telephone_number": "205-516-7123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 19TH ST S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352054801",
            "telephone_number": "205-516-7123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL SURG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-05",
        "last_updated": "2007-09-05",
        "status": "A",
        "authorized_official_last_name": "ESTIS",
        "authorized_official_first_name": "CARLA",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "205-516-7123"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 5, 2007; 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.