DR. MARY JANE MISISCHIA (NPI# 1003892084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003892084 |
| Entity Type | Individual |
| Full Name | DR. MARY JANE MISISCHIA |
| Credential | D.O. |
| Practice Address |
801 Princeton Ave Sw Ste 229 Birmingham AL 35211-1322 |
| Mailing Address |
1130 22nd St S Ste 1000 Birmingham AL 35205-2881 |
| Practice Telephone | 2057833505 |
| Practice Fax Number | 2057833508 |
| Enumeration Date | 2005-12-21 |
| Last Update Date | 2019-07-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
DO476 | AL | Allopathic & Osteopathic Physicians |
| Street Address |
801 PRINCETON AVE SW STE 229 |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35211-1322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457706657 | Lauren Lavender Pacheco | Internal Medicine | 801 Princeton Ave Sw Ste 229, Birmingham, AL 35211-1322 | 2016-04-26 |
| 1265811970 | Brytney Snow Cobia | Internal Medicine | 801 Princeton Ave Sw Ste 229, Birmingham, AL 35211-1322 | 2015-05-27 |
| 1053722413 | William Conrad Black | Internal Medicine | 801 Princeton Ave Sw Ste 229, Birmingham, AL 35211-1322 | 2014-05-19 |
| 1194810150 | Richard James Misischia Sr. | Internal Medicine | 801 Princeton Ave Sw Ste 229, Birmingham, AL 35211-1322 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982216123 | Tara Brown | Technician | 2007 Goldwire Trce, Birmington, AL 35211 | 2020-08-19 |
| 1477173318 | Jeffrey D. Cooney | Student in an Organized Health Care Education/Training Program | 833 Princeton Avenue Sw, Professional Office Bldg 3, Suite 200-e, Birmingham, AL 35211 | 2020-04-21 |
| 1982253852 | Josephine Cook | Technician | 1255 18th St Sw, Birmingham, AL 35211 | 2019-09-04 |
| 1154882322 | Stephen Jenkins | Registered Nurse | 701 Princeton Ave. Sw, Birmingham, AL 35211 | 2019-03-28 |
| 1780107052 | Negar Massah | Dentist | 2850 Venice Rd, Apt 1135, Birmingham, AL 35211 | 2017-07-19 |
| 1417075342 | Joseph Edward Mcjunkin | Pharmacist | 1308-tuscaloosa Ave.sw, Birmingham, AL 35211 | 2007-03-27 |
| 1669500880 | Prakash Chand Kansal | Internal Medicine | 801 Princeton Avenue, Pob 1, Suite 332., Birmingham, AL 35211 | 2007-03-01 |
| 1588717284 | Laquinta Johnson | Occupational Therapist | 420 10th St Sw, Birmingham, AL 35211 | 2007-01-18 |
| 1174613160 | Praveen Jetty | Psychiatry & Neurology | 401 Tuscaloosa Ave. S.w., Suite 110, Birmingham, AL 35211 | 2006-10-13 |
| 1326134180 | Yahya M Sabri | Obstetrics & Gynecology | 801 Princton Ave, Prof Office Bldg I Suite 332, Birmingham, AL 35211 | 2006-10-05 |
| Find all providers in zip 35211 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801211958 | Antonio Di Stasi | Internal Medicine | 1802 6th Ave S # Np255, Birmingham, AL 35233-1932 | 2014-02-26 |
| 1417398033 | Rehan Ajmal Sarmad | Internal Medicine | 625 19th Street South Birmingham, Birmingham, AL 35249 | 2013-07-11 |
| 1003122573 | Amitkumar Mehta | Internal Medicine | 1720 2nd Ave S # Np2540t, Birmingham, AL 35294-3528 | 2010-08-23 |
| 1831350198 | David James Mooney | Internal Medicine | 513 Brookwood Blvd Ste 275, Birmingham, AL 35209-6806 | 2008-06-19 |
| 1598965972 | Gabrielle B Rocque | Internal Medicine | Uab Comprehensive Cancer Ctr, 1824 6th Avenue South - Wti 240g, Birmingham, AL 35294-3300 | 2007-07-23 |
| 1215956289 | James C Lasker | Internal Medicine | 833 Princeton Ave Sw Ste 105a, Pob IIi, Birmingham, AL 35211-1323 | 2006-07-19 |
| 1841216389 | Birmingham Hematology Oncology Assoc LLC | Internal Medicine | 810 St Vincents Drive, Birmingham, AL 35205 | 2006-07-15 |
| 1588637250 | Cara C Bondly | Internal Medicine | 2728 10th Ave S Ste 200, Bruno Cancer Center, Birmingham, AL 35205-1202 | 2006-02-10 |
| 1215918826 | Carolina Salvador | Internal Medicine | 1824 6th St S, Np2540p, Birmingham, AL 35205-5802 | 2005-11-10 |
| 1386159796 | Rebecca Allison Strider | Internal Medicine | 2000 6th Ave S, Birmingham, AL 35233-2110 | 2017-12-07 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35211 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.