MR. TYLER WILSON CLEMMENSEN (NPI# 1265852107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265852107 |
| Entity Type | Individual |
| Full Name | MR. TYLER WILSON CLEMMENSEN |
| Practice Address |
625 19th St S Birmingham AL 35249 |
| Practice Telephone | 2059344303 |
| Practice Fax Number | 2059345499 |
| Enumeration Date | 2014-04-18 |
| Last Update Date | 2019-05-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0101X |
Pathology Specialization: Anatomic Pathology |
35415 | AL | Allopathic & Osteopathic Physicians |
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
35415 | AL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 619 19th St S, Birmingham, AL 352491900 | 2059344011 |
| Street Address |
625 19TH ST S |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35249 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992835854 | Niambi Ashaki Horton | Student in an Organized Health Care Education/Training Program | 625 19th St S, Birmingham, AL 35249-1712 | 2007-03-07 |
| 1104426998 | Mohamed Morsy Mohamed Morsy | Student in an Organized Health Care Education/Training Program | 625 19th St S, Birmingham, AL 35233-1900 | 2020-10-29 |
| 1861008146 | Ahsan Raza | Student in an Organized Health Care Education/Training Program | 625 19th St S, Birmingham, AL 35233-1900 | 2020-09-21 |
| 1700494200 | Sankalp Arora | Student in an Organized Health Care Education/Training Program | 625 19th St S, Birmingham, AL 35233-1900 | 2020-07-21 |
| 1669080164 | Maria Gabriela Gastanadui Gonzalez | Student in an Organized Health Care Education/Training Program | 625 19th St S, Birmingham, AL 35233-1900 | 2020-07-21 |
| 1861000432 | Hrishikesh Dadhich | Student in an Organized Health Care Education/Training Program | 625 19th St S, Birmingham, AL 35233-1900 | 2020-07-20 |
| 1700494697 | Sanjith Prahas Krishnam | Student in an Organized Health Care Education/Training Program | 625 19th St S, Birmingham, AL 35233-1900 | 2020-07-16 |
| 1457973075 | Joseph Michael Cortopassi Jr. | Student in an Organized Health Care Education/Training Program | 625 19th St S, Birmingham, AL 35233-1900 | 2020-05-18 |
| 1255953360 | Timothy Graham Norwood | Student in an Organized Health Care Education/Training Program | 625 19th St S, Birmingham, AL 35233-1900 | 2020-05-12 |
| 1538780341 | Igor Damasceno Vidal | Student in an Organized Health Care Education/Training Program | 625 19th St S, Birmingham, AL 35233-1900 | 2020-05-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770070682 | Jordan Bauer | Student in an Organized Health Care Education/Training Program | 625 19 Street South, Birmingham, AL 35249 | 2018-04-16 |
| 1356847917 | Kathryn Leonards Sinquefield | Student in an Organized Health Care Education/Training Program | 625 19 Th Street South, Birmingham, AL 35249 | 2018-04-03 |
| 1285167288 | Lauren Marie Theiss | Student in an Organized Health Care Education/Training Program | 625 19th Street S, Birmingham, AL 35249 | 2017-04-06 |
| 1992159040 | Christopher Lee Anderson | Student in an Organized Health Care Education/Training Program | 625 19th St South, Birmingham, AL 35249 | 2016-04-14 |
| 1154715365 | Danielle Demontigny Avila | Internal Medicine | 625 19th St. South, Birmingham, AL 35249 | 2015-03-25 |
| 1417398033 | Rehan Ajmal Sarmad | Internal Medicine | 625 19th Street South Birmingham, Birmingham, AL 35249 | 2013-07-11 |
| 1760828560 | Diana Murro Lin | Pathology | 619 19th St S # Hsb130, Birmingham, AL 35249 | 2013-05-20 |
| 1982048476 | University of Alabama At Birmingham | General Acute Care Hospital | 1700 6th Ave South, Uab, Birmingham, AL 35249 | 2013-04-26 |
| 1255693149 | William M Perez | Obstetrics & Gynecology | 176f 10360d 619 19th Street South, Birmingham, AL 35249 | 2012-06-15 |
| 1942504642 | Melanie R. Sparks | Nurse Practitioner | 1700 6th Ave. South, Wic Suite 2342, Birmingham, AL 35249 | 2011-01-10 |
| Find all providers in zip 35249 | ||||
| Taxonomy Code | 207ZP0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. [7/1/2007: definition added, source added, 7/1/2009: defintion reformatted; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology (note: this taxonomy code identifies the "anatomic pathology only" route). To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154701589 | Rong Chen | Pathology | 1201 11th Ave S, Birmingham, AL 35205 | 2015-06-01 |
| 1700292505 | Manuel Alejandro Lora Gonzalez | Pathology | 619 19th St S # Hsb130, Birmingham, AL 35249-8500 | 2014-07-01 |
| 1396164802 | David Marbury | Pathology | 619 19th St S, Birmingham, AL 35249 | 2014-04-11 |
| 1285053173 | Meng-jun Xiong | Pathology | 619 19th Street S, Birmingham, AL 35255-5309 | 2014-04-08 |
| 1184987158 | Dina Kokh | Pathology | 619 19th St S, Birmingham, AL 35249-1544 | 2012-06-24 |
| 1063791952 | Sameer Al Diffalha | Pathology | 619 19th St S, Birmingham, AL 35249-3328 | 2011-08-09 |
| 1588976112 | Meenu Sharma | Pathology | 619 19th St S, Birmingham, AL 35249 | 2010-07-12 |
| 1023336872 | Evan Alexander Alston | Pathology | 619 19th St S, Birmingham, AL 35249-1900 | 2010-05-04 |
| 1992968325 | Ami L Linder | Pathology | 619 19th St S, Birmingham, AL 35249-1900 | 2008-07-07 |
| 1174781025 | Samuel Glenn Borak | Pathology | 619 19th St S, Birmingham, AL 35249-1900 | 2008-05-28 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35249 |
Please comment or provide details below to improve the information on MR. TYLER WILSON CLEMMENSEN.
| 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.