AMANDA KOMISAROW (NPI# 1376048710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376048710 |
| Entity Type | Individual |
| Full Name | AMANDA KOMISAROW |
| Credential | DMD |
| Practice Address |
700 19th St S Birmingham AL 35233-1927 |
| Mailing Address |
6990 Laurel Oak Dr Suwanee GA 30024-5338 |
| Practice Telephone | 2059338101 |
| Enumeration Date | 2018-03-28 |
| Last Update Date | 2018-03-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
700 19TH ST S |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35233-1927 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336139179 | Christoph C Zenker | Podiatrist | 700 19th St S, Birmingham, AL 35233-1927 | 2005-10-24 |
| 1669079752 | Latosha Croft Allen | Social Worker | 700 19th St S, Birmingham, AL 35233-1927 | 2020-10-02 |
| 1902403173 | Sarah Diane Pritchett | Social Worker | 700 19th St S, Birmingham, AL 35233-1927 | 2020-10-01 |
| 1275140642 | Allen Looney | Specialist/Technologist, Other | 700 19th St S, Birmingham, AL 35233-1927 | 2020-09-29 |
| 1831705029 | Joseph Daniel Doolin | Counselor | 700 19th St S, Birmingham, AL 35233-1927 | 2020-09-22 |
| 1689280539 | Tarae Brunette Hornsby | Social Worker | 700 19th St S, Birmingham, AL 35233-1927 | 2020-09-16 |
| 1386259497 | Ashley Marie Brown | Registered Nurse | 700 19th St S, Birmingham, AL 35233-1927 | 2020-09-15 |
| 1124632229 | Kelli Rue | Social Worker | 700 19th St S, Birmingham, AL 35233-1927 | 2020-09-04 |
| 1699389387 | Toni Wills | Social Worker | 700 19th St S, Birmingham, AL 35233-1927 | 2020-09-01 |
| 1881207272 | Helen Faith Randle | Nurse's Aide | 700 19th St S, Birmingham, AL 35233-1927 | 2020-08-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821605700 | Motivity Chiropractic | Chiropractor | 2413 2nd Avenue South, Ste 100, Birmingham, AL 35233 | 2020-09-25 |
| 1477164580 | Rebecca Diane Davis | Physician Assistant | 701 S. 19th St, Lhr 112, Birmingham, AL 35233 | 2020-08-12 |
| 1972136794 | Faleh Ali Alshanhrani | Student in an Organized Health Care Education/Training Program | Children's of Alabama, 1600 7th Ave South, Birmingham, AL 35233 | 2020-02-20 |
| 1972149128 | Jessica Lynne Miller | Registered Nurse | 1816 6th Ave South, Birmingham, AL 35233 | 2019-11-22 |
| 1881156404 | Chalandra Barley | Registered Nurse | 1802 6th Ave S., 7th Floor Sicu, Birmingham, AL 35233 | 2019-04-02 |
| 1255893004 | Mia Weitman Neustein | Registered Nurse | Uab Wic -- Gynx, 1700 6th Avenue South, Birmingham, AL 35233 | 2019-04-02 |
| 1457813214 | Tabrisha Love | Registered Nurse | Uab University Hospital 1802 6th Ave S, Birmingham, AL 35233 | 2019-04-02 |
| 1356809602 | Catherine Mary Verga | Occupational Therapist | 1600 7th Ave. S., Mcwane Building Pt/ot Department, Birmingham, AL 35233 | 2019-03-06 |
| 1649736752 | Proton International Alabama, LLC | Clinic/Center | 400 20th Street South, Birmingham, AL 35233 | 2019-02-13 |
| 1447728910 | Eric Jackson | Specialist/Technologist | 1219 6th Ave S, Birmingham, AL 35233 | 2018-11-02 |
| Find all providers in zip 35233 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033734512 | Namrata Pradeep Landge | Student in an Organized Health Care Education/Training Program | 1919 7th Ave S # 304, Birmingham, AL 35233-2005 | 2020-06-10 |
| 1558985606 | Lauren Miele | Student in an Organized Health Care Education/Training Program | 1701 1st Ave S Apt 655, Birmingham, AL 35233-1864 | 2020-06-04 |
| 1982226031 | James Edward Bryant Jr. | Student in an Organized Health Care Education/Training Program | 1720 2nd Ave S # Cpmc272, Birmingham, AL 35294-0004 | 2020-05-12 |
| 1215558929 | Wangsoo Lee | Student in an Organized Health Care Education/Training Program | 1720 2nd Ave S # 412, Birmingham, AL 35294-1732 | 2020-05-04 |
| 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 |
| 1144840224 | Mark Thomas Dean | Student in an Organized Health Care Education/Training Program | S: 625 19th Street South Birmingham Al 35249, Birmingham, AL 35249-0001 | 2020-04-20 |
| 1831726561 | Aniela Sosnowski | Student in an Organized Health Care Education/Training Program | 1720 S Eton St, Birmingham, MI 48009-7249 | 2020-03-24 |
| 1023645702 | Kyle Glisson | Student in an Organized Health Care Education/Training Program | 2000 2nd Ave S Apt 518, Birmingham, AL 35233-2087 | 2020-03-24 |
| 1740816677 | Sellers Boudreau | Student in an Organized Health Care Education/Training Program | 1212 Wales Ave, Birmingham, AL 35213-1414 | 2020-03-23 |
| 1205462322 | Jeremie Matthew Peabody Lever | Student in an Organized Health Care Education/Training Program | 1825 University Blvd Shel 121, Birmingham, AL 35294-2182 | 2020-03-20 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35233 |
Please comment or provide details below to improve the information on AMANDA KOMISAROW.
| 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.