SOMSAK SITTITAVORNWONG (NPI# 1407808868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407808868 |
| Entity Type | Individual |
| Full Name | SOMSAK SITTITAVORNWONG |
| Credential | DDS |
| Practice Address |
619 19th Street South Birmingham AL 35233 |
| Mailing Address |
Po Box 55310 Birmingham AL 35255-5310 |
| Practice Telephone | 2059344011 |
| Mailing Telephone | 2057319701 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2020-02-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204E00000X | Oral & Maxillofacial Surgery | D5778 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BCBS | 051542567 | 01 |
| AL | 009910986 | 05 | |
| AL | BCBS | 051542573 | 01 |
| AL | 009910983 | 05 | |
| AL | 009910984 | 05 | |
| AL | 009910988 | 05 | |
| AL | BCBS | 051542572 | 01 |
| AL | BCBS | 051542574 | 01 |
| Street Address |
619 19TH STREET SOUTH |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528063716 | Edgar S Underwood | Radiology | 619 19th Street South, Birmingham, AL 35233 | 2005-06-15 |
| 1518472216 | Kara Burns | Anesthesiology | 619 19th Street South, Birmingham, AL 35249 | 2017-12-05 |
| 1134586019 | Cari Evans | Nurse Anesthetist, Certified Registered | 619 19th Street South, Birmingham, AL 35294 | 2016-01-22 |
| 1366808933 | Kalin Swenson | Nurse Anesthetist, Certified Registered | 619 19th Street South, Birmingham, AL 35294 | 2016-01-12 |
| 1912392283 | Brian Trieu | Radiology | 619 19th Street South, Jefferson Tower N468, Birmingham, AL 35249 | 2015-04-02 |
| 1366873135 | John Douglas Mcrae | Nurse Practitioner | 619 19th Street South, Wp P915, Birmingham, AL 35245-5600 | 2013-12-04 |
| 1851731533 | Stephen William Knight | Emergency Medicine | 619 19th Street South, Birmingham, AL 35255-5309 | 2013-06-26 |
| 1649517996 | Ann Seay Adams | Nurse Practitioner | 619 19th Street South, Birmingham, AL 35233 | 2013-01-07 |
| 1780943852 | John Taylor Jones | Radiology | 619 19th Street South, Jt N338, Birmingham, AL 35249-1900 | 2012-05-10 |
| 1033425764 | Alex Torres Iannone | Hospitalist | 619 19th Street South, P915, Birmingham, AL 35294 | 2010-08-18 |
| 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 | 204E00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Oral & Maxillofacial Surgery |
| Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. |
| Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760895866 | Kelly Sue Sayre | Oral & Maxillofacial Surgery | 2000 6th Ave S Fl 1, Birmingham, AL 35233-2110 | 2014-06-05 |
| 1528162773 | William Carl Ray Jr. | Oral & Maxillofacial Surgery | 9133 Parkway East, Birmingham, AL 35206-1508 | 2006-09-11 |
| 1194838557 | Allan Koplan | Oral & Maxillofacial Surgery | 3332 Old Montgomery Hwy, Ste 111, Birmingham, AL 35209-4249 | 2006-08-17 |
| 1578123980 | Jordan Gigliotti | Oral & Maxillofacial Surgery | 2000 6th Ave S Fl 1, Birmingham, AL 35233-2110 | 2019-06-18 |
| 1306214200 | Lisa Miller Oral Facial Surgery, PC | Oral & Maxillofacial Surgery | 1 Inverness Center Pkwy Ste 200, Birmingham, AL 35242-4865 | 2015-09-09 |
| 1184980195 | Brian Emory Kinard | Oral & Maxillofacial Surgery | 619 19th St S, Birmingham, AL 35249-1013 | 2012-04-03 |
| 1588899678 | Kathlyn Kruger Powell | Oral & Maxillofacial Surgery | 619 19th St S, Birmingham, AL 35244-1900 | 2009-05-19 |
| 1508028002 | Yedeh P Ying | Oral & Maxillofacial Surgery | 2000 6th Ave S, Birmingham, AL 35233-2110 | 2008-06-26 |
| 1649473638 | Anthony Brian Powell Morlandt | Oral & Maxillofacial Surgery | 1919 7th Ave S, Rm 419, Birmingham, AL 35233-2005 | 2007-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528101698 | Leroy A Kamelchuk | Oral & Maxillofacial Surgery | 1107 Gleneagles Dr Sw, Huntsville, AL 35801-6405 | 2007-02-15 |
| 1720034531 | Bobby R Lewis | Oral & Maxillofacial Surgery | 3029 Allison Bonnett Memorial Dr, Bessemer, AL 35023-2364 | 2006-05-25 |
| 1780636233 | Premier Anesthesia of Montgomery PC | Oral & Maxillofacial Surgery | 2105 East South Blvd, Montgomery, AL 36116 | 2006-05-16 |
| 1437114246 | Philip B Elledge | Oral & Maxillofacial Surgery | 2314 Pansy St Sw, Huntsville, AL 35801-3803 | 2006-04-18 |
| 1013529296 | Matthew B Fay | Oral & Maxillofacial Surgery | 715 Downtowner Blvd, Mobile, AL 36609-5401 | 2020-08-19 |
| 1871085415 | Alabama Surgical Arts, LLC | Oral & Maxillofacial Surgery | 4590 Woodmere Blvd, Montgomery, AL 36106-2918 | 2018-05-30 |
| 1184024630 | Albert Willis II | Oral & Maxillofacial Surgery | 540 Hughes Rd, Suite 6, Madison, AL 35758-8999 | 2014-09-02 |
| 1366701450 | Shelby Oral Facial Surgery PC | Oral & Maxillofacial Surgery | 420 1st St N, Alabaster, AL 35007-8707 | 2012-05-09 |
| 1700176625 | John Rhodes Farnham | Oral & Maxillofacial Surgery | 651 Helen Keller Blvd, Tuscaloosa, AL 35404-2983 | 2011-04-12 |
| 1831360601 | Decatur Maxillofacial & Cosmetic Surgery Center | Oral & Maxillofacial Surgery | 2023 Danville Park Dr Sw, Decatur, AL 35603-1833 | 2008-03-19 |
| Find all providers with the same taxonomy | ||||
| City | BIRMINGHAM |
| Zip Code | 35233 |
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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.