SKIN DIAGNOSTICS GROUP PC


Address: 3512 Old Montgomery Hwy, Birmingham, AL 35209-5706
Phone: 2058792260

SKIN DIAGNOSTICS GROUP PC (NPI# 1417280538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417280538
Entity Type Organization
Organization Name SKIN DIAGNOSTICS GROUP PC
Practice Address 3512 Old Montgomery Hwy
Birmingham
AL 35209-5706
Practice Telephone 2058792260
Practice Fax Number 2058792261
Mailing Telephone 2058792260
Mailing Fax Number 2058792261
Enumeration Date 2009-09-08
Last Update Date 2015-07-27
Authorized Official Name DR. JAMES ALAN LONG (PRESIDENT)
Authorized Official Telephone 2058792260
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207ZD0900X Pathology
Specialization: Dermatopathology
25042 AL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
AL MEDICAL LICENSE 25042 01

Office Location

Street Address 3512 OLD MONTGOMERY HWY
City BIRMINGHAM
State AL
Zip Code 35209-5706

Providers in the same location

NPI Name Taxonomy Address Enumeration
1871572800 Grant E Eudy Pathology 3512 Old Montgomery Hwy, Birmingham, AL 35209-5706 2006-01-10
1972947026 James William Bush Pathology 3512 Old Montgomery Hwy, Birmingham, AL 35209-5706 2013-04-19
1043519838 Holly Mcintire Pathology 3512 Old Montgomery Hwy, Birmingham, AL 35209-5706 2011-03-20
1649595562 Anna Barron Gray Pathology 3512 Old Montgomery Hwy, Birmingham, AL 35209-5706 2010-04-03
1114130408 James Alan Long Pathology 3512 Old Montgomery Hwy, Birmingham, AL 35209-5706 2007-05-07
1932220308 Holly Northam Burford Pathology 3512 Old Montgomery Hwy, Birmingham, AL 35209-5706 2007-04-03

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437793510 Marissa M Mcintyre Registered Nurse 3401 Independence Drive, Suite 221, Birmingham, AL 35209 2019-11-01
1093284457 Patriot Healthcare of Alabama, LLC Family Medicine 2045 Brookwood Medical Center Drive, Suite 1, Birmingham, AL 35209 2018-11-15
1164902268 Lucy Johnston Physician Assistant 1602 Woodfern Dr, Homewood, AL 35209 2018-08-17
1881184646 Wade Louis Grady Specialist/Technologist 800 Larkshore Drive, Birmingham, AL 35209 2018-05-16
1154823029 Taylor Payne Physical Medicine & Rehabilitation 109 Devon Dr, Birmingham, AL 35209 2018-03-06
1396251542 1st America Infusion Services LLC Durable Medical Equipment & Medical Supplies 120 Oxmoor Blvd Ste 100, Birmingham, AL 35209 2017-12-26
1376060954 Hannah Holloway Specialist/Technologist 725 Crest Lane, Birmingham, AL 35209 2017-08-24
1558887463 Paul A Rhodes Nurse Practitioner 631 Beacon Center Office Park, Suite 108, Birmingham, AL 35209 2017-08-22
1538542196 Proteus Molecular and Clinical Lab LLC Clinical Medical Laboratory 218 Summit Pkwy, Suite 250, Homewood, AL 35209 2015-07-01
1124407739 Randall Alban Nurse Practitioner 2100 Southbridge Parkway, Suite 650, Birmingham, AL 35209 2015-05-28
Find all providers in zip 35209

Taxonomy Information

Taxonomy Code 207ZD0900X
Grouping Allopathic & Osteopathic Physicians
Classification Pathology
Specialization Dermatopathology

Taxonomy Definition

A dermatopathologist is an expert in diagnosing and monitoring diseases of the skin including infectious, immunologic, degenerative, and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings, and smears of skin lesions by means of light microscopy, electron microscopy, and fluorescence microscopy.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source added] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. A subspecialty certificate was first issued by the ABMS in 1974. ACGME Accredited Residency Program Requirements: None.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1871572800 Grant E Eudy Pathology 3512 Old Montgomery Hwy, Birmingham, AL 35209-5706 2006-01-10
1265438972 Emily Fowler Omura Pathology 3550 Independence Dr, Birmingham, AL 35209-5710 2005-06-27
1750386827 Burson T Williams IIi Pathology 3918 Montclair Rd, Suite 100, Birmingham, AL 35213-2425 2005-06-16
1447639125 Edward Hendrik Fulton Pathology 3550 Independence Dr, Birmingham, AL 35209 2015-05-27
1376970236 Skin Pathology Associates, LLC Pathology 3550 Independence Dr, Birmingham, AL 35209-5710 2013-10-08
1972947026 James William Bush Pathology 3512 Old Montgomery Hwy, Birmingham, AL 35209-5706 2013-04-19
1962760728 Gina Elizabeth Johnson Pathology 3550 Independence Dr, Birmingham, AL 35209-5710 2012-04-30
1043519838 Holly Mcintire Pathology 3512 Old Montgomery Hwy, Birmingham, AL 35209-5706 2011-03-20
1649595562 Anna Barron Gray Pathology 3512 Old Montgomery Hwy, Birmingham, AL 35209-5706 2010-04-03
1013151554 Alexander Wong Pathology 3550 Independence Dr, Birmingham, AL 35209-5710 2009-04-28
Find all providers in BIRMINGHAM

Competitor

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City BIRMINGHAM
Zip Code 35209

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Dataset Information

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.

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