MISS DIANA J TAVENER (NPI# 1497900393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497900393 |
| Entity Type | Individual |
| Full Name | MISS DIANA J TAVENER |
| Credential | P.A. |
| Practice Address |
805 Saint Vincents Dr Suite 100 Birmingham AL 35205-1636 |
| Mailing Address |
4600 Highway 280, Ste 200 Birmingham AL 35242 |
| Practice Telephone | 2059393699 |
| Practice Fax Number | 2059390989 |
| Mailing Telephone | 2059715000 |
| Mailing Fax Number | 2059715050 |
| Enumeration Date | 2008-11-20 |
| Last Update Date | 2015-10-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA-152 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
805 SAINT VINCENTS DR SUITE 100 |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35205-1636 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013910736 | James H Crenshaw | Internal Medicine | 805 Saint Vincents Dr, Suite 510, Birmingham, AL 35205-1636 | 2005-05-27 |
| 1821578998 | Anna Black Medley | Specialist/Technologist | 805 Saint Vincents Dr, Birmingham, AL 35205-1636 | 2018-08-17 |
| 1376091892 | Daryl Lacey Flanagan | Physician Assistant | 805 Saint Vincents Dr, Suite 100, Birmingham, AL 35205-1636 | 2016-09-13 |
| 1295189942 | Katherine Tanguay | Specialist/Technologist | 805 Saint Vincents Dr, Suite G100, Birmingham, AL 35205-1636 | 2016-04-19 |
| 1578921581 | Stv Sports Medicine and Orthopedics, LLC | Orthopaedic Surgery | 805 Saint Vincents Dr, Suite 100, Birmingham, AL 35205-1636 | 2016-02-04 |
| 1467818575 | Stv Sports Medicine & Orthopedics LLC | Durable Medical Equipment & Medical Supplies | 805 Saint Vincents Dr, Ste 100, Birmingham, AL 35205-1636 | 2016-01-05 |
| 1629455266 | Rebecca Leigh Curtis | Specialist/Technologist | 805 Saint Vincents Dr, G-100, Birmingham, AL 35205-1636 | 2015-05-04 |
| 1912393802 | Heather Greer | Nurse Practitioner | 805 Saint Vincents Dr, Suite 100, Birmingham, AL 35205-1636 | 2015-04-08 |
| 1730578295 | Rehab Associates, LLC | Clinic/Center | 805 Saint Vincents Dr, Suite A, Birmingham, AL 35205-1636 | 2015-01-21 |
| 1639578289 | Natalia Beatriz Grenett | Physician Assistant | 805 Saint Vincents Dr, Suite 100, Birmingham, AL 35205-1636 | 2014-08-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124547674 | Serve Home Health Care Agency, LLC | In Home Supportive Care | 2230 Green Springs Hwy S, Birmingham, AL 35205 | 2017-09-15 |
| 1457870487 | Marilyn Bennett Pinson | Pharmacist | Walgreens Store #15144, 3020 Clairmont Ave S, Birmingham, AL 35205 | 2017-09-11 |
| 1639522238 | Dana Rives | Speech-Language Pathologist | St. Vincent's, Building 3, Suite 402, Birmingham, AL 35205 | 2016-07-19 |
| 1760854236 | Raymond Herring | Chiropractor | 1226 29th St S, Apt 18, Birmingham, AL 35205 | 2015-10-23 |
| 1083005813 | Absolutely Amazing Salon | Prosthetic/Orthotic Supplier | 2227 Arlington Avenue, Birmingham, AL 35205 | 2015-02-16 |
| 1396141651 | Alexandria Hutchison | Occupational Therapist | 833 Saint Vincent's Drive, Building 3, Suite 200, Birmingham, AL 35205 | 2014-11-14 |
| 1790028199 | Patrick Ross Owens | Otolaryngology | 833 Saint Vincents Dr Ste 402, Birmingham, AL 35205 | 2013-04-03 |
| 1053657452 | David Mitchell Comfort | Urology | 2716 Hanover Circle, Unit 801, Birmingham, AL 35205 | 2012-12-13 |
| 1598023632 | Kathryn Ashley Bentley | Orthopaedic Surgery | 833 St. Vincent's Drive, Bldg 3, Ste 403, Birmingham, AL 35205 | 2012-04-26 |
| 1114298510 | Natalie Elizabeth George | Physician Assistant | 2100 16th Avenue South, 202, Birmingham, AL 35205 | 2012-01-18 |
| Find all providers in zip 35205 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043603236 | Julie Boyd | Physician Assistant | 516 20th St S, Birmingham, AL 35233-2028 | 2015-03-11 |
| 1780950733 | Laura Nugent Bradley | Physician Assistant | 800 St. Vincent's Drive, Suite 700, Birmingham, AL 35205-1630 | 2012-03-23 |
| 1811290968 | Lacey Golden | Physician Assistant | 48 Medical Park Dr E Ste 255, Birmingham, AL 35235-3464 | 2010-12-13 |
| 1659693836 | Chelsea Bares | Physician Assistant | 2151 Highland Ave S Ste 200, Birmingham, AL 35205-4031 | 2010-02-16 |
| 1174797542 | Richard Gregory Winters | Physician Assistant | 701 19th Street South, Lhr 112, Birmingham, AL 35294-0001 | 2008-04-16 |
| 1972797686 | Vital Surg LLC | Physician Assistant | 1321 19th St S, Birmingham, AL 35205-4801 | 2007-09-05 |
| 1982710299 | Lisa Ledlow Kuntz | Physician Assistant | 52 Medical Park Drive East, Ste 307, Birmingham, AL 35235 | 2006-08-21 |
| 1114030947 | Iris Daniella Stuart | Physician Assistant | Uab Dept of Surgery Division of Plastic, Fot 1150 510 20th Street S., Birmingham, AL 35294-3411 | 2006-08-16 |
| 1184659393 | Linda Carolyn Langston | Physician Assistant | 1751 Charleston Way, Birmingham, AL 35216-4886 | 2006-07-12 |
| 1104889765 | Karen Elizabeth Connor | Physician Assistant | 3460 Manor Ln, #204, Birmingham, AL 35209-5666 | 2006-04-06 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35205 |
Please comment or provide details below to improve the information on MISS DIANA J TAVENER.
| 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.