DAVID GEORGE STANDAERT (NPI# 1588654495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588654495 |
| Entity Type | Individual |
| Full Name | DAVID GEORGE STANDAERT |
| Credential | MD PHD |
| Practice Address |
619 19th Street South Birmingham AL 35255-5309 |
| Mailing Address |
Po Box 55310 Birmingham AL 35233-5310 |
| Practice Telephone | 2059346600 |
| Enumeration Date | 2005-10-24 |
| Last Update Date | 2020-02-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
27659 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 009939734 | 05 | |
| AL | BCBS | 051534942 | 01 |
| RAILROAD MEDICARE | P00761077 | 01 | |
| AL | BCBS | 051534943 | 01 |
| AL | 009939736 | 05 |
| Street Address |
619 19TH STREET SOUTH |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35255-5309 |
| 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 |
|---|---|---|---|---|
| 1285053173 | Meng-jun Xiong | Pathology | 619 19th Street S, Birmingham, AL 35255-5309 | 2014-04-08 |
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750790838 | Mohammad Junaid Humayun | Psychiatry & Neurology | 1719 6th Avenue South, Birmingham, AL 35294-2547 | 2014-08-04 |
| 1033531637 | Sykes Neurology PC | Psychiatry & Neurology | 52 Medical Park Dr E Ste 320, Birmingham, AL 35235-3441 | 2014-01-16 |
| 1871766709 | Neurology Specialists of Al, PC | Psychiatry & Neurology | 513 Brookwood Blvd Ste 360, Birmingham, AL 35209-7826 | 2008-04-11 |
| 1093898918 | Helen I Barkan | Psychiatry & Neurology | 1719 6th Ave S, Circ 312, Birmingham, AL 35294-0001 | 2006-10-23 |
| 1013001148 | Robins J Newton | Psychiatry & Neurology | 2700 10th Ave S Ste 400, Birmingham, AL 35205 | 2006-10-03 |
| 1912918319 | Eroboghene Ekamereno Ubogu | Psychiatry & Neurology | 1720 7th Ave S, Suite 200, Birmingham, AL 35294-0017 | 2006-08-10 |
| 1417989740 | Diane R Counce | Psychiatry & Neurology | 1000 Southlake Park Ste 200, Suite 400b, Birmingham, AL 35244-5700 | 2006-07-07 |
| 1558398172 | Angela Hays Shapshak | Psychiatry & Neurology | Rwuh M226, 619 19th Street South, Birmingham, AL 35249-3280 | 2006-06-27 |
| 1770538233 | Khurram Bashir | Psychiatry & Neurology | 1720 7th Ave South, Birmingham, AL 35233-0017 | 2006-05-23 |
| 1568466597 | Jane Pearson Md Pa | Psychiatry & Neurology | 2660 10th Ave S, Ste 520, Birmingham, AL 35205-1605 | 2005-06-08 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35255 |
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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.