ALABAMA GERIATRIC SPECIALISTS INC. (NPI# 1669494597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669494597 |
| Entity Type | Organization |
| Organization Name | ALABAMA GERIATRIC SPECIALISTS INC. |
| Practice Address |
1 Lakeshore Dr. Ste. 200 Birmingham AL 35209 |
| Mailing Address |
1 Lakeshore Dr Ste. 200 Birmingham AL 35209 |
| Practice Telephone | 2059160105 |
| Practice Fax Number | 2059160913 |
| Mailing Telephone | 2059160105 |
| Mailing Fax Number | 2059160913 |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2010-03-02 |
| Authorized Official Name | MR. PAUL D ROLLER (OWNER/PHYSICIAN) |
| Authorized Official Telephone | 2059160105 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 529912710 | 05 | |
| RAILROAD MEDICARE GROUP # | DA7932 | 01 |
| Street Address |
1 LAKESHORE DR. STE. 200 |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35209 |
| 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 Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821196551 | Allied Geriatric Services P.C. | Internal Medicine | 725 S Adams Rd Ste 243, Birmingham, MI 48009-6913 | 2006-09-20 |
| 1073558813 | Carol A Griffin | Internal Medicine | 933 19th St S, Room 201, Birmingham, AL 35205-3703 | 2006-06-17 |
| 1194223313 | Sheppard Consulting Services, LLC | Internal Medicine | 1020 Tuscaloosa Ave Sw, Birmingham, AL 35211-1619 | 2018-01-23 |
| 1467849166 | Walter Baehr IIi | Internal Medicine | 619 19th St S, Birmingham, AL 35249-0001 | 2015-04-20 |
| 1265838445 | Sandhya Narukonda | Internal Medicine | 1201 11th Ave S, Birmingham, AL 35205 | 2014-11-14 |
| 1528488913 | Ellen Elizabeth Wills | Internal Medicine | 625 19th St S, Birmingham, AL 35233 | 2014-04-24 |
| 1992140917 | Ginnie Prater | Internal Medicine | 625 19th St S, Birmingham, AL 35233-1900 | 2013-05-03 |
| 1932542669 | Brian Nelson Donahue | Internal Medicine | 619 19th St S, Birmingham, AL 35249 | 2013-04-11 |
| 1578810982 | M Clagett Collins Md LLC | Internal Medicine | 1 Lakeshore Drive, Ste 200, Birmingham, AL 35209-7271 | 2012-08-06 |
| 1861676967 | Marianthe Grammas | Internal Medicine | 1521 11th Ave S, Birmingham, AL 35205-3503 | 2007-12-26 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35209 |
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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.