GRACE BLANE MCMAHAN (NPI# 1821639154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821639154 |
Entity Type | Individual |
Full Name | GRACE BLANE MCMAHAN |
Credential | PA |
Practice Address |
972 Montclair Rd Ste 100 Birmingham AL 35213-1203 |
Practice Telephone | 2055924880 |
Mailing Telephone | 2055924880 |
Enumeration Date | 2019-10-08 |
Last Update Date | 2019-10-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NONE | NONE | 01 |
Street Address |
972 MONTCLAIR RD STE 100 |
City | BIRMINGHAM |
State | AL |
Zip Code | 35213-1203 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689284655 | Barry C. Ginsburg, M.d., P.C. | Physician Assistant | 972 Montclair Rd Ste 100, Birmingham, AL 35213-1203 | 2020-08-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649771957 | Charles Derrick Franklin | Optometrist | 3928 Montclair Rd Ste 100, Mountain Brk, AL 35213 | 2018-02-22 |
1508386541 | Walker Recovery Center | Clinic/Center | 2195 North Airport Road, Jasper, AL 35213 | 2017-06-21 |
1730579707 | Jerome Gaeton Ippolito | Internal Medicine | 4412 Fredricksburg Drive, Birmingham, AL 35213 | 2015-01-29 |
1255686523 | John Cocoris | Pediatrics | 4334 Kennesaw Drive, Birmingham, AL 35213 | 2012-07-23 |
1720350424 | William Nathan Viar Jr. | Surgery | 3824 Forest Glen Dr., Birmingham, AL 35213 | 2012-01-27 |
1225306129 | Thomas Wakefield Mears | Surgery | 2324 Brookshire Place, Birmingham, AL 35213 | 2011-12-06 |
1295980589 | Joseph Michael Wright | Nurse Anesthetist, Certified Registered | 117 Lorena Ln, Birmingham, AL 35213 | 2008-12-01 |
1174772529 | Ernest Cubbage Wood | Pediatrics | 4200 Wilderness Rd, Birmingham, AL 35213 | 2008-09-10 |
1851549976 | Kennedy Rhyne Walker | Optometrist | 4226 Mountaindale Road, Birmingham, AL 35213 | 2008-09-03 |
1982882270 | Caroline A Reich Md PC | Radiology | 3634 Montevallo Road, Birmingham, AL 35213 | 2008-02-08 |
Find all providers in zip 35213 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780247692 | Rachel Anne Stallman | Physician Assistant | 601 S 19th Street, Birmingham, AL 35294-0001 | 2019-04-16 |
1457975286 | Kenna Kuehn | Physician Assistant | 619 19th St S Ste P915, Birmingham, AL 35233-1900 | 2020-06-08 |
1578198818 | Isabelle Kallenberg | Physician Assistant | 620 19th St S, Birmingham, AL 35233 | 2020-03-06 |
1578194270 | Erin Margaret Dorman | Physician Assistant | 619 19th St S Ste P915, Birmingham, AL 35233-1900 | 2020-01-31 |
1255979225 | Tyler James Lacoste | Physician Assistant | 1201 11th Ave S, Birmingham, AL 35205-3423 | 2019-12-20 |
1659913713 | Anna Pierce Ireland | Physician Assistant | 619 19th St S, Birmingham, AL 35249-1900 | 2019-10-10 |
1174164255 | Andrew Parker Bartran | Physician Assistant | 1802 6th Ave S, Birmingham, AL 35233-1932 | 2019-09-30 |
1982160719 | Itia Dowdell | Physician Assistant | 2000 6th Ave S, Birmingham, AL 35233-2110 | 2019-02-18 |
1447716766 | Jessica Maria Mena | Physician Assistant | 2010 Brookwood Medical Ctr Dr, Birmingham, AL 35209-6804 | 2019-02-11 |
1336603786 | Alayna Holderfield Wolfe | Physician Assistant | 1802 6th Ave S, Birmingham, AL 35233-1932 | 2019-01-29 |
Find all providers in BIRMINGHAM |
City | BIRMINGHAM |
Zip Code | 35213 |
Please comment or provide details below to improve the information on GRACE BLANE MCMAHAN.
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.