MATTHEW ALLEN SAMPLE (NPI# 1871736637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871736637 |
| Entity Type | Individual |
| Full Name | MATTHEW ALLEN SAMPLE |
| Credential | M.D. |
| Practice Address |
3980 Colonnade Pkwy Birmingham AL 35243-2382 |
| Practice Telephone | 2055105000 |
| Practice Fax Number | 2055999080 |
| Mailing Telephone | 2055105000 |
| Mailing Fax Number | 2055999080 |
| Enumeration Date | 2009-04-09 |
| Last Update Date | 2018-01-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 47964 | TN | Allopathic & Osteopathic Physicians |
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
47964 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100213920 | 05 | |
| TN | 1529796 | 05 | |
| TN | BCBS | 6062216 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 228 W 4th St, Suite 200, Cookeville, TN 385012488 | 9313720405 | 9313720463 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679813802 | Matthew Clay Sample | Pharmacist | 1500 Sw 59th St, Oklahoma City, OK 73119-7214 | 2013-02-25 |
| Street Address |
3980 COLONNADE PKWY |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35243-2382 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649278011 | David Alan Cox | Internal Medicine | 3980 Colonnade Pkwy, Birmingham, AL 35243-2382 | 2005-07-11 |
| 1184268641 | Tonja Deann Hagamaker | Nurse Practitioner | 3980 Colonnade Pkwy, Birmingham, AL 35243 | 2019-10-28 |
| 1568944726 | Ann Burton Elliott | Physician Assistant | 3980 Colonnade Pkwy, Birmingham, AL 35243 | 2018-09-04 |
| 1013420116 | Emily Loyd Buckner | Nurse Practitioner | 3980 Colonnade Pkwy, Birmingham, AL 35243-2382 | 2017-11-10 |
| 1083123343 | Frances Sheffield | Nurse Practitioner | 3980 Colonnade Pkwy, Birmingham, AL 35243 | 2017-09-29 |
| 1417473778 | Crystal Brunson | Nurse Practitioner | 3980 Colonnade Pkwy, Birmingham, AL 35243 | 2017-08-18 |
| 1528581568 | Lauren Ridgeway | Nurse Practitioner | 3980 Colonnade Pkwy, Birmingham, AL 35243-2382 | 2017-07-21 |
| 1366816068 | Bw Cardiology, LLC | Internal Medicine | 3980 Colonnade Pkwy, Birmingham, AL 35243-2382 | 2015-11-18 |
| 1659741429 | Kelly Coleman Statham | Nurse Practitioner | 3980 Colonnade Pkwy, Birmingham, AL 35243-2382 | 2015-10-05 |
| 1245612415 | Michele Clemons Watkins | Nurse Practitioner | 3980 Colonnade Pkwy, Birmingham, AL 35243-2382 | 2015-06-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588205223 | See Inc | Optometrist | 200 Summit Blvd, Suite 168, Birmingham, AL 35243 | 2019-10-03 |
| 1619526829 | Kourtni Brooke Young | Nurse Anesthetist, Certified Registered | Grandview Medical Center, 3690 Grandview Parkway, Birmingham, AL 35243 | 2019-09-10 |
| 1548747942 | Kaitlyn Bennett | Occupational Therapist | 3140 Cahaba Heights Road, Suite 102, Vestavia, AL 35243 | 2018-07-27 |
| 1013407675 | Alabama Radiation Therapy Services | Radiology | 3670 Grandview Pkwy #100, Birmingham, AL 35243 | 2018-05-18 |
| 1184169559 | Olivia Diann Gaston | Behavioral Analyst | 3296 Cahaba Heights Rd., Milestones Behavior Group., Vestavia, AL 35243 | 2016-12-21 |
| 1679027841 | Aspire Physical Recovery Center At Cahaba River, LLC | Skilled Nursing Facility | 3070 Healthy Way, Vestavia, AL 35243 | 2016-08-05 |
| 1306203682 | Abbey Elizabeth Duke | Physician Assistant | 3690 Grandview Parkway, Birmingham, AL 35243 | 2016-01-18 |
| 1689078628 | Mary Camp | Occupational Therapist | 3140 Cahaba Heights Road Suite 102, Vestavia Hills, AL 35243 | 2014-10-20 |
| 1255757209 | Laura Romundstad | Nurse Practitioner | 3670 Grandview Parkway, Suite 100, Birmingham, AL 35243 | 2014-03-14 |
| 1841631199 | Seth Alexander Martin | Developmental Therapist | 3981 Kyle Lane, Milestones Behavior Consulting, Vestavia, AL 35243 | 2013-07-16 |
| Find all providers in zip 35243 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1962933796 | Robert Derenbecker | Internal Medicine | 1808 7th Avenue South Bdb 201, Birmingham, AL 35294-0010 | 2017-03-23 |
| 1922497312 | Michael Mckinney Cardiology PC | Internal Medicine | 1110 Lakeview Cres, Birmingham, AL 35205-1119 | 2015-01-22 |
| 1720333867 | Rayan Saab | Internal Medicine | 801 Princeton Ave Sw Ste 707, Birmingham, AL 35211-1395 | 2012-07-15 |
| 1396020061 | Walker Cardiology Associates | Internal Medicine | 3201 4th Ave S, Birmingham, AL 35222-1723 | 2011-10-13 |
| 1205072584 | Cooper G Hazelrig | Internal Medicine | 1300 27th Pl S, Birmingham, AL 35205-2567 | 2008-12-17 |
| 1275797342 | Pankaj Arora | Internal Medicine | 510 20th Street South, Fot 705 A, Birmingham, AL 35233 | 2008-07-17 |
| 1508079740 | Melody Sherwood | Internal Medicine | 307 86th Pl S, Birmingham, AL 35206-2832 | 2007-05-07 |
| 1275627457 | Uab Hypertension Clinic | Internal Medicine | 933 S 19th St, Ch19 Room 115, Birmingham, AL 35294-0001 | 2006-10-03 |
| 1730293093 | Steven M. Pogwizd | Internal Medicine | 1670 University Blvd, Vh B140, Birmingham, AL 35294-0001 | 2006-08-17 |
| 1861400533 | Clifton A Latting | Internal Medicine | 1517 19th Street Ensley, Birmingham, AL 35218-2049 | 2006-08-04 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35243 |
Please comment or provide details below to improve the information on MATTHEW ALLEN SAMPLE.
| 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.