JACK MELVIN DABBS SR. (NPI# 1912974056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912974056 |
| Entity Type | Individual |
| Full Name | JACK MELVIN DABBS SR. |
| Credential | MD |
| Practice Address |
652 Lomb Ave Birmingham AL 35211 |
| Practice Telephone | 2057871457 |
| Practice Fax Number | 2057880073 |
| Mailing Telephone | 2057871457 |
| Mailing Fax Number | 2057880073 |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2011-11-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 00002799 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PALMETTO GOVERNMENT CLAIM | 042010575 | 01 | |
| AL | 000001564 | 05 | |
| UNITED HEALTHCARE | 1010211 | 01 |
| Street Address |
652 LOMB AVE |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982216123 | Tara Brown | Technician | 2007 Goldwire Trce, Birmington, AL 35211 | 2020-08-19 |
| 1477173318 | Jeffrey D. Cooney | Student in an Organized Health Care Education/Training Program | 833 Princeton Avenue Sw, Professional Office Bldg 3, Suite 200-e, Birmingham, AL 35211 | 2020-04-21 |
| 1982253852 | Josephine Cook | Technician | 1255 18th St Sw, Birmingham, AL 35211 | 2019-09-04 |
| 1154882322 | Stephen Jenkins | Registered Nurse | 701 Princeton Ave. Sw, Birmingham, AL 35211 | 2019-03-28 |
| 1780107052 | Negar Massah | Dentist | 2850 Venice Rd, Apt 1135, Birmingham, AL 35211 | 2017-07-19 |
| 1417075342 | Joseph Edward Mcjunkin | Pharmacist | 1308-tuscaloosa Ave.sw, Birmingham, AL 35211 | 2007-03-27 |
| 1669500880 | Prakash Chand Kansal | Internal Medicine | 801 Princeton Avenue, Pob 1, Suite 332., Birmingham, AL 35211 | 2007-03-01 |
| 1588717284 | Laquinta Johnson | Occupational Therapist | 420 10th St Sw, Birmingham, AL 35211 | 2007-01-18 |
| 1174613160 | Praveen Jetty | Psychiatry & Neurology | 401 Tuscaloosa Ave. S.w., Suite 110, Birmingham, AL 35211 | 2006-10-13 |
| 1326134180 | Yahya M Sabri | Obstetrics & Gynecology | 801 Princton Ave, Prof Office Bldg I Suite 332, Birmingham, AL 35211 | 2006-10-05 |
| Find all providers in zip 35211 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457724346 | Bw Physician Practices, LLC | Otolaryngology | 513 Brookwood Blvd Ste 260, Birmingham, AL 35209-7844 | 2015-11-02 |
| 1881095149 | Manjunath Maskal Krishnaiah | Otolaryngology | 1808 7 Avenue South, 563 Boshell Building, Birmingham, AL 35292 | 2014-09-05 |
| 1912341892 | Christopher Michael Clark | Otolaryngology | 48 Medical Park Dr E Ste 153, Birmingham, AL 35235-3459 | 2013-04-23 |
| 1790028199 | Patrick Ross Owens | Otolaryngology | 833 Saint Vincents Dr Ste 402, Birmingham, AL 35205 | 2013-04-03 |
| 1972838720 | Malta Naramore | Otolaryngology | 2513 Country Club Cir, Birmingham, AL 35223-1119 | 2009-10-13 |
| 1861699043 | William Henry Barber V | Otolaryngology | 2700 Hwy 280 East, Suite 300, Birmingham, AL 35223 | 2007-06-29 |
| 1124113501 | John Christopher Davis | Otolaryngology | 4515 Southlake Parkway, Suite 300, Birmingham, AL 35244 | 2006-10-03 |
| 1811906126 | Charles Peyton Colvin | Otolaryngology | 3686 Grandview Pkwy 530, Birmingham, AL 35243-3326 | 2006-08-05 |
| 1306888326 | John Arris Jebeles | Otolaryngology | 1809 Gadsden Hwy, Birmingham, AL 35235-3134 | 2006-06-12 |
| 1982680252 | Ent Head & Neck Surgery, Inc | Otolaryngology | 113 Southledge, Suite 101, Birmingham, AL 35242-2451 | 2005-12-19 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35211 |
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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.