HOLLY NORTHAM BURFORD (NPI# 1932220308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932220308 |
| Entity Type | Individual |
| Full Name | HOLLY NORTHAM BURFORD |
| Credential | MD |
| Practice Address |
3512 Old Montgomery Hwy Birmingham AL 35209-5706 |
| Practice Telephone | 2058792260 |
| Practice Fax Number | 2058792261 |
| Mailing Telephone | 2058792260 |
| Mailing Fax Number | 2058792261 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2015-07-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZD0900X |
Pathology Specialization: Dermatopathology |
26350 | AL | Allopathic & Osteopathic Physicians |
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
26350 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 009942623 | 05 | |
| AL | 009942626 | 05 | |
| AL | BCBS | 051540596 | 01 |
| GA | RAILROAD | 0000000 | 01 |
| AL | 009942624 | 05 | |
| AL | BCBS | 051540595 | 01 |
| MI | 03852877 | 05 | |
| AL | BLUE CROSS BLUE SHIELD OF ALABAMA | 51049130 | 01 |
| AL | 113245 | 05 |
| Street Address |
3512 OLD MONTGOMERY HWY |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35209-5706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871572800 | Grant E Eudy | Pathology | 3512 Old Montgomery Hwy, Birmingham, AL 35209-5706 | 2006-01-10 |
| 1972947026 | James William Bush | Pathology | 3512 Old Montgomery Hwy, Birmingham, AL 35209-5706 | 2013-04-19 |
| 1043519838 | Holly Mcintire | Pathology | 3512 Old Montgomery Hwy, Birmingham, AL 35209-5706 | 2011-03-20 |
| 1649595562 | Anna Barron Gray | Pathology | 3512 Old Montgomery Hwy, Birmingham, AL 35209-5706 | 2010-04-03 |
| 1417280538 | Skin Diagnostics Group PC | Pathology | 3512 Old Montgomery Hwy, Birmingham, AL 35209-5706 | 2009-09-08 |
| 1114130408 | James Alan Long | Pathology | 3512 Old Montgomery Hwy, Birmingham, AL 35209-5706 | 2007-05-07 |
| 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 | 207ZD0900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Dermatopathology |
| A dermatopathologist is an expert in diagnosing and monitoring diseases of the skin including infectious, immunologic, degenerative, and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings, and smears of skin lesions by means of light microscopy, electron microscopy, and fluorescence microscopy. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source added] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. A subspecialty certificate was first issued by the ABMS in 1974. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871572800 | Grant E Eudy | Pathology | 3512 Old Montgomery Hwy, Birmingham, AL 35209-5706 | 2006-01-10 |
| 1265438972 | Emily Fowler Omura | Pathology | 3550 Independence Dr, Birmingham, AL 35209-5710 | 2005-06-27 |
| 1750386827 | Burson T Williams IIi | Pathology | 3918 Montclair Rd, Suite 100, Birmingham, AL 35213-2425 | 2005-06-16 |
| 1447639125 | Edward Hendrik Fulton | Pathology | 3550 Independence Dr, Birmingham, AL 35209 | 2015-05-27 |
| 1376970236 | Skin Pathology Associates, LLC | Pathology | 3550 Independence Dr, Birmingham, AL 35209-5710 | 2013-10-08 |
| 1972947026 | James William Bush | Pathology | 3512 Old Montgomery Hwy, Birmingham, AL 35209-5706 | 2013-04-19 |
| 1962760728 | Gina Elizabeth Johnson | Pathology | 3550 Independence Dr, Birmingham, AL 35209-5710 | 2012-04-30 |
| 1043519838 | Holly Mcintire | Pathology | 3512 Old Montgomery Hwy, Birmingham, AL 35209-5706 | 2011-03-20 |
| 1649595562 | Anna Barron Gray | Pathology | 3512 Old Montgomery Hwy, Birmingham, AL 35209-5706 | 2010-04-03 |
| 1417280538 | Skin Diagnostics Group PC | Pathology | 3512 Old Montgomery Hwy, Birmingham, AL 35209-5706 | 2009-09-08 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35209 |
Please comment or provide details below to improve the information on HOLLY NORTHAM BURFORD.
| 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.