ALICIA MICHELLE WATERS (NPI# 1962792770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962792770 |
Entity Type | Individual |
Full Name | ALICIA MICHELLE WATERS |
Credential | M.D. |
Practice Address |
619 19th St S Birmingham AL 35249 |
Mailing Address |
Po Box 55310 Birmingham AL 35255-5310 |
Practice Telephone | 2059343166 |
Mailing Telephone | 2057319701 |
Enumeration Date | 2011-04-13 |
Last Update Date | 2018-08-02 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208600000X | Surgery | 32188 | AL | Allopathic & Osteopathic Physicians |
Y | 2086S0120X |
Surgery Specialization: Pediatric Surgery |
32188 | AL | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821498148 | Alicia Waters | Specialist | 503 N Fulton Ave, Mount Vernon, NY 10552-1909 | 2014-08-25 |
1700294105 | Alicia Waters | Pharmacist | 1610 W Cook Rd, Fort Wayne, IN 46825-3219 | 2014-07-29 |
1992041453 | Alicia Jean Waters | Nurse Practitioner | 1010 Delafield Rd, H.j.h Community Living Center, Pittsburgh, PA 15215-1802 | 2013-01-02 |
Street Address |
619 19TH ST S |
City | BIRMINGHAM |
State | AL |
Zip Code | 35249 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205838505 | Peggy Calhoun Wilson | Pharmacist | 619 19th St S, Birmingham, AL 35249-1900 | 2005-06-01 |
1922607548 | Breck Fowler Hamilton | Registered Nurse | 619 19th St S, Birmingham, AL 35249-1900 | 2020-10-24 |
1477152650 | Brandi Bailey | Nurse Practitioner | 619 19th St S, Birmingham, AL 35233-1900 | 2020-10-20 |
1003415456 | Shannon Marie Harrison | Registered Nurse | 619 19th St S, Birmingham, AL 35233-1900 | 2020-10-17 |
1720685886 | Aeriel Flippo Swinsick | Nurse Practitioner | 619 19th St S, Birmingham, AL 35249-1900 | 2020-10-02 |
1477160604 | Lundy Starke Williams | Nurse Practitioner | 619 19th St S, Birmingham, AL 35249-1900 | 2020-10-01 |
1003422320 | Leah York | Registered Nurse | 619 19th St S, Birmingham, AL 35249-1900 | 2020-09-22 |
1972123420 | William Chase Cooper | Registered Nurse | 619 19th St S, Birmingham, AL 35233-1900 | 2020-04-24 |
1699394494 | Eme Unanaowo | Registered Nurse | 619 19th St S, Spain Wallace Bldg, Birmingham, AL 35233-1900 | 2020-04-11 |
1285253369 | Robert Chase Ruffo | Student in an Organized Health Care Education/Training Program | 619 19th St S, Birmingham, AL 35249-1900 | 2020-04-09 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770070682 | Jordan Bauer | Student in an Organized Health Care Education/Training Program | 625 19 Street South, Birmingham, AL 35249 | 2018-04-16 |
1356847917 | Kathryn Leonards Sinquefield | Student in an Organized Health Care Education/Training Program | 625 19 Th Street South, Birmingham, AL 35249 | 2018-04-03 |
1285167288 | Lauren Marie Theiss | Student in an Organized Health Care Education/Training Program | 625 19th Street S, Birmingham, AL 35249 | 2017-04-06 |
1992159040 | Christopher Lee Anderson | Student in an Organized Health Care Education/Training Program | 625 19th St South, Birmingham, AL 35249 | 2016-04-14 |
1154715365 | Danielle Demontigny Avila | Internal Medicine | 625 19th St. South, Birmingham, AL 35249 | 2015-03-25 |
1417398033 | Rehan Ajmal Sarmad | Internal Medicine | 625 19th Street South Birmingham, Birmingham, AL 35249 | 2013-07-11 |
1760828560 | Diana Murro Lin | Pathology | 619 19th St S # Hsb130, Birmingham, AL 35249 | 2013-05-20 |
1982048476 | University of Alabama At Birmingham | General Acute Care Hospital | 1700 6th Ave South, Uab, Birmingham, AL 35249 | 2013-04-26 |
1255693149 | William M Perez | Obstetrics & Gynecology | 176f 10360d 619 19th Street South, Birmingham, AL 35249 | 2012-06-15 |
1942504642 | Melanie R. Sparks | Nurse Practitioner | 1700 6th Ave. South, Wic Suite 2342, Birmingham, AL 35249 | 2011-01-10 |
Find all providers in zip 35249 |
Taxonomy Code | 2086S0120X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Pediatric Surgery |
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417362583 | Michael Fabian Berger | Surgery | 1600 7th Ave South, Uab Pediatric Surgery, Jfl 300, Birmingham, AL 35233 | 2014-06-26 |
1477600328 | Robert Thomason Russell | Surgery | 1600 7th Ave S # Acc300, Birmingham, AL 35233-1711 | 2007-01-04 |
1043206097 | David A Rogers | Surgery | Fot 1207, 1720 2nd Ave S, Birmingham, AL 35294-3412 | 2005-09-26 |
1598175143 | Joseph Raymond Esparaz | Surgery | 1600 7th Ave S, Birmingham, AL 35233 | 2014-05-05 |
1790036648 | Muhammad E Ba'ath | Surgery | 1600 7th Ave S, Birmingham, AL 35233-1711 | 2012-10-01 |
1700198082 | Chinwendu Onwubiko | Surgery | 1600 7th Ave S, Birmingham, AL 35233-1711 | 2010-07-02 |
1366762239 | Martin Lacher | Surgery | 1600 7th Ave S, Birmingham, AL 35233-1711 | 2010-06-02 |
1962728691 | Ilan Igor Maizlin | Surgery | 1600 7th Ave S, Birmingham, AL 35233-1711 | 2010-04-20 |
1154552867 | Richard Keijzer | Surgery | 1600 7th Ave S, Acc 300, Birmingham, AL 35233-1711 | 2009-07-29 |
1184899858 | David Andrew Klima | Surgery | 1600 7th Ave S, Birmingham, AL 35233-1711 | 2008-04-24 |
Find all providers in BIRMINGHAM |
City | BIRMINGHAM |
Zip Code | 35249 |
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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.