| Psychiatric Services Step Down Unit At Uab Hospital | |
|
619 19th St S Cpmc 409, Attn: Barbara Harris Birmingham AL 35249-0018 | |
| (205) 602-5256 | |
| Not Available |
| Full Name | Psychiatric Services Step Down Unit At Uab Hospital |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 619 19th St S, Birmingham, Alabama |
| Authorized Official Name and Position | Micheal Rooney Waldrum (CHIEF OPERATING OFFICIAL) |
| Authorized Official Contact | 2059347087 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychiatric Services Step Down Unit At Uab Hospital 619 19th St S Cpmc 409, Attn: Barbara Harris Birmingham AL 35249-0018 Ph: (205) 602-5256 | Psychiatric Services Step Down Unit At Uab Hospital 619 19th St S Cpmc 409, Attn: Barbara Harris Birmingham AL 35249-0018 Ph: (205) 602-5256 |
| NPI Number | 1811280654 |
|---|---|
| Provider Enumeration Date | 05/26/2011 |
| Last Update Date | 05/26/2011 |
| Medicare PECOS PAC ID | 3779487970 |
|---|---|
| Medicare Enrollment ID | O20110623000518 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811280654 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Rebecca W Jones |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063623015 PECOS PAC ID: 2264583145 Enrollment ID: I20090707000088 |
| Provider Name | Sonya Pritchard |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518160506 PECOS PAC ID: 9234313420 Enrollment ID: I20110413000305 |
| Provider Name | Erin Emmanuel Hanover |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073716064 PECOS PAC ID: 4981882966 Enrollment ID: I20110621000668 |
| Provider Name | Cynthia J Sung |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982807970 PECOS PAC ID: 4082883228 Enrollment ID: I20110804000639 |
| Provider Name | Samuel Polek |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790004646 PECOS PAC ID: 1052556594 Enrollment ID: I20140911000833 |
| Provider Name | Christopher J Greene |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184913691 PECOS PAC ID: 2264678838 Enrollment ID: I20140930002838 |
| Provider Name | Dag Shapshak |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851322713 PECOS PAC ID: 5890714612 Enrollment ID: I20140930002955 |
| Provider Name | Hugh W Shoff |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174822332 PECOS PAC ID: 7618128117 Enrollment ID: I20140930003001 |
| Provider Name | Timothy Carpenter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215008297 PECOS PAC ID: 3870638349 Enrollment ID: I20150708002060 |
| Provider Name | Charles Henry Davis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801206917 PECOS PAC ID: 2769778372 Enrollment ID: I20190515000526 |
| Provider Name | Sara S Gonzales |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952786139 PECOS PAC ID: 1759697246 Enrollment ID: I20200827002865 |
| Provider Name | Deonna B Dodd |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376962092 PECOS PAC ID: 7618270299 Enrollment ID: I20201221001667 |
| Provider Name | Tyler Brooks Byrd |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255787636 PECOS PAC ID: 8426344029 Enrollment ID: I20221103000665 |
| Provider Name | Zviadi Aburjania |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811457245 PECOS PAC ID: 5395087209 Enrollment ID: I20231208001810 |
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