| Name: | Vascular Associates of Birmingham, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 13 Feb 1990 (35 years ago) |
| Entity Number: | 000-135-573 |
| Register Number: | 000135573 |
| Historical Names: |
Michael A. Drummond, M.D., P.C.
|
| ZIP code: | 35211 |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Registered Office Street Address: | 817 PRINCETON AVENUE SW, SUITE 306BIRMINGHAM, AL 35211 |
| Authorized Capital: | $10 |
Activities
GENERAL SURGERY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1841244886 | 2006-05-22 | 2024-03-04 | 817 PRINCETON AVE SW, SUITE 306, BIRMINGHAM, AL, 352111333, US | 817 PRINCETON AVE SW, SUITE 306, BIRMINGHAM, AL, 352111333, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 205-783-0160 |
| Fax | 2057886249 |
Authorized person
| Name | DR. ROBERT SCOTT MCCORD |
| Role | PRESIDENT/PHYSICIAN |
| Phone | 2057830160 |
Taxonomy
| Taxonomy Code | 2086S0129X - Vascular Surgery Physician |
| License Number | 00013686 |
| State | AL |
| Is Primary | No |
| Taxonomy Code | 2086S0129X - Vascular Surgery Physician |
| License Number | 00019081 |
| State | AL |
| Is Primary | Yes |
| Taxonomy Code | 2086S0129X - Vascular Surgery Physician |
| License Number | 00021035 |
| State | AL |
| Is Primary | No |
| Taxonomy Code | 2086S0129X - Vascular Surgery Physician |
| License Number | 00023846 |
| State | AL |
| Is Primary | No |
| Taxonomy Code | 363AS0400X - Surgical Physician Assistant |
| License Number | TA-1645 |
| State | AL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 000024104 |
| State | AL |
| Issuer | MEDICAID |
| Number | 00089937 |
| State | AL |
| Issuer | MEDICAID |
| Number | 009932034 |
| State | AL |
| Issuer | MEDICAID |
| Number | 051512731 |
| State | AL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| VASCULAR ASSOCIATES OF BIRMINGHAM 401(K) PROFIT SHARING PLAN | 2023 | 631017607 | 2024-09-03 | VASCULAR ASSOCIATES OF BIRMINGHAM, P.C. | 11 | |||||||||||||
|
||||||||||||||||||
| Name | Role |
|---|---|
| R. SCOTT MCCORD, M.D. | Agent |
| Name | Role |
|---|---|
| DRUMMOND, MICHAEL A MD | Incorporator |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2023-06-13 | Name Change | Michael A. Drummond, M.D., P.C. | Vascular Associates of Birmingham, P.C. |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
