Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 21234 | AL |
Y | 207VX0201X | Gynecologic Oncologist | 21234 | AL |
NPI | 1043262777 |
---|---|
Provider Name | John M Straughn |
First Address | Birmingham, AL 35255-5310 |
Second Address | Birmingham, AL 35233 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/05/2006 |
Last Update Date | 02/12/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000095179 | (05) | AL |
000095179 | BLUE CROSS (01) | AL |
009911687 | (05) | AL |
009932913 | (05) | AL |
009937009 | (05) | AL |
009940135 | (05) | AL |
009941127 | (05) | AL |
009969385 | (05) | AL |
02252842 | (05) | MS |
051524085 | BLUE CROSS (01) | AL |
051530561 | BLUE CROSS (01) | AL |
051539079 | BLUE CROSS (01) | AL |
051543258 | BLUE CROSS (01) | AL |
051545045 | BLUE CROSS (01) | AL |
130567 | (05) | AL |
980000261 | RAILROAD MEDICARE (01) | AL |
H12151 | VIVA (01) | AL |