| Kendra D Outler, MD | |
|
619 19th St S, Birmingham, AL 35249-0001 | |
| (205) 731-9701 | |
| Not Available |
| Full Name | Kendra D Outler |
|---|---|
| Gender | Female |
| Speciality | Anesthesiology |
| Location | 619 19th St S, Birmingham, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629191747 | NPI | - | NPPES |
| 1127426 | Medicaid | LA | |
| 114988 | Medicaid | AL | |
| 114987 | Medicaid | AL | |
| 114989 | Medicaid | AL | |
| 114991 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 29842 (Alabama) | Secondary |
| 207P00000X | Emergency Medicine | 14642R (Louisiana) | Secondary |
| 207L00000X | Anesthesiology | 036115066 (Illinois) | Primary |
| Entity Name | Cook County |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588612832 PECOS PAC ID: 2860398088 Enrollment ID: O20031209000747 |
| Entity Name | North American Partners In Anesthesia Illinois Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699032524 PECOS PAC ID: 1052576519 Enrollment ID: O20120706000534 |
| Entity Name | Sahag Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174035513 PECOS PAC ID: 4486913480 Enrollment ID: O20180122000007 |
| Mailing Address | Practice Location Address |
|---|---|
| Kendra D Outler, MD Po Box 55310, Birmingham, AL 35255-5310 Ph: () - | Kendra D Outler, MD 619 19th St S, Birmingham, AL 35249-0001 Ph: (205) 731-9701 |
Riaz Mohammed Karukappadath, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 619 19th St S, Birmingham, AL 35249 Phone: 205-934-4011 | |
Dr. Victor E. Mendoza, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5130 Cyrus Cir, Birmingham, AL 35242 Phone: 205-981-0414 | |
Joshua Edward Smith, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 619 19th Street South, Birmingham, AL 35233 Phone: 205-934-6600 | |
Stacy Wade, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1717 6th Ave S, Birmingham, AL 35233 Phone: 800-822-8816 | |
Bernis A Simmons, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 52 Medical Park Dr E, Suite 321, Birmingham, AL 35235 Phone: 205-838-3055 Fax: 205-838-3517 | |
George R. Wells Iii, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1201 11th Ave S, Birmingham, AL 35205 Phone: 205-930-7246 | |
Teddy W. Sartin, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 1600 Carraway Blvd, Birmingham, AL 35234 Phone: 205-502-6817 Fax: 205-502-5152 |